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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/18/2018 Permit Number: s Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Fierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical I PROPOSED IMPROVEMENT LOCATION: _ Address: 104 LOMAS CT Legal Description: RIVER PARK -UNIT 3-BLK 26 LOT 5 (MAP 34/22S) (OR 345-1337:1609-2237) Property Tax ID #: 3419-515-0162-000-9 Site Plan Name: WILSON Project Name: WILSON Setbacks Front Back: _ Right Side: Left Side: Lot No.5 Block No. 26 DETAILED DESCRIPTION OF WORK: I REPLACE AC LIKE FOR LIKE_ AC INSTALLATION OF 3.5 TON, 17 SEER CHAMPION, TC4134221, AE42CX21+TXV, 10 KW. CONSTRUCTION INFORMATION; Additional work to be pertormed under this permit — e ec a app y: HVAC Gas Tank Gas Piping _ Shutters ❑Windows/Doors Electric 0 Plumbing Sprinklers El Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 6400 S Ft. of First Floor: Utilities1f ewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR; NameJOHN WILSON Name: JOHN A PA RAZ Address:780 LOMAS ST Company: ELITE ECTRIC AND AIR City: PORT SAINT LUCIE Stgt6:Fl� Zip Code: 34952 Fax: Phone No. e. Address: 1691 SWiS MACEDO.=BLVQ, City: PORT SAINT LUCIE State: F Zip Code: 34984 Fax: 772-340-3702 Phone No. 772-340-3797 E -Mail: PERMIT@ELITEELECTRICANDAIR.COM E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed alcove) State or County License: CAC1816433 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requsrea, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ?� Not Applicable MORTGAGE COMPANY: X Not Applicable Name: JOHN WILSON Name: JOHN A PANKRAZ Address: 104 LOMAS CT Address: 780 LAMAS ST City: PORTSAINTLUCIE State: City: PORTSAINTLUCIE State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 1691 SW S MACE00 BLVD 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 stlructure. Pleasecconwith sult with pypolurHle Home Owners ome owners Association Ion andrreview pour deed faws or or any restrictions which may ch may aprohibit such 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded 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 our Notice of Commencement. SignhturefOwne ssee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF STS LIL C ic- The forgoing instrument was acknowledged before me this k �/:_ day of CC -T' 201k_ by Name of person making statement Personally Known V�' OR Produced Identification Type of Identification Produced Notary Public - State 01 FI"""( al) cG 0 970404 My Comm. Expires Jun 25 2AO Bonded through National N,i v REVIEWS I FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Signaturof Contra for/L cense Holder STATE OF FLORID COUNTY OF _ e The for Ding instrument was acknowledge before me this day of _CST 20 Q5 by &A kffiLmt C& Name of person makirlo statement Personally Known ✓ OR Produced identification Type of Identification Produced Iota ry pA##*qpfof Flora ) Notary Public - State of ftofida ). Commission # FF 970404 (Seal) My Comm. Expires Jun 25, 2020 Bonded through National Notary Assn. MANGROVE SUPERVISREVIEWOR REV EW VREVI W©N S REV EWLE I REVIEW Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 104 LOMAS Parcel ID: 3419-515-0162- Account #: 42230 See/Town/Range: 22/36S/40E CT 000-9 Map ID: 34/225 Zoning: RS -4 Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description John Wilson RIVER PARK -UNIT 3- BLK 26 LOT 5 (MAP 34/225) (OR 345- 780 Lomas St 1337: 1609-2237) Port St Lucie, FL 34952 Current Values Historical Values 3 -year Justimarket: $137,800 Assessed: $103,657 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $103,657 2018 $137,800 $103,657 $0 $0 $103,657 $94,234 2017 $124,000 $94,234 2016 $108,900 $85,668 $0 $85,668 Date 10-31-2002 12-01-1980 View: Year Built: 1980 Primary Wall: CB Stucco Bedrooms: 3 Full Baths: 2 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 1609/2237 XX01 QC Wilson John 0345/1337 XX00 CV Primary Building Information Finished Area of this building: 1,826 SF Gross Area of this building: 2,785 SF Roof Cover: Dim Shingle Frame. Story Height: I Story A/C %.- 100% Heated %: 100% Sprinkled %: 0% Exterior Data Roof Structure: Hip Grade: C - No. Units: 1 Interior Data Electric: MAXIMUM Heat Type: FredHotAir Heat Fuel: ELEC Total Areas Price $100 $69,900 Building Type: HC - Effective Year: 1980 Secondary Wall: Primary Int Wall! Avg Hgt/Floor: 0 Primary Floors: Carpet Finished/Under Air 1,826 (SF): Gross Area (SF): 2,785 Land Size (acres): 0.19 Land Size (SF): 8,174 Total Building Count: I Special Features and Yard Items Type Qty Units Year Bit Driv-Concret 1 720 1980 This information is believed to be correct at this time but it is subject to change and is not warranted. 0 Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved. This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIECC Certificate of Product Ratings AHRI Certified Reference Number: 8901426 Date: 10-18-2018 Model Status: Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name! CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC7B4221 Indoor Unit Model Number (Evaporator andlor Air Handier): AE42CX21+TXV Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, [A, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIlAHRI 2101240 with Addenda i 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 : 41500 SEER : 17.00 EER (A2) - Single or High Stage (95F) : 13.75 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 sate. Ratin s that are accosts anied b WAS indicate aninvoluntary ro_rate. The new ublished ratin is shown alon with the revious i.e. wAS ratin . 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 Ior, 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; JU a entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION 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. r 1311143519793091317 Gc 2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: