HomeMy WebLinkAbout1735.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/21 /2021
Permit Number:
—O
C c. 1146
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: Exact AC change out
Address: 1735 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
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,200
_ Generator
Sq. Ft. of First Floor:
Mel aill Ga
Block No.
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Tiffany Park Partners LTD
Name: Oscar A Calzadilla
Address: 3475 Piedmont Rd NE Ste 1640
Company: Unico Air Conditioning Co
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 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 of construction is Z500 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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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 int
obtain financing, consult
with lender or an attorney before commencing work or recording our I
C mencement.
6r�n� i � Gowbo�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contra ctor/LI
se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucia
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 Physical Presence or
Online Notarization
this 21 day of September 2020 by
this 21 day of September
2020 by
Grant T Cardona
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 Ida on
Type of Identi ation
Produced
0VN
Produced"N
4 1 VIX6
(Signature y Public-�ee of Fr LILI COLLADQ
(Signature of ic- State of Florida )
w�Com Issi n # GG 171582.
Commission No. GG171582 * * P
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Commission No. GG171582
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REVIEWS
FRONT
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SUPERVISOR
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 9/21/2021
1711 Sunset Isle Rd
Ft Pierce,Fl 34949
Shipping Address:
Terms of payment:
Term of delivery:
Equipment ready for pick up at HD Supply
Grant T Carbone
Reserve PSL
1735 SE Tiffany Club Place
Port Saint Lucie
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
Subtotal: $2,200.00
Tax:
V Shipping $0
Signature: 1 UIV� U Grand Total: $212
ON
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 R41OA 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 Handler) : 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 stilt
selling or offering for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published ratinv 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 pan, 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 antl confid..U.1 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.
0201gAir-Conditioning, Heating, and Refrigeration Institute ( CERTIFICATE NO.: 132052876240255052