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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 07/13/2021 Permit Number: O 4krwiii I: =12Y—W U *Ppw Building pp 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: 6749 Woods Island Circle Unit 17-304 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 - GSX140241 New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 2,200 Sprinklers _Generator Sq. Ft. of First Floor: Lot No. Block No. Windows/Doors _ Pond Roof Pitch 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 If value of construction is 2500 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: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zi p: 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 to obtain financing, consult with lender or an attorney before commencing work or recordin your N Commencement. &� tm�s Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St. L.d. COUNTY 0FSt. Lucie Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this 13 day of July 2021 by Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this 13 day of July 202 9 by Karl Davis Oscar A Galzadilla Name of person making statement. Name of person making statement. Personally Known X Produced Identification Type of Identificati Produced Personally Known X OR Produced Identification Type of Identification Produced c 2 (Signature of Nota ate of Florida) aoy P49. MARLENE LILT COLLADJ ccross2 " Commission No. ($tt�ir)lissim#GG171582 N C Expires April 25, 20 2 .aOP t S- (Signature of Notary Public- State of Florida ) �o��; .°°et�� MARLENE LILI COLLA ��t7tes2 * ommission#GG 17t5 Commission No. Sreaf� `P' ,�a`' Expires April 25, 202 F1 �` ©en9W t REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20 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: Karl Davis Kitterman Woods Apt 6749 Woods Island Circle Apt 17-304 Port St Luice, FL 772-721-2400 Terms of payment: Net 15 Days Term of delivery: ZOR(FOB Origin) Equipment ready for pick up at HD Supply 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: far j b4�Y iS Shipping Signature: Grand Total: $2,200.00 $0.00 1 $2,200. Certificate of Product Ratings 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, tA, 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. RaSin_as tt]at are�mccgmvanied bv_WAS indicate an involuntary re -rate. The new Dublished ratina is shown alona 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 p-UN21 confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; A..■' 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 we make life 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute [CERTIFICATE NO.: 132562632421255506