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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08/17/2021 Permit Number: -V Li c 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: Exact AC change out Address: 1612 SE Tiffany Club Place Property Tax ID #: 3414-501-3503-000-5 Site Plan Name: Project Name: Reserve at Port St Lucie Apt DETAILED DESCRIPTION OF WORK: Exact AC change out - Replace existing AC unit with a 2 ton Tempstar 14 Seer R410 Air Handler - FEM4P2400 5 KW Heater Condenser - NXA424GKC 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 Generator Lot No._ Block No. _ Windows/Doors Pond Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 2,200 Utilities: —Sewer _ Septic Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Tiffany Park Partners LTD Name: Oscar A Calzadilla Address: 3475 Piedmont Rd NE Ste 1640 Com an Unico Air Conditioning Co Company: Y City: Atlanta State: _ Zip Code: 30305 Fax: Phone No. Address. 1711 Sunset Isle Rd City: Ft Pierce State: FI Zip Code: 34949 Fax: 772-674-7525 Phone No 772-485-5104 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 .- -1 ..v..u..cna.cencua 1J lu4ulleu. 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 Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: '11AMED/PnwrrnAi-ran A.-.-..-....�. _.._.,, ,..—,o , -, vn rer revv e r . mppucation is nereby 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 In to obtain financing, consult with lender or an attorney before Commencingwork or recordin yo of mmencement. FSignature t',o�� b�pY�of Owner/ Lessee/Contractor as Agent for Owner Signature of Contract License der OF FLORIDA STATE OF FLORIDA COUNTY OF St. Lucie COUNTY OF St 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 x this 17 day of August Physical Presence or Online Notarization Y 2024 by this 17 day of August 202b by Grant T Cardone Oscar A Calzadllla Name of person making statement. Name of person making statement. Personally Known x OR Pr uced Identification Personally Known x Produce Identification Type of Identificat' n Type of Identification Produced Produced (Signature of Notary Pu jjdaLENELILICOLLApp (Signature of Notary Pu4NELILICOLLADG * * Commission # GG * Commission # GG M 582 Commission No. GG1715sz �, Seal 171582 GG771582 N rFa P�o� xpiresApri125,2022 Commission No. `dam EoCeA�ril25,2022 FFto "op RInf Bonded ThruBudget Notary SeNf�s BondedpnS�tN�ryse'loes REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED _ DATE COMPLETED ev. 5/6/20 Unico Air Conditioning Company 1711 Sunset Isle Rd Ft Pierce, FI 34949 Phone: (772) 678-6676 Fax: (772)647-7525 Billing Address Unico Air Conditioning Company 1711 Sunset Isle Rd Ft Pierce,Fl 34949 Shipping Address: Terms of payment: Term of delivery: Equipment ready for pick up at HD Contract Document Number 51007510350 8/17/2021 Grant T Carbone Reserve at PSL 1612 SF Tiffany Club Dr Port St Lucie, FL 772-221-3787 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 �n�/ Signature: TI Iv hi T. tmp Subtotal: $2,200.00 Tax: Shipping $11 Grand Total: $2,20 to �■:�i CERTIFIED"' www.altridirectory.ory Certificate of Product Ratings AHRI Certified Reference Number: 9487261 Date ; 06-17-2019 Model Status: Active AHRI Type: RCU-A-CB Series: 14 SEER N SERIES R410A AC Outdoor Unit Brand Name: TEMPSTAR Outdoor Unit Model Number (Condenser or Single Package) : NXA424(A,G)KC** Indoor Unit Model Number (Evaporator and/or Air Handier): FEM4P24**AL 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 TEMPSTAR 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 (95F), btuh : 22800 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. f2�tiP. S t]at are accompanied by WAS indicate an involuntary re -rate. The new published rating IS shown along Wlth the prEVI0U5 (I e WASj 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. nIR-COND/TO NINO, NEATIfIG, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at rraww.ahridirectary.org, click on "!Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better-, which is listed above, and the Certificate No., which is listed at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute 1 CERTIFICATE Nn- 132052876240255052