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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r111.11*111110 CO(INTY F L O R i r. Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5908 Raintree Trl Property Tax ID #: 3402-610-0356-000-6 Site Plan Name: Indian River Estates Project Name: Joel Kilmer Permit Number: Building Permit Application Commercial Residential X DETAILED DESCRIPTION OF WORK: AC Change out like for like CHAMPION/TC7B3021 CHAMPIONIAE30BX21+TXV 2.5TON, 17.00SEER, 10KW CONSTRUCTION INFORMATION: Lot No.3 Block No. $3 Additional work to be performed under this permit —check all that apply: Z 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: $ 4700.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Joel Kilmer Name: Samuel T Durham Address:5908 Rai ntree Tri Com an Advantage AC of the TC p y� Ft Pierce City: State: Address:601 S Market Ave Zip Code: 34982 Fax: City: Ft Pierce State: FL Phone No,772-332-9636 Zip Code: 34982 Fax: 772-465-4945 E-Mail: Phone No772-465-4945 Fill in fee simple Title Holder on next page ( if different E-Mail Advantagepermits@hotmail.com from the Owner listed above) 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 FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: ` Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name:_ Address: City:_ Zip: Pho Not Applicable State: Not Applicable 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 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." S gnature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this 9 day of July 20 ar'. by -- Samuel T Durham Name of person making statement. Personally Known x OR Produced Identificat Type of Identification Produced (�Ig tore ry Public- State of Florida j Commission N (seal) REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this 9 day of July 20 a j by Samuel T Durham Name of person making statement. a Personally Known x OR Produced Identification 3 a M Type of Identification n Produced zCA W (Signature ary^Pu�rc- ate of Florida jl Commission No6�(I I (Seal) SUPERVISOR I PLANS VEGETATION I SEA TURTLE I MANGROVE REVIEW I REVIEW REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiencyltax Credit when ANININ placed in service between Feb 17,2009 and Dec 31, 2010. CERTIFIED rg certificate of Product Ratings AHRI Certified Reference Number: 8900214 Date: 07-09-2019 Model Status : Active AHRI Type: RCU-A-CS Series : LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC7133021 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE30BX21+TXV Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, VVV, WI, VVY, 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 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 : 27800 SEER: 17.00 EER (A2) - Single or High Stage (95F) : 14.00 f"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 proucing BUT is stir} selling or offering far sale. Ratio s that are accom anied b WAS indicate an involunta re rate, The new ublished ratio is shown alon with the revious i.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,ahrid lrectory.org. TERMS AND CONDITIONS alon This Certificate and its contents are proprietary products of Al 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. CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridireetory.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 - which is listed above, and the Certificate No., which is listed at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute f CERTIFICATE Nll 132071476274923994