HomeMy WebLinkAboutS Hall PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/9/21 Permit Number:
o
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: EMERGENCY HVAC MECHANICAL A/C CHANGE OUT LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 7508 Banyan Street Fort Pierce, FL 34951
Property Tax ID #: 1301-601-0163-000-2 Lot No.5
Site Plan Name: LAKEWOOD PARK -UNIT 1- BLK 9 LOT 5 (MAP 13/14N) Block No. 9
Project Name: EMERGENCY HVAC Mechanical A/C Change Out LIKE FOR LIKE
FD DESCRIPTION OF WORK:
EMERGENCY HVAC MECHANICAL A/C CHANGE OUT INSTALL RHEEM 3.5 TON 15 SEER 5 KW HEATER LIKE FOR LIKE
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing — Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,400.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sherrie R. Hall
Address:7508 Banyan Street
Name: Kelly Certosimo
Company:Air Temp Air Conditioning
City: Fort Pierce State: —
Zip Code: 34951 Fax:
Phone No. (772) 626-3594
Address:1384 NW Commerce Centre Drive
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No (772) 340-0740
E-Mail:sherriereynolds@ymail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail airtempac@yahoo.com
State or County License CAC1814837
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
. ;+lk lonrlor nr nn nttnrnaw hPfnrP rnmmenrina work nr rprordine vour Notice of Commencement.
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Signature of Owner/ Lessee ntractor as Agent for Owner
Signature of ontractor/Li rise Holder
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STATE OF FLORIDA Sg l�t�t
STATE OF COUNTY FLORIDA Lu CC
COUNTY OF .
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of lyQ— 2020 by
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this �ay of M EMC-7 , 2020 by
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Name of person makin tatement.
Name of person ma ' statement.
Personally Known L OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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(Signature of Notary Public- State of FI
(Signature of Notary Public- S14e oiff Florida
Commission No. �� (Seal)
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This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 1/1/2015 and 12/31/2020.
Certificate of Product Ratings
AHRI Certified Reference Number: 201631373 Date: 03-09-2021 Model Status: Discontinued
Old AHRI Reference Number: 7512350
AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source)
Outdoor Unit Brand Name: RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RP1542AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T4821STAN
The manufacturer of this RHEEM product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 42500
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
Heating Capacity (1-112) - Single or High Stage (47F) : 40000
HSPF (Region IV) : 9.00
f Models with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale
Ratings that are accompanied by WAS indicate an involuntary re -rate The new published rating is shown along with the orev_ious (Le, WAS) ratin
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind
arising out of the use or performance
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
of the product(s), or the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
entered into database;
a computer or otherwise utilized, in any form or manner or by any means, except for the user's individual,
personal and confidential reference.
AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION
& REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
we finale life better
which is listed above, and the Certificate No., which is listed at bottom right.
02021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132597825741749562