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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _ 'j • SIN 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: 8006 Winter Garden Pkwy Property Tax ID #: 1301-605-0261-000-1 Site Plan Name: Lakewood Park Unit-5 Project Name: Karen Lewis DETAILED DESCRfPTION OF WORK: AC Change out like for like Permit Number. Building Permit Application Commercial Residential X CHAMP ION/TC483621, CHAMPION/AP36BX21+TXV, 14.00 SEER, 8KW, 3TON CONSTRUCTION INFORMATION: Lot No. Block No. 50 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: $ 5400.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Karen Busa (Life Estate) Name: Samuel T Durham Address:8001; Winter Garden Pkwy Corn pa y an Advantage AC of the TC City: Ft Pierce State: 'FC Address.601 S Market Ave Zip Code: 34951 Fax: City: Ft Pierce State: FI Phone No. Zip Code: 34982 Fax: 772-465-4945 E-Mail: Phone No772-465-1606 Fill in fee simple Title Holder on next page ( if different E-MailAdvantagepermits@hotmail.com from the Owner listed above) State or County License CAC039664 If value of rnnetrnrtinn ic lt'2cnn .. _ n�r.,....�.. . ----- -• ••' I �- ••�� ...•..�.+ �.vriw we wnimencement is requirea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN[ Name:_ Address: City: Zip: NGINEER: _ Not Applicab State: one MORTGAGE COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: FEE SIMPLE TITLE HOLDER: , Not Applicable BONDING COMPANY: Nat 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 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." 7 ^ 6� Lo_z��_ � Signature of 0 ner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF*. LUC.je COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this -Lq- day of _CQnpJ Zp 1q by this � day of 2p lq rn fur N � v Name of person making statement. = a -� M, Name of person making statement. Personally Known OR Produced Identifica on M 0 Personally Known X OR Produced Iden is Efflqy_ Type of Identification Type of Identification " Produced T Produced � , L j P (Signature o y u rc- a e of Florida) � ,' (Sig ture of of Pub Qarida-) t * r Commission No (Seal) '� +ys ' x q Seal o, «�F Commission No.Q�UU E)_7 (S wti "trx' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW RE DATE VIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED ev. 21 7 . u:�i CERTIFIED" www,ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 8457359 Date: 09-11-2019 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) : AP36BX2I+TXV Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, Cq 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 re&n(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 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 FFR (A2) - Single or High Stage (95F) : 11.75 i"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 offeg for sale. Ratin s ihat arerinaccom anied by WAS indicate an involuntary re -rate. The new pjjblished rating is shown afon with the Previous 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 an 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; .■ �' 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, CERTIFICATE VERIFICATION &REFRIGERATION INSTFWTE The information for the model cited on this certificate can be verified at www,ahrtdirectory,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 CERTIFICATE NO.: 132127078124990030