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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: COCCI N T Y F L 0 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 Permit Number: Building Permit Application PERMITTYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5150 Oleander Ave Ft Pierce, FI 34982 Property Tax ID #: 3403-323-0001-000-5 Site Plan Name: George Hayner Project Name: Covenant Reformed Presbyterian DETAILED DESCRIPTION OF WORK: AC Change out like for like Commercial Residential X CHAMPION/TC4136021 CHAMPION/AVC60DX21+TXV, 14.75 SEER, 5 TON, 8KW CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: x Mechanical _ Gas Tank , Gas Piping Shutters Electric _ Plumbing — Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 7000.00 Generator Sq. Ft. of First Floor: Lot No. Block No. — Windows/Doors Roof Pitch Utilities: —Sewer —Septic Building Height: OWNERAESSEE: Name Covenant Reformed Presbyterian Address:5150 Oleander Ave City: Ft Pierce State: r L Zip Code: 34982 Fax: Phone No. 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 Address:601 S Market Ave City: Ft Pierce State: FI Zip Code: 34982 Fax: 772-465-4945 Phone No772-465-1606 E-Mai1Advantagepermits@hotmail.com State or County License CAC039664 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 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: Not 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 OF COMMENCEMENT." Signature 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 7 day of ootober 20� by Samuel T Durham Name of person making statement. Personally Known x Type of Ide atio Producedi� Commissio REVIEWS No. GG263239 RECEIVED DATE COMPLETED x OR Produced Identificati r?q.-,% C. z Ln �z m o Florida) . a d m (Seal) w >+ n warn ro `fl m FRONT ZONING I SUPER7/i'S COUNTER REVIEW REVIEW STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this 7 day of October 20� by Samuel T Durham Name of person making statement. Personally Known x OR Produced Identification Type of ld I icati n 11. T OCq ma Public- State of Florida ) Commission No. GG263239 (Seal) PLANS I VEGETATION I 5EA TURTLE I MANGROVE REVIEW REVIEW REVIEW REVIEW ►+•:�i CERTIFIED° www.ahridirectory.orgCertificate of Product Rati s AHRI Certified Reference Number : ,9459162 Date: 10-07-2019 Model Status : Active AHRI Type: RCU-A CB Series : LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC4136021 Indoor Unit Model Number (Evaporator and/or Air Handler) : AVC60DX21+TXV Region : Southeast and North (AL, AR, DC, DF, FL, GA, HI, KY, LA, MO, 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 ANSJ1AHRI 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 (951=), btuh : 57500 SEER : 14.75 EER (A2) - Single or High Stage (95F) : 12.25 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. Ratin s that are aocom anied p WAS indicate an involunta re -rate. The new Published ratingis shown alon 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 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 d i rectory at www.a h rid irectory.ofg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shaft 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. , NOWM AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make L'fe her[erN which is listed above, and the Certificate No., which is listed at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO-: 132149318690206109