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HomeMy WebLinkAboutTierneyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/25/19 Permit Number: __.. _.._ . _ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMITTYPE: AC replacement Address: 12485 SW Harbor Ridge Blvd, Palm City 34990 Property Tax ID #: 4425-620-0008-000-7 Site Plan Name: Kathleen A Tierney Project Name: Flynn's AC a 3T, 14seer AC system with a 8kw heater Additional work to be performed under this permit -check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ 3 Sq. Ft. of First Floor: Lot No. Block No. Windows/Doors Roof Pitch Utilities: _ Sewer _ Septic Building Height: Address: (Jot U (l City: ' v - Stater Zip Code: Fax: Phone No. 95In— 2S' -�,b�7>l E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Company: City: r/i.4iState:f-(� Zip Code:. Fax: rlI 3i1 Phone No ^ aa,, - tMM C E-Mail00'. ra. yo State or County License If 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. DESIGNER/ENGINEER: Not Applicable �Name: MORTGAGE COMPANY: Not Applicable 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: r UIIUFD/ rniuTDef Tnn A[[rnvrT..__n__.:__ -------• •-• -•- • ^rr�o•�:::Z I:=:CUY I,IGUC Lu ooiam 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 Counttyy 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 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 your Notice of Commencement. as Agent for Owner STATE OF FLORID COUNTY OF 4Q4 i , , The for oing Instrument was acknowledged before me this day of uf1 i).1n X,� 20]�L by �n �0 Y��n �� t��i u1 ✓1 Name of pers&n making statement Personally Known JX_ OR Produced Identification Type of Identification Produced NARY PUBLIC wagTE OF FLORIDA CarM#00030336 0I1/4020 Sin ure of Con ctor/ icense Holder STATE OF FLORIM4� I COUNTY OF WI(�1�t l� The for ing instrument wasacknowledged before me this .�dayof,20?j by Name of persoill making statement. Personally Known "_e OR Produced Identification Type of Identification Produced Notary Commission No. STATE OF FLORIDA CommA ExplM 10/11/2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev.tt/Lo/ia Certificate of Product Ratin AHRI Certified Reference Number: 202557794 Date: 04-25-2019 Model Status : Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC4133622 Indoor Unit Brand Name : ADP Indoor Unit Model Number (Evaporator and/or Air Handler) : SM6(6,9)36+TD Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, NO, 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 regions) for which they meet the regional efficiency requirement. The manufacturer of this ADP product is responsible for the rating of this system combination a?" Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2, Performances 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 (951`), btuh: 34000 SEER: 14.00 - EER (A2) - Single or High Stage (95F) : 12,20 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. Retinas that are accompanied by WAS indicate an involuntary re-rete. The new published ratina is shown along with the orevious (i.e. WAS1 ratno. DISCLAIMER AHRI does not endorse the pmduct(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 aheretion of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridlrectory.urg. 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 ed, In any may not, in whole or in part, be reproduced; copied; disseminated; Individual, 1, entered into a computer database; or otherwise utilized, in any form or manner or by arty means, except for the user's Intlivitlual, personal and Confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTRUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we mate 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. , &' ©201gAir-Conditioning, Heating, and Refrigeration Institute ATE NO.: 32006949319941891