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HomeMy WebLinkAboutTropIslesPermitAppAll 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 PERMIT TYPE: M EC HAN I CAL PROPOSED IMPROVEMENT LOCATION: Address: 5556 S US HWY ONE, FT, PIERCE FL 34982 Property Tax ID #: 3403-502-0288-000-9 Site Plan Name: TROPICAL ISLES Project Name: TROPICAL ISLES Lot No. Block No. DETAILED DESCRIPTION OF WORK: AC CHANGEOUT, LIKE FOR LIKE: CHAMPION TC4B3021, AE30BX21-TXV, 2.5 TON 15 SEER, 8 KW HEAT STRIP 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 Pitch Total Sq. Ft of Construction: Cost of Construction. $ 4900 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: i NameTROPICAL ISLES CLUBHOUSE Name:SAMUEL T. DURHAM Address: 281 TROPICAL ISLES Com an ADVANTAGE AIC OF THE TREASURE COAST p Y= City: FT. PIERCE Stater Zip Code: 34982 Fax: Phone No. Address: 601 S. MARKET AVE City: FT. PIERCE State: FL Zip Code: 34982 Fax: 772-465-4945 Phone No 772-465-1606 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-MailADVANTAGEPERMITS@HOTMAIL.COM State or County LicenseCAC039664 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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." Si rev Owner/ L s9e s Agent for Owner STATE OF FLORIDA COUNTY OFST. LUCIE The forgoing instrument was acknowledged before me this 8TH day of MAY , 20j9__ by Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced A (5ignature eNotary Pubgic- State of Florida ) KATHY SNYDER Commission No. * 19My&M$5I0N0FF8018 EXPIRES: ,July 12, 2019 *BW=MWThruB NdnSeqw Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST. LUCIE The forgoing instrument was acknowledged before me this 8TH day of MAY , 20(,� _ by Name of person making statement. Personally Known x OR Produced Identification Type of identification Produced (Signature of f4tary PublicVState of Florida ) aat+�: pv KATHY SNY134R Commission No. h0.ISwiON I, s, t EXPIRES; ,My 12, 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 r a org Certificate of Product Ratings AHRI Certified Reference Number: 8456845 Date : 05-08-2019 Model Status : Production Stopped AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name; CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC4133021 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE30BX21+TXV Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, IJP, 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 CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 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 : 30000 SEER: 15.00 EER (A2) -Single or High Stage (95F) :12.50 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. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the orevious (i.e. WAS) rating. 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 AM 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.ahridireCtGry.org, click on "Verify Certificate" link we make life better" and enter the AHRI CertifiedReference 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 CERTIFICATE NO.: 13201794914876337