Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: i 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: 14142 Cancun Ave Building Permit Application Commercial Residential X Property Tax ID #: 011240` Lot No. Site Plan Name: Matthew Williams Project Name: Matthew Williams Block No. DETAILED DESCRIPTION OF WORK: AC Change out like for like Champion/PCE6B42* Package unit, 16.00 SEER, 3.5 Ton, 8KW CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: Mechanical — Gas Tank — Gas Piping Shutters _ Electric ` Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 5822.00 _ Sprinklers — Generator Sq. Ft. of First Floor: Windows/Doors — Roof Pitch Utilities: Sewer ^ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Matthew Williams Name: Samuel T Durham Address:14142 Cancun Ave Company: Advantage AC of the TC City: Ft Pierce, State: El- Address: 601 S Market Ave Zip Code: 34951 Fax: City: Ft Pierce FI State: Phone No. Zip Code: 34982 Fax: 772-465-4945 E-Mail: Phone N0772-465-1606 Fill in fee simple Title Holder on next page ( if different E-Mail Advantagepermits@hotmail.com from the Owner listed above) State or County License CAC039664 If value of construrtinn ic 47rnn nr .v...ra bCe'^m- - - - - •---- W1 wEEEEEECIMC nent is requirea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicabfe Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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" f Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged befor r1sl) this � day of " 20_n by Q - Name of person making statement. M UrPersanally Known z OR Produced Identifica — Type of identification u, Produced N (Signature of Notary Public- State of Florida ) Commission No.Q t(G323 (Seal) REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ev. 1 Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF_ �} I The forgoing instrument was acknowledged before me this 0 day of S � (� 20_A� by _j (y ` - 11 * A Name of person making statement. * ; Personally Known_ OR Produced Identification R a p Type of Identification Produced Apo � W QL (Signature of Notary Public- State of Florida j w 9 Commission Noc o� (Seal) N SUPERVISORJ PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17.2009 and Dec 31, 2016. CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number: 9115222 Date: 09-19-2019 Model Status : Active AHRI Type: SP-A Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PCE6B42" 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, Rl, SC, SD, TN, TX, UT, VA, 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 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 : 42500 SEER: 16.00 EER 02) - Single or High Stage (95F) : 12.50 J"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. Ratin s that are accompanied bv WA5 indicate an involuntary re -rate. The new ublished ratin is shown alon with the revious 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 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.abridlfectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andJim 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, -IM OWN personal and confidential reference. CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, 8e REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridIrectory.org, click on "Verity Certificate'link and enter the AHRI Certified Reference Number and the date on which the certlflcate 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.: 132133952280384771