HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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: 7408 Commercial Circle
Property Tax ID #: 1335-802-0017-000-6
Site Plan Name: Kings Highway Industrial Park
Project Name: Jones Lumber
Permit Number:
Building Permit Application
Commercial X Residential
DETAILED DESCRIPTION OF WORK:
AC Change out like for like
CHAMPION/TC4B6021 CHAMP I ON/AE60DX21 +TXV 14.25 SEER, 8KW, 5 TON
CONSTRUCTION INFORMATION:
Lot No. 32
Block No. A
Additional work to be performed under this permit —check all that apply:
XMechanical , 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: $ 6000.00 Utilities: `Sewer _Septic Building Height-
OWNER/LESSEE: CONTRACTOR:
Name MRJ Properties, LLC Name: Samuel T Durham
Address: 754 Camino Lakes Circle Company: Advantage AC of the TC
City: Boca Raton State: F-L Address: 601 S Market Ave
Zip Code: 33486 Fax: City: Ft Pierce State: FI
Phone No. Zip Code: 34982 Fax: 772-465-4945
E-Mail: Phone No 772-465-1606
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
-____-- _ ._._ _.-....... ....... ... ..WL ac u%.ufflfflCflGCment 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 Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
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
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before
this 7 day of _October
20� by
this day of October
20? by
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Samuel T Durham
Samuel T Durham
Name of person making statement.
Name of person making statement.
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REVIEWS
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
G9i CERTIFIED`
www.ahridirectory.org
Certificate of Product Ratinqs
AHRI Certified Reference Number: 8459159 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) : AE60DX21+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, €D, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA WV, Wl, 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 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 (9517), btuh : 57500
SEER: 14.25
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 nvt 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.
Rat n s that are accom anied bv WAS indicate an involunta re -rate. The new published raiin is shown alon with the previous i.e. WAS rat n .
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.ahridlrectory.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 INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make lire 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.
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: t321493799613452fi7