HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0 1 / 0 1 Permit Number:
9-1L!_- E,
Building Permit Application
Planning and Development Services
i riling and Code 4egufation Division Commercial X Residential
23 00 Virginia Avenu , Fort Pierce FL 34982
Phone: (77 ) 4 -155 Fax: (77 ) 46 -157
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION: ExactAC change out
Address: 1572 E Tiffany Club Piave
Propert Tax ID #: 3414-501-3503-000-5 Lot No.
Site Plain Name: Bloch No.
Project Name: Reserve erve at Port St Lucie Apt
DETAILED DESCRIPTION IPTION F WORK;
Enact ACC change out - Replace existing AC unit with a 2 toil Temp tar 14 Seer R410
Air Handler - FEM4P 400 5 KW Heater
Condenser er - NXA424GKC
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION-
Additional work to be performed under this perm it — check all that apply:
--Mechanical , Gas Tank _ as Piping 5hutter5 Windows/Doors Pond
Electric Piumbing , Sprinklers i Generator Roof Pitch
TDtal Sq. Ft of Construction: 5q. Ft. of First Floor:
Cost of Construction: 2,200 Utilities: � ewer i Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name-"'-iffany Park Par#ners LTD Ty _ Name-. Oscar A Calzadifla
Address; 3475 Piiadmarit Rd NE Ste 1640 o pen : lJnico Air Conditioning Co
City- Atlanta State: Address: 1711 Sunset Isle 1 d
Zip Code: 30305 Fax: City. Ft Pierce State: FI
Phone No. Zip Code: 34949 Fax: 772-674-7526
Phone No 77 -4 -5104
Fill in fee simple Title Molder on next page if different E-Mail molly a@uni hvac.com
from the Owner fisted above) State or County License
A 18'149 0
If value of construction is 2 500 or more, a RECORDED Notice of Co m rn ence me nt is required. — —
1f value of HIAVC is $7,500 or more, a RECORDED Mortice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ION.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name, Name:
Address: Address:
Ci ty: _ State. City: State:
Zip: Phone Zip: Phone: - ----� --- --T---�__ i
FEE SIMPLE TITLE HOLDER: : Not Applicable BONDING O PANY. Not Applicable
Name: Name:
Address: Address-
City:ty: _ 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 bounty 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 Horne 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 wv ich 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 puhCic records of St.
Lucie County and posted on the jobsite before the first inspec ion. If ou intend to obtain financing, consult
with lender or an attorney before commencing work or rec rdift your [Notice of omr encement-
6o "� � �0 A0 Q r '
Signature of Owner/ Lessee/Contractor as Agent for Owner ignatur o actor/License Helder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_. _ � ��"1 �1 — .-- - COUNTY OF Ala V't, A - -
worn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Pre ce or Online Notarization Physical Present or Online Notarization
this day of Q by this day of 'AGZ0 by
Grant T Condone Os r A Calzed0a
Name of person making statement. Name of person making staternent.
Personally Known OR Produced Identification _ Personally Known � R Produced Identification
Type of [dentification Type of Identification
Produced Produced
(Signature of IotarPubl' to o( ignat re otair P u b I tam FIori� ELIti OL 3
Commi iwimo t#GG 17158 "r * Co 4 171582
Commission No- * ( 4QUes 1pril25.20 Commission No. * 2022
lee aF -°# WON Thu 9save" �' '��c�� $a..da d n.w B140t WWy s«doee
REVIEWS EROW ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER I REVIEW REVIEW REVIEW REVIEW REViEW RE1 iEW
DATE
I i
FiE �I'�IED .
DATE
COMPLETED
y]�r M
G Y
Unico Air Conditioning Company
1711 Sunset Isle Rd
Ft Pke;ee, FE 34949
Phone. (77 ) 67 -6676 Fax: (772)647-75 5
Contract
Billing Address Document Number 51007510349
Unico Air CQrtditioning Company .5 0 1
1711 Sunset I sfa Rd
Ft Pierce,Fl 34949
Shipping Address: Grant T Carbone
Reserve at PSL
1572 se Tiffany Club Dr
Port St Lucie, Fl
77 - 1-.3787
Terms of payment: Net 15 Days
Term of delivery-. ZOR(FOB Origin)
Equipment ready for pick up at HO Supply
Item Material/Description Quantity Unit Price Amount
I Install Indoor/outdoor AC Unit $2,200.00 52P200.00
Int. Article No. 25937855
2 ton Tempstar 14 Soor R410 - --
SLI btota 1. $2,200.00
I ax:
Shipping 00
Signature:
rand Total: $21,200.00
Masi CERTIFIED '
Certimfi'cate
i
AHR! Certified Reference Nurnber : 94872661 Date ; 0 -17- 019 [Vlodei Status : Active
i AMR] Type , RU-A-CB
Series : 14 SEER N SERIES R410A A
Outdoor Unit Brand Name : TEMP TAR
Outdoor Unit Model Number (Condenser or Single Package) : NXA4 4(A,C)I '*
Indoor Unit M 0 d e I Number (Eva porator andlor Air Flan dhar) ; FEW P 4*"AL
Region. : Southeast and hiorth (AL, AFC, DC, DE, FL, GA. HI, KY, LA, MD, M S, NQ 0K. 5G. TN, TX, VA, AK, Co, CT, ID, IL,
IA, IN, KS, II!!A, ME, Iti.+ZI, MN} Mo, N1T, ND, NE, NH, NJ� NY, OH, OR, PA, R1. SID, UT. VT, VVA, WV, W1, WY, U.S.
Territories)
Region Mote C entraI air conditicnars ma-n ufa ctu red prior to .January 1, 2 015 are eligible to be installed in all regions
un#il June 0_ 2016. $eginning July 1, 2016 central air conditioners car. only be installed in region(s) for
which tiler rneetthe regional effi6ency requirement.
The manufacturer of this TEMPSTAR product is responsible for the rating of this system combination.
Fated as follows in accordartice with the latest edition of AN IfAHRI 2101240 with Addenela 1 and 2, Performance Rating of Unitary
Air- onditlonIng & Air-Source Heat Pump Equipment and subject to rating accuracy by AHI I-!sponsored, indep-olden, third party testing.
Cooling Capacity (A2) - Single cr High Stage (95F), btuh . 2 2800
SEER : 14.00
EER (A ) - Single or High Stage ( F) : 11.50
f"Active" Model Status are those that an AHRI Certification Program Participant is ourrenly pradueing AND selling or offering for sale; OP, new models #h.at ore being
marketed but are trot yet being pro faced_-Production Mopped" Model Status are tFrose that an AFRI erti5--abon Program Participant is no longer producing BUT is still
selling or oaring for sale.
Ralin sthat ccom paried by WAS ire-iicate an involunta re-ra te. The crew Dublished Fati na is shown eI wi#Il the rep^oUS i.e. V4r rain .
DISCLAIMER
AHRI does net engorse the praduct(s) Ilst�--t! on this Certil?r�,ate and makes no representations_ warranties or guarantees as to, and assumes no respo nsibi IAY for,
the product(s) Iisted on this Certificate. AHRI expressly disclaims al Iiabklity for damages of any kin6 arising out of the use or pe rf ormance otthe product(s), or the
unauthorized alteration of data listen on th!,%Certificate.Certified ratings are valid only+for rnodels and con fii urations listed in the
directory at www.ahrfdirec#ary.org,
TERMS AND CONDITIONS
This Cef Neate and its contents are proprietary products of AHEM.This Cerilflcaxc shall only ire used for IndMclual personal and OL"Ims
confideretial reference purposes.The contents of this Certificate racy not. in whale or In part, be rep rocitjceEs; cople'c dissemirla#ed:
entared into a computer database;or otherwise utilized, in any farm or manner or by Emy rrtcan5. except for the user's Ind ua lVldr,
personal and confidential rulerence. AM-CO w&r> ONIN4, �,rlr,+I71liIsl,
IERTIFICAtE VERIFICATION &RE RIGERA710 l INSTITUTE
The inforrttatior1 for the model cited on this C AIficate coo be verified at www.ahridlireotorv.urg, click on "Verify CurtifirI#e' Ilnk nx�ke lift her;er*
and enter the AHRI Ceri0ied Ref eren w Number and the elate on whIch the oe rtiflcate was issued,
which is t:sted above. and the Certifirate No., which Is listen at bGttDM rl hL
f 19 1 Air-Condffioning, Heating, and Refrigeration Institute IC
ERTIFI TF No.- 13 05287624025sU52