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BoyleEdwardPermitApp
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: MAY 15, 2019 FJW COUNTY T FLO R l D .A 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: MECHANICAL PROPOSED IMPROVEMENT LOCATION: Address: 3204 MEMORY LN Property Tax lD #: 2430-502-0036-000-9 Site Plan Name: RIVER OAKS ESTATES Project Name: EDWARD BOYLE DETAILED DESCRIPTION OF WORK: Permit Number: Building Permit Application Commercial Residential X Lot No. 36 Block No, A/C CHANGE OUT LIKE FOR LIKE, 3.5 TON, 15.25 SEER, TC4134221, AVC60CX21 + TXV, 8KW HEAT KIT CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical Electric _ Gas Tank Total Sq. Ft of Construction: Plumbing Cost of Construction: $ 5550.00 OWNER/LESSEE: Gas Piping _ Shutters Sprinklers _ Generator Name EDWARD BOYLE Address:3204 MEMORY LANE City: FORT PIERCE, FL State: Zip Code: 34982 Fax: Phone No. E-Mail: Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Fill in fee simple Title Holder on next page (if different from the Owner lister! above) CONTRACTOR: Windows/Doors — Roof — Pitch Building Height: _ Name:SAMUEL T DURHAM Com pa ny. Advantage A/C of the Treasure Coast Address:601 S MARKET AVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-465-4945 Phone No772-465-1606 E-M ail Advantage Permits @H OtMail. Corn 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: Address: City: State: Zip: _ Phone MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: L TLE HOLDER: Not Applicable BONDING COMPANY: `Not Applicable Name: Address: City: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 y work or installation has commenced prior to the issuance of a permit. whi h is inc on ct with anrepresentation alcmeaOiwners Associations rules bylaws or the permit that mayrestrict oar 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 1 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." A Signature of Own r/ Lessee/Contr�ctos Agent for Dwner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFST wciE COUNTY OFST LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 15 day of MAY 20` by this 15 day of MAY 20by SAMUEL T DURHAM SAMUEL T QURHAM Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Type of Identification JENNIFER E. CAGAS Notary Public, State of FlOda (Si aryP e. to �pires095012022 Commission No. GG263239 (Seal) REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Personally Known x OR Produced Identification Type of Identification Produ "'"'" JENNIFER E. CA: GAS Public, State of Florida * Comrwission No. GG263239 (Si Pu bl i Expires 09 120 Commission No. GG263239 PLANS REVIEW (Seal) VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW �+•:�� CERTIFIED° www.ahridirectory.arg Certificate of Product Ratings AHRI Certified Reference Number : 8457860 Date: 05-15-2019 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) : TC4134221 Indoor Unit Model Number (Evaporator and/or Air Handler) : AVC60CX21+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, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, Rl, 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 ANSIIAHRI 210/240 with Addenda 'I 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 : 41500 SEER: 15.25 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 mod!$Is 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. 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 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. ArmlM CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better - which is listed above, and the Certificate No., which is listed at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1320240D4119697815