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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