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Home My WebLink AboutBuilding Permit ApplicationAll 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) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application PERMITTYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 6502 Penny Lane Property Tax ID #: 1301-611-0216-000-0 Site Plan Name: Project Name: Judith Ann Busa-Shelton DETAILED DESCRIPTION OF WORK: Commercial _ Residential X Lot No.12 & 13 Block No. 110 AC Change out like for like Con Champion/TC4133621 AIH Champion1AP36BX21+TXV 3TON 8KW 114.00bLL •( CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank T Gas Piping _ Shutters Electric _ Plumbing — Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4650.00 OWNER/LESSEE: Name Judith Ann Busa-Shelton Address: 6502 Penny Lane City: Ft Pierce State: Zip Code: 34951 Fax: DhrinP Nn Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: ,Sewer _Septic Building Height: E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Samuel T Durham Company: Advantage AC of the TC ❑r1r4rP«- 601 S Market Ave City: Ft Pierce State: FL Zi Code' 34982 Fax: 772-466-4945 p Phone Na 772A65-1606 E-Mail Advantagepermits@hotmaii.com State or County License CAC039664 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of WVAC 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: State: City: State: City: Zip: Phone: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: .. A- +L.......,:L -a„rl inctatlatinn ac inrli('.atPd. OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made W vuLdn1 ❑ PC13112< <V u., ••� - - - 1 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 structure. Please consult w with Hlome Owners Association and rules, our dws eed or any estrictions which aor alprohibit such 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 no -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 Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF St Lucie Co The forgoing instrument was acknowledged before me this 26 day of _ June , 20_ by Samuel T Durham Name of person making statement. Personally Known x OR Type of Identification (Signaturkof N&00blic- State STATE OF FLORIDA COUNTY OF StLucaeCO The forgoing instrument was acknowledged before me this 26 day of 3une J 20_ by Samuel T Durham Name of person making statement. e,,AY "tt, JENNIFER E. CAGA i YNe F ''F Notary Public, State of FI�rod + Comrission No. GG263 239 Commission Expires 0913C 12022 Commission No. (-"I ('-- ''0,5� (Seal) REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE DATE COMPLETED ally Known x OR Produced Identification F identification (Signature of Notary Commission No. PLANS I VEGETATION REVIEW REVIEW [- !YCa�e r rldrl (Seal) SEATURTLE MANGROVE REVIEW REVIEW Certificate of Product Ratin AHRI Certified Reference Number: 8457359 Date : 06-26-2019 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) : TC4133621 Indoor Unit Model Number (Evaporator and/or Air Handler) : AP36BX21+TXV Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MID, 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 ANSIIAHRI 2101240 with Addenda t 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. Ratings that are accom anied b WAS indicate an involuntaryre-rate. The new ubiished rafin is shown alen with the revious i.e. WAS ratln . 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.ahridiFectory.org, TERMS AND CONDITIONSI R1 This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individual, personal and p confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;BMW entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life better - and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is listed above, and the Certificate No., which is listed at bottom right. 132060298463426952 02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: