HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/19/2019 Permit Number:
J
•
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION'<
drlrlr, r, 14191 Cisne CIR
Property Tax ID #: 1306-500-0008-000-3
Site Plan Name: Trombetta
Project Name. Trombetta
FDETAILED DESCRIPTION OF WORK:
Replae AC like for like. AC installation of 3 ton, 14 seer Champion, TC4B3621, AP36BX21, 10kw.
CONSTRUCTION INFORMATION
Lot No.5
Block No. 37
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping J Shutters ^ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5977.40
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Evelyn Trombetta
Name:John Pankraz
Address:14191 Cisne CIR
Company: Elite Electric and Air
City: Port Pierce State: ±L,
Zip Code: 34951 Fax:
Phone No.772-429-1831
Address:1691 SW S Macedo Blvd
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No772-340-3797
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permit@eliteelectricandair.com
State or County License CAC1816433
if value of construction is 52500 or more, a RECURUEU Notice or Lommencemeni is requireu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DES IGNERI ENGINEER: t- Not Applicable MORTGAGE COMPANY:
Name: — �Iot Applicable
Address: Name:
Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: __g�= Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _jzNot Applicable
Name:
Address:
City:
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 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 O MMENCEMENT."
Signature o r/ Lessee/Contractor as Agent for Owner Signature of Contr License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr' LUClr COUNTYOF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this i4 day of US 20 ti b r
Y this I`I day of 4vk+�5i 20 I Z by
17,-^t;.;.0
Name of person making statement. Name of person making statement.
Personally Known X
Type of Identification
Produced W
Fe of Notary
OR Produced Identification
Notary Public — State of Florida
Commission # GG 166S15
My Comm. Expires Dec 10, 2021
Commission No._ (L6i V c11 (Seal)
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
ev
Personally Known X OR Produced Identification
Type of Identification
Produced
;,•i v ry "•:: Tdf ll LENAE DEWITT
Notary Public — Stale of Florida
@� v Commission # GG 166915
My Comm. Expires Dec 10, 2021
r `,ri�!s
(Signature of Not Pu .
Commission No. Cc, iIL JEr?s- (Seal)
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 8457359 Date : 08-19-2019 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 Handier) : AP36BX21+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, 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($) 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 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. AS ratin .
Ratin s that are accom anied b WAS indicate an involunta re -rate. The new ublished ratin is shown alan with the revious i.e. W
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;'
M-1
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. AIR-CONDITIONING, HEATING.
& REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridlrectory.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. 132106925831900233
(P2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: