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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/04/2022 Permit Number: s� 1 L ULGC � o W-4Ir"TM.. P . r, " - -<- 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: 1614 SE Tiffany Club Place Property Tax ID #: 3414-501-3503-000-5 Lot No. Site Plan Name: Block No. 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 Handier - 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 _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ 2,200 Utilities: —Sewer —Septic Building Height: Pond Pitch 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 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 .. — .............­..a...I— — L.. U1 nnnc, a nCa.lJnUrLI IVULICe uT t-ummencemenE is requirea. 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 tend to obtain financing, consult with lender or an attorney before commencing work or recordin our I of Commencement. onfik I. C ywa Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St.Lucle COUNTY OFSt. Lucie Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this a day of January 2022ehy Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this a day of January 2027by Grant T Cardone Oscar A Calzadilia Name of person maki atement. Name of person making statement. Personally Kn n X OR Pr uced Identification Type of Iden fication Personally Known X roduced I tification Type of Identification Produced Produced (Signature of Notar - tate of Florida } vPu MARLF-NE t� GG17'1582 "' Commission No. rP�•"'«� CO pn#GG1715E2 N Expires April 25, 2022 (Signature of Notary Public- State o lorida ) o��Y'�a7' MARLENE LILT COLLAR GG171582 e2gommission#GG17158 Commission No. *Moe Exp1m. April 25, 2022 N�'F9 s, REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE 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 1/4/2022 1711 Sunset Isle Rd Ft Pierce,Fl 34949 Shipping Address: Terms of payment: Term of delivery: Equipment ready for pick up at HD Su Grant T Carbone Reserve at PSL 1614 SE Tiffany Club PI Apt 1614 Port St 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 Subtotal: Tax: Shipping Signature: T 1 U{1 I 1 l Cwom Grand Total: 1 $2,200.00 $0. 0 $2,200 0 Certificate of Product Ratinas 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 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 f"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 (i.e. WAS) Eating 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.ahridirectofy.org. TERMS sCer 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 INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verity 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132052876240255052