HomeMy WebLinkAboutTippins permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit dumber:
•
s �
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498.2
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT EOCA
Address: 798 Cory Campbell Rd
Property Tax I D #: 3403-701-0063-000-7
Site Plan Name:
Project Name: Tippins
TION:
DETAILED DESCRIPTION OF WORD:
A/C change out like for like, Champion 14.00 SEER, TC4B3621, AP36BX21*TXV, 8KW 3TON
j CONSTRUCTION INFORMATION:
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: $ z
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Lot No.38/39
Block No. B E
Windows/Doors
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR -
Nam e Mary Tippins
Name: Samuel T Durham
Address:798 Cory Campbell Rd
Corn pany:Advantage AC of the TC
City: Ft. Pierce State:
Zip Code: 34982 Fax:
Phone No.772-577-0800
Address:601 S Market Ave
City: Ft Pierce State: FL
Zip Code: 34982 Fax:
Phone No772-465-1606
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
It _.-1..- -r - - A........
E-MailAdvantagepermits @hotmail.com
State or County LicenseCAC039664
. --.^- -• .. .....,.......a T.-rvv M- 111W1c, a n«.vnuw 1ronce vi,-ommencemeni Is required.
If value of HVAC is $7,5D0 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:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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-� •- 11i %. rim i rvA%. i V n Arri V vi t . 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 OFStLucie
The forgoing instrument was acknowledged q before me
this a day of June G� by
Name of person making statement.
Personally Known x OR
Type of Identification
Produced
(Signat4 of
JENNIFER E. CAGAS
Notary Public, State of Florida
St Commission No. GG263239
Commission Expires 09/30/2022
01100.rs
of Florida)
Commission No� (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signatu a of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledge ¢ efore me
tJh 5,3�_ day Of June �— Za //� by
Name of person making statement.
Personally Known OR Produced Identification
1p.de of Identification
uced
(Signature, 2-Lioricla)
Commission No. (Seal)
SUPERVISOR PLANS I VEGETATION I SERA TUR LE � MAE ROVE
REVIEW REVIEW REVIEW
+ A L. lot
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Pronrlii^+
AHRI Certified Reference Number: 8457359 Date: 06-03-2019
AHRI Type: RCU-A-CB
Series: LX SERIES
Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING
Outdoor Unit Model Number (Condenser or Single Package) : TC463621
Indoor Unit Model Number (Evaporator and/or Air Handler) : AP36BX21+TXV
Model Status : Production Stopped
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, 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 210/240 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 : 34000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11,75
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.
Ratin s that are accompanied by WAS indicate an involunta rate. The new published ratino is shown along with the Urevious i.e. WAS ratin .
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($), 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,orb.
TERMS AND CONDITIONS it "12,
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; �■ -'
i entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, NMI !. personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at vvwma hrid irectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better,
�! t which is listed above, and the Certificate No., which is listed at bottom right. — --
020'i9Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: 132040423423676787