HomeMy WebLinkAboutRUBYED PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578
PERMITTYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2607 Lazy Hammock Lane
Property Tax ID #: 2419-501-0001-000-7
Site Plan Name: Lazy Hammock
Project Name: Ruby, Ed and Patricia
DETAILED DESCRIPTION OF WORK:
Permit Number:
Building Permit Application
Commercial Residential xx
AC change out, like for like 2 ton 16 seer, TC4B2421, AE30BX21+TVX, 5 KW
CONSTRUCTION INFORMATION:
Lot No. 1
Block No.
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:
Sq. Ft. of First Floor:
Cost of Construction: $ 4900.00 Utilities:
—Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ed and Patricia Ruby
Name: Samuel T Durham
Address: 2607 Lazy Hammock Lane
Company: Advantage AC
City: Ft Pierce State:
Address:601 S Market Ave
_
Zip Code: 34981 Fax:
City: Fort Pierce State: FL
Phone Na.
Zip Code: 34982 Fax: 772-465-4945
E-Mail:
Phone No 772-465-1606
Fill in fee simple Title Holder on next page ( if different
E-Mail advantagepermits@hotmail.com
from the Owner listed above)
State or County License CAC039664
--••--•- •-•• •- •/--+mow WE I:w:c, a nGv:cvFu:yoSCGe OT Lommencemeni Is requlrea.
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:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ` Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
nut PiF:P/ rnKITOA!"rno errrn.,,T. .
— -- • --• --•- • • �•• �, r,Uvi, . Hppncatran is hereby macie 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."
15 Gam' ��'4Gci2_/it"►�►
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF scwce COLINTY OF StLud.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 13 day of may 20_ by this 13 day of may 20_ by
Name of person making statement. Name of person making statement.
Personally KnownORProduced Identification Personally Known R Produced Identification
Type of Identification Type of Identificatio
Produced Produced
(Sign ure ck, of u ic- State of Florida)
�' C_ �'1�q' JENNIFER E. GAS / s� `,
Commission No. r k�' NtrteryPublic $tat Cato �,iss n No C b31s � l (Seal)
* Cornnssion No. 263239
wa Commission Expires 09/3012022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. S
•+ZCERTIFEED°
www.ahridirectory.ory
Certificate ofProduct
AHRI Certified Reference Number: 8456291 Date: 05-13-2019 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) : TC4132421
Indoor Unit Model Number (Evaporator and/or Air Handler) : AE30BX21+TXV
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, C , 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, Wl, , 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 Unita
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party esting:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 24000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
1"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; 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
selling or offering for sale.
that are being
ucing BUT is still
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 prnduct(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.ahrid irectwy,or�;.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and JU11R!
confidential reference purposes. The contents of this Certificate may not, in whale 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 indlviduae
personal and confidential reference. ,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was i$Sued, we make life better -
which is listed above, and the Certificate No., which is listed at bottom right.
02019Air-Conditioning, Heating, and Refrigeration Institute � CERTIFICATE NO.: 132022.495977527501