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Home My WebLink AboutWolkowskyRochesterPermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: April 4, 2019 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax. (772) 462-1578 PERMIT TYPE: M ECHAN I CAL PROPOSED IMPROVEMENT LOCATION: Address: 5514 PALMETTO DR Property Tax ID #: 3402-607-0241-000-7 Site Plan Name: INDIAN RIVER ESTATES Project Name: WOLKOWSKY & ROCHESTER DETAILED DESCRIPTION OF WORK: Permit Number: Building Permit Application Commercial Residential LotNo. 16 Blo k No. 22 A/C CHANGE OUT LIKE FOR LIKE, CHAMPION 3TON 17.25 SEER, 8KW HEAT, AL1983621, AE36BX?1+TXV 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 Total Sq. Ft of Construction: Cost of Construction: $ 6000.00 Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameSAM WOLKOWSKY & PAMELA ROCHESTER Name: SAMUEL T. DURHAM Address: 5514 PALMETTO DR Company: Advantage A/C of the Treasure Coast City: FORT PIERCE, FL State: _ Zip Code: 34982 Fax: Phone No. Address: 601 S. MARKET AVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No772-465-1606 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner Misted above) E -Mail AdvantagePermits@HotMail.Com State or County License CAC -039664 it value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC 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, 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 111 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.", Rev. Z/7/19 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OFSTLUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 4 day of APRIL 20_ by this 4 day of APRIL 20_ by SAMUEL T. DURHAM SAMUEL T. DURHAM Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type dentification Type of Identification Pr duced . NIFER E. CAG Produ IFE�E. CAGAS Notary Public, State of Florida * Notary PulNlc, tate of Florida "ly* Comrission No. GG263239 Commission Expires 4913012022 Comrisadan n. 00,263239 w Commission Ex�lre 09130/2022 (Sig rb- ry Public- State of Florida-)- (§knootary Public- State of lore a Commission No. GG263239 (Seal) Commission No. GG263239 (Sell) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Z/7/19 This combination qualifies for a Federal Energy Efficiency kax Credit when ANWRILICERTIFIED 0 Placed in service between Feb 17,2009 and Dec 31, 2016; to ry. r rg Certificate of Product Ratings AHRI Certified Reference Number: 201950895 Date: 04-04-2019 Model Status : Active AHRI Type: RCU-A-CB Series: Momentum Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : AL19B3621 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE36BX21+TXV Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, 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 Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 with Addenda 1 and 2, Performance R Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independe Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35200 SEER: 17.25 EER (A2) - Single or High Stage (95F) : 14,00 i"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sate; OR new me marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer sellinq or offerinq for sate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no rr 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 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, personaland 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 -CON CERTIFICATE VERIFICATION &REFRI, The information for the model cited on this certificate can be verified at www.ahridireCtory.org, dick on "Verify Certificate" link we I 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. - ,sting: that are being ucing BUT is still for, or the NING, HEATING, TION INSTITUTE life better' ®2019AIr-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131988'772114434916