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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/16/21 Permit Number: O Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR:HVAC Mechanical A/C Change Out LIKE FOR LIKE PROPOSED IMPROVEMENT LOCATION: Address: 7214 Shanas Trail Port Saint Lucie, FL 34952 Property Tax ID#: 3414-501-1009-300-1 Lot No.9 Site Plan Name: ST LUCIE GARDENS 24 36 40 BLK 2 S 165 FT OF N 330 FT OF W 1/2 OFLOT9 Block No. Project Name: HVAC Mechanical A/C Change Out LIKE FOR LIKE DETAILED DESCRIPTION OF WORK: HVAC Mechanical A/C Change Out INSTALL RHEEM 2.5 TON 16 SEER 7 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: X Mechanical T 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: $ 5,000.00 Utilities: _Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: NameTom Miller Name:Kelly Certosimo Address:7214 Shanas Trail Company:Air Temp Air Conditioning City: Port Saint Lucie State:jEL Address:1384 NW Commerce Centre Drive Zip Code: 34952 Fax: City: Port Saint Lucie State:FL Phone No.(312)342-0973 Zip Code: 34986 Fax: E-Mail:tr.miller@live.com Phone No(772)340-0740 Fill in fee simple Title Holder on next page(if different E-Mailairtempac@yahoo.com from the Owner listed above) State or County License CAC1 814837 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 LAW 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 BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 with lender or an attorney before commencing work or recording our Notice of Commencement. a.� F Signature of Owner/Les ee/Contractor as Agent for Owner Signature of Contractor Litense Holder w STATE OF FLORIDAS1 44LCI�� STATE OF COUNTY F ORIDA <-f f uciCOUNTY OF [[ (_- l� Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of P�y sical Pres nce qr Online Notarization X Ph sical Pres nce or1 Online Notarization this-IV day of rl 2020 by this_day of A 1 2020 by ill Ce��osf'�o �elI r a ` Name of person ing statement. Name of person ma ' g statement. Personally Known X OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced 1 Yt)Id�� ZZ7� T'12zo� - (Signature of Notary Public-State of Florida ) 11 (Signature of Notary Public-- tate of Florida ) Commission No. U� (Seal) Commission No. HH6q (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE TJ COMPLETE °ry,� Notary Pu lit State of Florida Note Public eV• , .r My Commission HH 042089 . manna V Lorenz Expires 09/14/2024 ;� ,�P My Comm scion H!i 042089 wN �pIlM1v' Expires09/14/2024 v � Eligible for Federal Tax Credit A "IMP Certificate of Product Ratings AHRI Certified Reference Number:201281646 Date:04-16-2021 Model Status:Active Old AHRI Reference Number:7941343 AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower) Outdoor Unit Brand Name:RHEEM Outdoor Unit Model Number (Condenser or Single Package):RA1630AJ1 Indoor Unit Model Number(Evaporator and/or Air Handler):RH1T3617STAN Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID,IL,IA, IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS, MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,VT,WA,WV,WI,WY,U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1,2015 are eligible to be installed in all regions until June 30,2016.Beginning July 1,2016 central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. 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(9517),btuh:28600 SEER:16.00 EER(A2)-Single or High Stage(95F) : 13.00 t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale;OR new models that are being marketed but are not yet being produced:`Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Retinas that are accompanied by WAS indicate an involuntary re-rate The new published retina is shown along with the previous(i.e.WAS)rating, 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 of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only foe models and configurations listed in 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 a computer database;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, &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION e information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life bettei— and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. 132630750791271207 ©2021 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: The :