HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/13/2021 Permit Number:
S1V. I'rCCCE
6 i Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6601 Woods Island Circle Unit 4-302
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 ton Goodman 14 Seer R410
Air Handler - AWUF250516 Heater - 5KW
Condenser - GSX1 40241
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:
OWNER/LESSEE:
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 listed above)
E-Mail molly@unicohvac.com
State or County License CAC1814920
IT value or construction is z5uu or more, a RECORDED Notice of Commencement is required.
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
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 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 intend tain financing, consult
with lender or an attorney before commencing work or recordingour Notic m ncement.
��VI �UVV�S
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License o r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St_ L.d.
COUNTY OF St tale
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 202 p by
Karl Davis
Oscar A Calzadilla
Name of person making statement.
Name of person making statement.
Personally Known x _ OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of (votary Publl rida)
(Signature of Notary Public- State lorida }
o�rgY PMARLENE LILI WLLAD
•
Commission No. GG171582 alpommission#GG1715
,� pu M LENE LILI COLLAR
2Commission No. GG171582 a . •, "(S `�
N Expires April26, 2022
* mission # GG 17158
Budget Nola °erri
¢s Expires April 25,2022
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
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,Fl 34949
Shipping Address:
Terms of payment:
Term of delivery:
Equipment ready for pick
at HD Supply
Karl Davis
Kitterman Woods Apt
6601 Woods Island Circle
Apt 4-302
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 ton Goodman 14 seer R410
Subtotal:
Tax:
p� Shipping
Signature: Grand Total,
$2,200.00
$0.00
$2,200.
Certificate of Product Ratinas
AHRI Certified Reference Number: 201407615 Date: 01-27-2021 Model Status : Active
Old AHRI Reference Number: 8631966
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: GSX14
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L*
Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF25XX16A*
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 AHRI 210/240 with Addendum 1, 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 (95F), btuh : 22000
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.
Ratings 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; ■■ -�
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual,
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 ewe m kc ufe better -
and 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. — -- --
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132562532421255506