HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/13/2021 Permit Number:
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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 X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 17aua woods island Circle Unit 5-202
Property Tax ID #: 3415-501-0058-000-2
Site Plan Name:
Project Name: Kitterman Woods Apt
DETAILED DESCRIPTION OF WORK:
Exact AC change out - Replace existing AC unit with a 2.5 ton Goodman 14 Seer R410
Air Handler - AWUF310516 Heater - 5KW
Condenser - GSX140301
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,200 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name -KMJ Apartment LLC
Name: Oscar Calzadilla
Address: 1831 SW 7th Ave
Company: Unico Air Conditioning Company
City: Pompano Beach State: _
Zip Code: 33060 Fax:
Phone No.
Address: 1711 Sunset Isle Road
City: Ft Pierce State: FI
Zip Code: 34949 Fax: 772-647-7525
Phone No772-485-5104
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listecl anove)
If voL.n of .-n..o+.•....«:.....:,. -Icnn _
E-Mail molly@unicohvac.com
State or County License CA01814920
- - -- -w—v- W1 16.V111111C11L.UMMIL 15 requlreo.
If value 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 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 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in
which 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 i d to obtain financing, consult
with lender or an attorney before commencing work or recording your ommencement.
Ay -� M iS
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. LUCie
COUNTY OF St. Lurie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 13 day of july 202 % by
this 13 day of July 2021 by
Karl Davis
Oscar Calzadilla
Name of person making statement.
Name of person making statement.
Personally Known x OR Pro Identification
Personally Known x OR Pr uced Iden 'fication
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- ate of Flori a)
{Signature of Notary Public- Sta Florida
GG171582 �O� «.+,,�Bl� MARLENE LILT COLLAR
Commission No. �$e�mmission#GG17158
*
o��`YPUeI� MgRI,ENE LILT CbLLAO
Commission No. GG171582 �` "'« `$e ,„ mission # GG 17,15G
Nor �oQ Expires April 25, 2022
*
N>r `ate Expires April 25, 2022
a iy _y
a
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Unico Air Conditioning Company
1711 Sunset Isle Rd
Ft Pierce, FI 34949
Phone: (772) 678-6676 Fax: (772)647-7525
Contract
Billing Address Document Number 51007510350
Unico Air Conditioning Company 7/13/2021
1711 Sunset Isle Rd
Ft Pierce,FI 34949
Shipping Address:
Terms of payment:
Term of delivery:
Equipment ready for pick up at HD
Karl Davis
Kitterman Woods Apt
6609 oods Island Circle
Apt 5-202
Port St Luice, FL
772-721-2400
Net 15 Days
ZOR(FOB Origin)
Item
Material/Description
Quantity
Unit Price
Amount
1
Install Indoor/Outdoor AC Unit
1
$2,200.00
$2,200.00
Int. Article No. 25937855
2.S ton Goodman 14 seer R410
p� c
Signature: Uc � J
��a
Subtotal:
$2,200.00
Tax:
Shipping
$0.0
Grand Total:
$21200.
11 jw's,
Certificate of Product Ratinas
AHRI Certified Reference Number: 201196361 Date : 03-07-2019 Model status . Active
Old AHRI Reference Number: 7516243
AHRI Type: RCU-A-CB
Series : GSX14
Outdoor Unit Brand Name; GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX140301K*
Indoor Unit Model Number (Evaporator and/or Air Handier): AWUF31XX16A*
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S.
Territories)
Region Note : 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 GOODMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (9517), btuh : 28000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale: OR new models that are being
marketed but are not yet being produced -"Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratinas that are accompanied by WAS indicate an involuntary re -rate The new published rating is shown along with the previous (i.e. WAS/ rating
DISCLAIMER
AHRI 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 product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid 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 AHRI. This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; t
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, A
personal and confidential reference_ AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model Cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, we male life beuer-
which is listed above, and the Certificate No., which is listed at bottom right. --
02019Air-Conditioning, Heating, and Refrigeration Institute [CERTIFICATE NO_: 131964530803538468