HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/7/21
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Permit Number:
Building Permit Applat
ication
Planning and Development Services
Building and Code Regulation Division
00
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-, 10135 Wild Quail Drive Port Saint Lucie, FL 34986
Property Tax ID #: 3322-621-0027-000-0 Lot No. 1$
Site Plan Name: PAD 6 PUD 3 AT THE RESERVE WILLOW PINES WEST AT EGA Vl1.l.AGE (P8 42-33) LQT'!8 (OR 4102-693) _ - Black No.
Project Name: HVAC Mechanical A/C Change Out LIKE FOR LIKE
DETAILED DESCRIPTION OF WORK:
HVAC Mechanics! A/C Change Out INSTALL RHEEM 3.5 TON 16 SEER STRAIGHT COOL UNIT W/ 10 KW HEATER LIKE FOR LIKE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additions! work to
be performed under
this permit— check all
that apply:
X Mechanical
� Gas Tank
� Gas Piping
_Shutters
Electric
Plumbing
Total S. Ft oConstruction:
Sprinklers
generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Cost of Construction: $ 5,300.00 Utifitie. -.,-.-..Sewer � Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robert G. Cunningham Name: Kelly Certosimo
Address,: 10135 Wild Quail Drive Company,* Air Temp Air Conitioning
City: Port Saint Lucie State: Address: 1384 NW Commerce Centre Drive
Zip Code: 34986 Fax: City: Port Saint Lucie State: FL
Phone N o. (772) 344-3941 Zip Code: 34986 Fax:
E-Mail. cunnys6l @gmafl.com Phone No(772) 340-0740
Pill in fee simple Title Holder on next page if different E-Mail airtempac@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
Kafue
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 TITLEHOLDER, _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
4.
OWNER/ CONTRACTOR AFFIDVIT.0 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 conlict with any applicable Home Owners Association rues, 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 fallowing 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 resuft 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 financina, consult
with lender or an attornev before commencing work or recording your Nntirp of Cornmencement.
Signature of owner/ Le
STATE OF FLORIDA
COUNTY OF
ee/Contractor as Agent for Owner
ft
01
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 7-dayof �](Anr— � , 2020 by
S i rn
Name of persWn--m--a king state men'" fi.
Personally Knows OR Produced Identification
Type of Identification
Produced
4b
(Signature of Notary Public St -ate of FI
Commission No. (Seal)
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
FRONT
COUNTER
ire
ZONING
REVIEW
SUPERVISOR
REVIEW
Noiary Public State of 110nda
Bhanna V Lorenz
trlly Commission HH 0420139
Expires 0911412024
Signature o
ontractof/license Holder
STATE OF FLORIDA
COUNTY OF
Lucy
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this �„ day of , zozo by
Name of person n'tAing statement.
Personally Known X
Type of Identification
Produced
Wb-
OR Produced Identification
(Signature of Notary Public- State of Florida }
Commission No. Hk1&42eerq
P LA. N S
REVIEW
VEGETATION
REVIEW
(Seal)
SEA TURTLE
REVIEW
Notary PobIiC State of Florida
KAY Commission HH 042089
Expires 11/0
MANGROVE
REVIEW
Eligible for Federal Tax Credit
of Product RatingsCertificate
H I Certified Reference Number: 2 12 o21 Date: o -o -2021
Old AH I Reference Number : 7942888
AH I Type: F C -A-C (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Outdoor Unit Brand Name: RHEEM
Outdoor Unit Model Number (Condenser or Single Package) : RA1642AJ1
Indoor Unit Model Number (Evaporator and/or Air Hardier) : RHIT 21STAN
Model Status : Active
Region * All (AID, AL, AID, AZ, CA, Go, CTY DC, DE, FL, GA, Hl, ID, 17 1A, IN, KS, KY, LA. MA, MD., ME, MI MN, MO, i S
SIT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, ol<, OR, PA, Rl, SC, SD, TN, TX, UT, VA, VT, WA, WV, W1, WY, U.S.
Territories)
Region [dote : 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 A R1 2'10/240 with Addendum 1, Pe rfo rma noe Rating of Unita Aj r-Con d ition i
Air -Source Heat Pump Equipment and subject to rating accuracy by AH I -sponsored: independent, third art testing:
party
Cooling Capacity A2 - Single or High Stage g F , btuh : 40000
SEER: 16.00
EER (A2) - Single or High Stage : 13.00
"A tive" Model status are those that an AHl l Certification Program Participant is currently producing AND selling or offering for sale; o new models that are being
marketed but are not yet being produced. fiProduction Stopped" Modef Status are those that an AHf I Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
t ncis that are accompanied by WAS indicate are involunt r re -rate. The new published rating is shown along -With the previous (i* , WAS) ratina.
DISCLAIMER
AIM
AHl l 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 produ t s , or the
unauthorized alteration of data listed on this Certificate. Certified ratings are gelid 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 A -
confidential reference purposes. The contents f this Certificate may not, in whale or in part, he reproduced; copied; disseminated;AM Mawr
SI .
entered into computer database; r otherwise utilized, in anyform or manner or by any Means, eat for the user's individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
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The information for the model cited on this certificate can he verified at ww.ahrid!re t r . r , click on "Verify Certificate" link w f ,�,,
rid enter tl AHRI Certified Reference n Number and the date on v hich the certificate eras issued �� ��� life- � � �� �
I i is listed aLJUVtet and the U�TUfic to No., which is listed at Daum right.
@2021 Air -Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO.: 132675567556621735