HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/03/2021 Permit Number:
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: 6625 Woods Island Circle Unit 7-107
Property Tax ID 4: 3415-501-0058-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Kitterman Woods Apt
DETAILED DESCRIPTION OF WORK:
Exact AC change out- Replace existing AC unit with a 1.5 ton Goodman 14 Seer R410
Air Handler-AWUF190516 Heater-5KW
Condenser-GSX140181
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 —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:
OWN ER/LESSEE: CONTRACTOR:
Name KMJ Apartment LLC Name:Oscar Calzadilla
Address: 1831 SW 7th Ave Company:Unico Air Conditioning Company
P Y�
City: Pompano Beach State:_ Address:1711 Sunset Isle Road
Zip Code: 33060 Fax: City: Ft Pierce State: FI
Phone No. Zip Code: 34949 Fax: 772-647-7525
E-Mail: Phone No772-485-5104
Fill in fee simple Title Holder on next page(if different E-Mail molly@unicohvac.com
from the Owner listed above) 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: 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,1 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 ou intend to obtain financing, consult
with lender or an attorney before commencing work or recordin ur ce of Commencement.
10 b o1 v.i S
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contrac icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Luoie COUNTY OFst 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 3 day of January 2022-by this 3 day of January 202M 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 Identific Type of Identification
Produced Produced
(Signature of No blic-State of Florida ) (Signature of Notary Public-State oVyl�ida)
oc�Y P�s� MARLENE LILT COLLAD0 b� Pc, MARLENE LILI COL LAD
Commission No. GG171582 a - o
(%?Adnission#GG 171582 Commission No. GG171582 #Se'0 mission#GG 171582
N� o Expires April 25,2022 T �a� Expires April 25,2022
sT 2dg�jNotary services Forp�a� Sonded Tin Budget Notary service
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
ev. T672
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 1/3/2022
1711 Sunset Isle Rd
Ft Pierce,Fl 34949
Shipping Address: Karl Davis
Kitterman Woods Apt
6625 Woods Island Cir
Apt 7-107
Port Saint Lucie
772-721-2400
Terms of payment: Net 15 Days
Term of delivery: ZOR(FOB Origin)
Equipment ready for pick up at ND 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
1.5 Ton Goodman 14 SEER
Subtotal: $2,200.00
Tax:
�` }� Shippingq20
Signature: L OIY I ►)ay lS Grand Total: 5
i
CERTIFIED'
Certificate of Product Ratings
AHRI Certified Reference Number:201406572 Date:07-25-2018 Model Status:Active
Old AHRI Reference Number:8631886
AHRI Type:RCU-A-CB
Series:GSX14
Outdoor Unit Brand Name:GOODMAN
Outdoor Unit Model Number (Condenser or Single Package):GSX140181L*
Indoor Unit Model Number(Evaporator and/or Air Handier):AWUF19XX16A*
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 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:17000
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 fie 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.ahridirectGry.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 users individual,personal and confidential reference.
MWIM
Airs-�oNo,„o�w�,H�ATi a,
GCRTI FIOATE VERIFICATION &REFRIGERATION INSTITUTE
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 make life better"
which is listed above,and the Certificate No.,which is listed at bottom right.
02018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131770072145126514