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6701-11-101
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 07/11/2021 Permit Number: 85v. [Li=fCSC . c.4 *10 P-PIK 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: UIU' vVuaas isiana uircie Unit 11-101 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 _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 2,200 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: Osc2rA Calzadilla Address: 1831 SW 7th Ave City: Pompano Beach State: _ Zip Code: 33060 Fax: Phone No. Company: Unico Air Conditioning Company Address: 1711 Sunset Isle Road City: Ft Pierce State: FI Zip Code: 34949 Fax: 772-647-7525 Phone No 772-485-5104 E-Mail: Fill in fee simple Title Holder on next page ( if different from the owner u5teti auove) f value of ennstruetinn ic ,enn — w,, _ , E-Mail molly@unicohvac.com State or County License CAC1814920 _• _ _----__-__ .-a-.-.. �. rv.... u�.u�.cn.cn�.J ICyU11CU. 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 noyywork or installation has commenced prior to the issuance of a permit. St. Lucie makes no on t is the ermit holder to the structure which is inconflictwith any applicablelHome aOwners Associationit will rulesaby bylaws or anduthorize covenants that maydrestr restect rict 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 the Florida Building plans, 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 ' recording your No encement. I FNY � nm i S T-ignatuTret0wAer_/Le__ssee/Contractor as Agent for Owner - Signature of Contractor/Lic STATE OF FLORIDA STATE OF FLORIDA COUNTY OFst. Lucie COUNTY OFsr. Lucie Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 28 day of ��lv x Physical Presence or Online Notarization , 2021 by this 28 day of July 2021 by Karl Davis Oscar A Calzadilla Name of person making statement. Name of person making statement. Personally Known X R Produced Identification __ Personally Known OR Pr Identification Type of Identifica 'on __x Type of Identification Produced Produced ; (Signature of No Ic- State off ��9ridaL� a7,n MARLEPIELILICOLLA6 (Signature of Notary Public- a orida ) =ocr� Commission0GG17158 Commission No. GG17t582 *V,,-QS Nam,eallExpires April 25,2022 Commission No. GG,71ea2 ')FOIIPII Bonded ThruBudget NotarySery �o�?;wP4SeWLENELILICOLLAD s * * Commission #GGi1158 tPa e REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION FOFP1o� 8 SEA TURTLE ndedThruBudgetNotary Seryl es MANGROVE i 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)678-6676Fax: (772)647-7525 Contract Billing Address Document Number 51007510350 Unico Air Conditioning Company 7/28/2021 1711 Sunset Isle Rd Ft Pierce,Fl 34949 Shipping Address: Terms of payment: Term of delivery: Equipment ready for pick at HD Sup Karl Davis Kitterman Woods Apt 6701 Woods Island Cir Apt 11-101 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 TEMPSTAR 14 seer R410 � Nw Subtotal: $2,200.00 Tax: Shipping $Signature:��//L�l Grand Total: $2,20 MEN Certificate of Product Ratinqs AHRI Certified Reference Number: 201407615 Date: 07-29-2021 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) : GSX140241L* Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF25XX16A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, Hl, 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. Rat 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 responsibilityfor, 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 N 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 better - which is listed above, and the Certificate No., which is listed at bottom right. _ ©2021 Air -Conditioning, Heating, and Refrigeration Institute 1 CERTIFICATE NO - 132720542176081826