HomeMy WebLinkAboutWilliam Hill permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.. �Q I (p f Aq 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
PERMITTYPE: Mechanical
PROPOSER IMPROVEMENT LOCATION:
Address: 500 Banana Ln
Property Tax ID #: 3410-503-0290-000-1
Site Plan Name:
Project Name: Hill
DETAILED DESCRIPTION OF WORK:
A/C Change -out like for like, Champion 15.00 SEER, TH4134222, AVC42CX21+TXV, 3.5 Ton, 5KW
Lot No.38
Block No. J
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: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William H Hill Jr
Name:Samuel T Durham
Address:500 Banana Ln
Company: Advantage AC of the TC
City: Ft Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address:601 S Market Ave
City: Ft Pierce State: FL
Zip Code: 34982 Fax: 772-4654945
Phone No 772-465-1606
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Advantagepermits@hotmail.com
State or County License CAC039664
If value ar consiructron is �ocn�uu or more, a KkCUKDED Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Pho
State:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: T 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 an 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
w!Yu vn"D 1 VrunFD nD AM ATTnDNFY RFFnP]P 01117COROING YOUR NOTICE OF COMMENCEMENT."
ature of Ow r/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF st Lucie
COUNTY OF st Lucfe
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 6 day of June 26 t� by
this 6 day of June 20by
Eonau'o r_-T7'
11.1SQ U 1� "K C
- -_
Name of person making statement.
- I �
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of identification
Type of i ' ication
Produce
aYN JENNIFER E. CAGASC�Notary
ed
JENNIFER E. CAGAS
Notary Public, State of Florida
Commission No. GG263239
Publlc, State of Florida
ommission No. GG2632N
w Commission Ex 7es 09l301202mmission
Ex ores 0913012022
Commission No ( (Seal)
Commission No. C-J� (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
are: if r fa vi Peril in Pnfin i
? AHRI Certified Reference Number: 202326578 Date: 06-06-2019 Model Status: Active
I
AHRI Type: HRCU-A-CB
Series: LX SERIES
Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING
Outdoor Unit Model Number (Condenser or Single Package) : TH4134222
Indoor Unit Model Number (Evaporator and/or Air Handler) : AVC42CX21+TXV
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 : 40000
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.25
Heating Capacity (H12) - Single or High Stage (47F) : 40000
HSPF (Region IV) : 8.20
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.
Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous f.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
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
mom I M WON- -0
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except tot the user's individual,
" m'
personal and confidential reference.
AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION
$, REFRIGERATION INSTi'rt3TE
The information for the model cited on this certificate can be verified at www.ahrid irectory.org, click on 'Verity Certificate' link
we make life better'"
and enter the AHRI Certified Reference Number and the date on which the certtf[cate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
CERTIFICATE NO.:
132043058534639510
02019Air-Conditioning, Heating, and Refrigeration Institute
J1