HomeMy WebLinkAboutF Baxley PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/10/21
V
Permit Number:
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: 365 S Narania Avenue Port Saint Lucie, FL 34983
Property Tax I D #: 3419-530-0125-000-5 Lot No. 7
Site Plan Name: RIVER PARK -UNIT 4 BLK 36 LOT 7 (MAP 34/28N) Block No. 36
Project Name: FIVAC Mechanical A/C Change Out LIKE FOR LIKE
DETAILED DESCRIPTION OF WORK,
HVAC Mechanical A/C Change Out. Install RHEEM 3 TON 16 SEER STRAIGHT COOL W/ 7 KW HEATER LIKE FOR LIKE
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
X-Mechanical � Gas Tank _Gas Piping � Shutters
Electric
Plumbing
Sprinklers
Generator
Windows/Doors Pond
Roof Pitch
Total Sq. Ft of Construction: Sq. F 4461 of first Floor:
Cosh of Construction: $ 47700-00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE, CONTRACTOR,
Name Frank Baxley Name: Kelly Certosimo
Address.3�5 S. Naranja Avenue Company: - Air Temp Air Condifiioning
city; Port Saint Lucie State: �L. Address: 184 NW Commerce Centre Drive
Zip Code: 34983 Fax: city; Port Saint Lucie State: FL
Phone No. (561) 889-3328 Zip Code: 34986 Fax:
E-Mai1:frankbax1ey@yahoo.rom Phone No (772) 340-0740
Fill in fee simple Title Holder on next page if different E-Mail airtempac@yahoo.com
from the Owner listed above State or County LicenseCAC18�4837
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7500 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:
Zip: Phone: Zip: Phone:
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 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 DINNER: 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 lender or an attorney before commencing work or recording your Notice of Commencement.
'"'�
Signature of Ownet"/ Lessee/Con
STATE OF FLORIDA
COUNTY OF
ctor as Agent for Owner
�uu`e
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of u n . ,. ,._... . 2020 by
Name of person ma Ong statement.
Personally Known
Type of Identification
Produced
OR Produced Identification
(Signature of Notary Public- State of Florida
Commission No.HR �q, (Seal)�
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6
FRONT
COUNTER
ZONING
REVIEW
N' Notary Public State of Flori
Brig V Lorenz
MY c:!t
mow{ T 111mlr I ri r
,W# Expires09/14/2024
Signature
C.i
ConYractor/Lic
older
STATE OF FLORIDA '
COUNTY OF S - Luc/
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this dayof J(AkIF, , . 2020 by
LA CfffS C�
Name of person makfng statement.
Personally Known
Type of Identification
Produced
OR Produced Identification
00�' (Signature of Notary Public- State of Florida )
Commission No. � �`� (Seal�
SUPERVISOR PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW REVIEW
or Nola Public State of Flor'
� R My commission HH; 042089
Expires 09/1412024
MANGROVE
REVIEW
Eligible for Federal Tax Credit
Certificate of Product Ratings
AHRI Certified Reference Number: 201285991
Old AHRI Reference Number ; 7942207
Date : -1 -2 21
AHRI Type: F c - -c (Split System: Air-cooled Condensing Unit `l
o� with Blower
Outdoor Unit Brand Name A. RHEE
Outdoor Unit Model Number (Condenser or Single Package) : RA1636AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T3617STAN
Model Status : Active
Region ; All Ka AL, AR, AZ, C, CG, CT, DC, DE, FLii
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK3 OR, PA R1, SCSD, T
Territories)
Region Note . central air conditioners manufactured prior to January ry 1, 2015 are eligib
le to be installed in all regions
until June 30, 2016. Beginning July 1, 2016 central air conditioners can R
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 eft this stern combinati
on,
Rated as fibs in accordance with the latest edition of Ali! 21240 r
with Addendum Performance Rating of UnitaryAir-Conditioning
Air -Source Heat Pump Equipment and subject t retire accuracy � - ,
� AHRI-sponsored, independent, third party testing:
Cooling Capacity A2 - single or High sty 0 , btuh : 34200
SEER: 1
E 2 - Single or High Stage 95F * 13.00
f "A Live" Model Status are those that an AHRI Certification Program a Participant is currently r dcin AND •
rated but rnot t heirs produ e�i�r� r offering for � I new models that are being
ed."Pr "Production Stopped" Model i Status are those that an AHRI Certification Pry r Participant is n lorr
selling r offering for sale.der producingis stir
tin that are rn nied b WAS indicate n involuntary re -rate. The new -published r tin i shown
- '.w...In with tie rius i.e. 11A� rtin ,
DIscl�IlvlEl
AHRI does not endorse the product 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 pradt, or the
unauthorized alteration of data listed on this certificate. certified ratings are valid only for models and ores listed in the
configurations `
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This certificate and its contents are proprietary products of AHRL This certificate shall only used for individual, personal and
confidential reference purposes. The contents of this certificate may not, in whole or in part be reproduced; copied; � d, disseminated; Amu
entered into a computer database; or otherwise utilized, in any form or manner or by any means, exceptfrthe user Individual,
.dl�
personal and confidential referee.
AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATIONINSTITUTE
The information for the model cited on this certificate can be verified at wwr hridir at r .or fclick on "VerifyCertificate" Irk ivinai�e fife -better,,, enter the AHRI 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
Heating, 132678024026436982
@2021end