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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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: MECHANICAL - REVISED PROPOSED IMPROVEMENT LOCATION: Address: 5313 SUNSET BLVD Property Tax ID #: 3402-608-0485-000-2 Site Plan Name: INDIAN RIVER ESTATES Project Name: EDETAILED DESCRIPTION OF WORK: A/C CHANGEOUT, LIKE FOR LIKE, 14 SWEER, 2 TON, 8 KW HEAT, TC422421, AP24BX21+TXV CONSTRUCTION INFORMATION: Additional work to be performed under this permit–check all that apply: Mechanical — Gas Tank T Gas Piping _ Shutters _ Electric _ Plumbing Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ 4400 Sq. Ft. of First Floor: Utilities: _Sewer Septic Lot No. 45 Block No. 52 Windows/boors Roof Pitch Building Height:. OWNERAESSEE: CONTRACTOR: Name RANDY & DOROTHY BURTON Nam e:SAMUEL T. DURHAM Company: Advantage A/C of the Treasure Coast Address: 5313 SUNSET BLVD City: FT. PIERCE State: _ Zip Code: 34983 Fax: Phone No. E -Mail: Address: 601 S . MARKET AVE City: FT. PIERCE State: FL Zip Code: 34982 Fax: 772-465-4945 Phone N0772-465-1606 Fill in fee simple Title Holder on next page (if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement E -Mail AdvantagePermits@HotMail.om State or County LicenseCAC039664 is required. is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I 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: 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 IN 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." Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this 30 day Of APRIL 20_ by SAMUELT.DURHAM Name of person making statement. SAMUEL T. DURHAM Name of person making statement. bry Personally Known x OR Produced IdentificatiHia, Type of Identification Cff(Signature Produced Q Produced M Z _ M 3 x f Nota -State a) W onCommission No. (Seal) REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED -5 '460v�7 .te � Signatur of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this 30 day of APRIL , 20_ by SAMUEL T. DURHAM Name of person making statement. bry Personally Known x OR Produced Identificat in 4 Type of Identification Q Produced M Z _ M 3 x (Signature Commission No. of Florida) " ca W a B�> (Seal) "' w N � d SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE REVIEW I REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 202323873 Date ; 04-30-2019 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) : TC4132422 Indoor Unit Model Number (Evaporator and/or Air Handler) : AP24BX21+TXV 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, Ml, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, VVI, IVY, 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 combinatii Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 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 : 23600 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 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 sellina or offerino for sale. 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.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 MOM 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, 090 personal and confidential reference. AIR-CG�DITIONING, NEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate'" link w 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. 132011219572972317 02019Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: