HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/17/21
CIE
Planning and Development Services
Building and Code Regulation Division
Permit Number:
Building Permit Application
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR:
EMERGENCY HVAC Mechanical A/C Change Out LIKE FOR LIKE
PROPOSED IMPROVEMENT LOCATION:
Address: 9910 Perfect Drive 26 Port Saint Lucie, FL 34986
Property Tax ID #: 3327-702-0026-000-6 Lot No.
Site Plan Name: GOLF VILLAS UNIT 26 Block No.
Project Name: EMERGENCY HVAC Mechanical A/C Change Out LIKE FOR LIKE
DETAILED DESCRIPTION OF WORK:
EMERGENCY Fly ail C Change , INSTALL RHEEM 1.5 TON 16 SEER STRAIGHT COOL 11 5 K11 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 i Sprinklers ,Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,300.00 Utilities: � Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Lucie McDonald Dame: Kelly Certosimo
Address,: 9910 Perfect Drive 26 Company: Air Temp Air Conditioning
City: Port Saint Lucie State: Address: 1384 NW Commerce Centre Drive
Zap bode: 34--
�$6 FAX, City: Port Saint Lucie State: FL
Phone No. (302) 562-4219 Zip Code: 34986 Fax;
E-Mail: lumac39@aot.com Phone No (772) 340-0740
Fill in fee simple Title Holder on next page if different E-Mail airternpac@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:
ZI P: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 restri
structure. Please consult with your Home Owners Association and review your deed for any restrictions which ma °a prohibit such
Y apply.
Inconsideration of the granting of this requested permit, 1 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 4P
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
F— with lender or an attorney before commencing work or recording Notice of Commencement'.
Signature of O
AP
ner/ Less
/Contractor as Agent for Owner
STATE OF FLORIDA�� &,461
(
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
_X Ph sisal Presence or Online Notarization
this � � day of . 2020 bv
Name of person
aking statement.
Personally Known x
Type of Identification
Produced
Sr M
OR Produced ification
(Signature of Notary Public- State of Florida
Commission No. j.C/Zx9Seal)
REVIEWS
DATE
RECEIVED
DATE
COMPLETE
FRONT
COUNTER
16 a
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of VW
ZONING
REVIEW
is State of Florida
8rianna V Lorenz
My Commission HH 042089
Expires 09/1412024
SUPERVISOR
REVIEW
Signature of Co
actor/license Holder
STATE OF FLORIDA��
COUNTY OF l�Vtl.
Sworn tv (or affirmed) and subscribed before me of
Physical Prese ce or Online Notarizati
xon
this /7 day of 2020 by
Name of person making statement.
Personally Known �
Type of Identification
Produced lumm".
OR Produced Identification
{Signature of Notary Public- State o%0'
f Florida )
Commission No. ! L���(Seal)
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
rotary POblic State of Fled
Manna V Lorenz
MY COMmission HH 042089
Expires 12
MANGROVE
REVIEW
Eligible for Federal Tax Credit
Certificate of Product Ratings
AHEM Certified Reference Number -. 201276462
Old AHRI Reference Number. 7940563
Date : 5-1 -2o 1
AHRI Type: CU-A-CB(Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Brand Name : RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1618A,l1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RF1 T2421 MTAN
Model Status : Active
Region : All AK, AL, AR, AZ, CA, C 3 CT, DC, DE, FL, GA, HI, ID, lL, 1A3 I l KSKY LA M
MT, NC, ND, NE, NH, NJ, NM, NV, NY, H, OTC, OR, PA, R1, SC, SD, TN, TIC, UT, VA, VT, IAA WV, W1 Wy-F U.S.
Territories)
Region Note : Central air conditioners manufactured prior to January 1, 201 are eligible to b installed i
r` n all regions
until ,dune 30, 2016. ginning July 1, 2016 ventral air conditioners can only be installed in region(s) for
which they neat 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 AHEM 21 2 0 with Addendum 1 Performance rr an Rating,
of Unitary Air -Conditioning
Air -Source Heat Pump Equipment and subject to rating accuracy�AHRI-sponsored, independent, third party testing:
Cooling Capacity A2 - Single or High Stage F , bt h : 17100
SEER . 16,00
EER (A2)- Single or High Stage F : 13.00
t"A tive" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are heir
marketed but are not yet being prod ed."Produoti n Stopped" Model Status are those that an AHRI Certification Program Parfiol ant is no longer producing BUT is still
selling or offering for sale,
Ratings that are accomoanied bg WAS indicate are involunt re -rate. The new published rating is shown alonn with the larevious i.e. _ AS) 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 p roduct 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 AHEM. 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 torn or � individual,
rr�ar�er r b are means, except for the user �n�#tividual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can he verified at ww.a rldire t r .or , click on "Verify Certificate" link ,7,
and enter the AHRI Certified Reference Number and the date on which the certificate as issued, eve k life -better
which is listed above, and the Certificate No., which is listed at bottom right. �-�----� —
@2021 Air -Conditioning, Heating, and Refrigeration Institute ,CERTIFICATE NO.: 132657279542398914