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
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