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HomeMy WebLinkAboutJ Chambery PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/21/21 Permit Number: J77, Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR:HVAC Mechanical A/C Change Out LIKE FOR LIKE PROPOSED IMPROVEMENT LOCATION: Address: 9306 Briarcliff Trace Port Saint Lucie, FL 34986 Property Tax I D #: 3322-801-0038-000-2 Lot No. 33 Site Plan Name: BRIARCLIFF AT PGA VILLAGE - LOT 33 Block No. Project Name: HVAC Mechanical A/C Change Out LIKE FOR LIKE DETAILED DESCRIPTION OF WORK: HVAC Mechanical A/C Change Out [NSTALI. 2 RHEEM STRAIGHT COAL 16 SEER SYSTEMS / 3.5 TON W! 10 KW HEATER! 2 TON W/ 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 Pilch Total Sq. Ft of Construct -ion: Cost of Construction; $ 61500-00 OWNER/LESSEE: NameJudith Chambery Address*9306 Briarcliff Trace City: Port Saint Lucie State: Zip Code: 34986 Fax: Phone No, (772) 834-0355 E -M a i 1: g reg @visitm aplewood,, com Sq. Ft. of First Floor: Utilities: � Sewer � Septic Building Height,* Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Kelly Certosimo Company:Air Temp Air Conditioning Address: 1384 NW Commerce Centre Drive pity: Port Saint Lucie_._ State: FL dip Code: 34986 Fax: Phone No(772) 340-0740 E,Mai I airtempac@yahoo.com Slate or County License CAC1 8148 . 37 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. Eligible for Federal Tax Credit C f ate of Product Statings erti ic AHRI Certified Reference Number : 201290216 Date: 05-21-2021 Model Status :Active Old Ali l Reference Number'. 7942888 i--I I Type : CU- -C lit stern: Air -Cooled Condensing nd, Coil with Blower Outdoor Unit Brand Name: 1HEM Outdoor Unit Model Number (Condenser or Single Package) : RA1642AJ1 I n de s' Unit Model Numb r (Evaporator and/or Air Handler) : RH I T4821 STAN Reg{ in All(AK, �, A1� A� �, � CT DCD FL, GA, Hi# iD, ILI IAt it i, Ks, KY, L , iA, M x ME, it 1, MN, 11,II , Ms, . NV, NY, OH, OKt OR, PA, RI, SC, S ■ TN, T • UT, VA,SIT, WA, WV, W11 Wyl Y.S. Territories) Regioni conditioners manufactured prior to January 1, 2015 are eligible t be installed in all regions Note: Central r until June , 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 follows in accordancewith he latest edition of A I # 210/240 with Addendum I , Performance bating.of Unitary Air -Conditioning & Ak-Source Heat Pump Equipment and subject to rating accuracy by AH I -sponsored, independent, third party tes ng. Cooling Capacity A2 - Single or High Stage F , btuh : 40000 SEER : 16.00 EER (A2) -Single or High Stage (95F) : 13.00 �, - R� Certification Program Participanti urrer�t# producingAND selling or ef�rit� �� � l �e rr��dels that are being -� 'Active" Model Status are that an AHiI � t ed" Model Status are these that AH I Certification Program Participant i n Conger produ ir�c BUT 1 still marketed ��t are not yet b�r� produced ."Production ��� 10g or off ring for sale. . I a En that r anied b I AS indicateas inn lent re -rate. The new li a ray ire i showin i n with the r Sri u i.e. WAS)ratin . DISCLAIMER All dies not endorse the product(s) listed n this Certificate and makes representations, warranties r guarantees to, and assures responsibility for, disclaims all liability for damages f n kind arising out of the use r performance f the r du t s , r the the product(s) listed n this Certificate. H Iexpressly unuthrie alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at ww.anrouir t ry. r . TERMS AND CONDITIONS to end its contents air proprietary products f AHII* This Certificateshall only be used for individual, personaland This Certificate The tuts f this Certificate t not, in whole or in pert, reproduced; copied; disseminated;onfidentil reference purposes. ntred ant pute r database•, or otherwise utilized, in a try feria or manner o r b tr, any means, except t for the us ,s i n d vide ai, personal and confidential reference. CERTIFICATE VERIFICATION The information for �I� model cited rl �1certificatef� I� verified �'Vfrii�`�".rr click on "Verify �"i!�C'� iiI�C and eater the AH I 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. AIR-CONDITIONINGy HEATING, REFRIGERATION INSTITUTE vve make life bettelrTll @2021 Air -Conditioning, Heating, and Refrigeration Institute 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 ao the work ana Jn5taJJduUJ: d:) 111u1t.,0«U. certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count makes no representation thatis 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 fender or an attorney before commencing work or recordi your Notice of Commencement. t Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF -. Luc Signature of Contra cfor/Li ce n se Holder STATE OF FLORIDA P COUNTY OF Swo n to (or affirmed) and subscribed before me of Ph sical Presence or online Notarization this day of 2020 by C J S Name of persormrhaking statement. Personally Known Type of identification Produced OR Produced Identification (Signature of Notary Public -`State of Florida 000 Commission No.HR,,0 ��q(Seal) Sworn to (or affirmed) and subscribed before me of X Physical Preseqce or online Notarization this Z I I day of 2020 bV Name of person'm%al<ing statement. Personally Known Type of Identification Produced oft OR Produced Identification. of Notary Pub�ic- State of FloriSignature 6;;V Commission No. b H "l ,,,e a I) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE GRUNTER REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETE*, eV. ��' � Notary Public State of Florida � Notary Public State of Florida erian�a V Lorenz � Brianna V Lorenz +a � My Cantmis5it�n HH 442088 ' My Commission HH �42088 ExA�res 09/1412024M.11Expires 09I1�412G24 MANGROVE REVIEW 5 Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number: 20127873 Date : --21-2 21 Old AHRI Reference Number: 7940891 Type:AHRI CU-A- C lit Systems Air -Cooled Condensing Unit, Coil with lower Outdoor Unit Brand Name: RHEE Outdoor Unit Model Number (Condenser or Single Package) : RA1624AJ1 Model Status : Active Indoor Unit Model Number(Evaporator and/or Air Handier : RH1 T2417STAI •(AK,FL, H1,ID, IL:I,I,KS, KY, LA, MA, II , E, 1, ,MyMS, Region : All AL, ►� A�, �A, CO,���", , H I P 11, SC, SID, TN., TIC, +T, VA, �T, WA, WV, Wl, WY,U.S. MT,� r l C, [ H , I III, [ #� � � f Territories} Region Note: Central air conditioners ' manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 8, 2Beginning July 1 2016 central air conditioners can only be installed in region for which they meet the regional efficiency requirement. The manufacturer of this l HE M product is responsible for the rating of this system combination, . x ... � �_ . 2�t Addendum 'l , PerformanceRt�r�. Unitary Air -Conditioning Rated Ilr� in accordance ��tb the latest ed � AHD s r t t rating eras b AHRI-sponsored y independent, third party testing: Air -Source Heat �� Equipment er�d subject ] Cooling Capacity 2 - Single or High Stage 95F , btuh : 22800 SEES . 16.00 EE 2 - Single or High Stage F y 13.00 • �� - Participant i urrenti rdu�n ll selling or offering for gala; never rl�l that are lire "�� idol status are those that an AHRI Certification Program rr longerproducing BUT is still r u ed."ProductionSty d" Model Status are those that n AHRI Certification Program Participant rarefied but are not yet �eE� #�� iling r ering for sale. . an invel nta re -rate. The n W bl1 l� � r tir i how i rr with the 11 r tiro . l atinq _ that are a ni �A� indicate DISCLAIMER . .. and a n representations, warranties r guarantees , and assumes n refill#y for, l�#li does net endorse tl�e product(s)listed a t� Certificate � � rperformance f the �dt orthe the product(s)listed e thi Certificate. Al l expressly disclaims all liability for damages of any kind arising out f the unauthorized alteration f data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www, a h r l d i r ct r y. r. M0 0 TERMS AND CONDITIONS are r rletarproducts f HRH This Certificate lull only b used for individual, personal and This Certificate and its contents y confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered i nto a computer data, lase• o r otherwise ub fize dI In any to r M or manner o r by any m eans, except far the user?s indl ldual, personal and confidential reference. CERTIFICATE VERIFICATION ' l cited � t� ertifiate Can Ia verified at �r.arldlrrr� liC r� "VerifyCertificate" link The information n for the mod • • d t hih tie rpkrtifinnte was issued r� AIR-CONDITIONING, HEATING, tic REFRIGERATION INSTITUTE we make life better' and enter the AHH1 Certified Reference Ixurribet and Is e a qu 0" W which is listed above, and the Certificate No., which is listed at bottom right. 132660762698094282 @2021 Air -Conditioning, Heating, and Refrigeration Institute 1 L;t=K i irlt,fal M rvv.: