HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/4/21 Permit Number:
N (D
.,,
, � 446,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: EMERGENCY HVAC Mechanical A/C Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 10317 Crosby Place Port Saint Lucie, FL 34986
Prnnerty Tax ID #: 3327-709-0057-000-3
Site Plan Name: POD 26 AT THE RESERVE PHASE II CYPRESS POINT LOT 122
Project Name: HVAC Mechanical A/C Change Out LIKE FOR LIKE
Lot No. 122
Block No.
DETAILED DESCRIPTION OF WORK:
HVAC Mechanical A/C Change Out INSTALL RHEEM 4 TON 16 SEER STRAIGHT COOL W/ 10 KW HEATER LIKE FOR LIKE
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank ` Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,500.00
_ Generator
_ Windows/Doors — Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameThomas Patrick Aylward
Name: Kelly Certosimo
Address:10317 Crosby Place
Company:Air Temp Air Conditioning
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.(614) 632-3100
E-Mail:tpatrick.aylward@gmaii.com
Address:1384 NW Commerce Centre Drive
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No(772) 340-0740
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailairtempac@yahoo.com
State or County License CAC1814837
If value of construction is 2500 or more, a RECORDED Notice of commencement is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
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 ana installation as inuicaTeu.
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
:L. 1__A _ _ � a.+,._—, k—faro �nry ,nnrino %Ainrk nr rarnrriinQ vnur Notice of Commencement.
WIUI It=HUCI VI CI11 QllVl I1c vc�va. a.v......... ...... .. ...
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Signature of (I&ner7 Lessee/ ntractor as Agent for Owner
Signature of iTtractolt6cense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF � `
COUNTY OF �� _
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
P Pre a ce or Online Notarization
A Physical Prese a or Online Notarization
4ysical
this day of 2020 by
this day of 12020 by
fie ea
Name of person m king statement.
Name of person m g statement.
Personally Known X OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- tate of Florida )
Commission No.,"'?M—I (Seal)
Commission No. NSeal)
REVIEWS
FRONT
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SUPERVISOR
PLANS
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REVIEW
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REVIDATERECEIVED
Not
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DATE
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Rev. 5/6/20
Eligible for Federal Tax Credit
Certificate of Product Ratin
AHRI Certified Reference Number: 201294083 Date: 05-04-2021 Model Status: Active
Old AHRI Reference Number: 7943535
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) : RA1648AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T4821 STAN
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 (95F), btuh : 44500
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.
Ratings that are accompanied by WAS indicate an involuntary re -rate The new published rating 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 for 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, 7iAERATTIION HEATING,
N INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate" link we make life better -
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. 132646157271915922
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: