HomeMy WebLinkAboutBuilding Permit Application 11/15/2019 FRI 9: 06 FAX 772 3367566 AC Advantage, inc. 0002/004
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l�' l5�� Permit Number.
fin -'�f✓�:,'fir' b `'spar" RECEIVED
Nov.18 Z�19
-.. Building Permit application
Planning and Development Services pec
t1 6ueje county
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential XXXX
PERMITTYPE: HVAC
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Address: 6022 Indrlo Rd #G5
Property Tax ID#: 1313-501-0053-000-3 _ Lot No.
Site Plan Name: Block No.
Project Name:
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AC change out only 14.5seer 2,5ton 7.5kw Lennox system
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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:$ 3755 Utilities: —Sewer _Septic Building Height:
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Name Wallace Family Enterprise Name:Scott Camire
Address:4629 SW Leeward St Company:AC Advantage Inc
City' PSLucle State: Address:1826 5W Biltmore St
Zip Code: 34953 Fax: City; PSLucle State:FL
Phone No. Zip Code: 314964 Fax: 7723367566
E-Mail: Phone No 7723367366
Fill In fee simple Title Holder on next page(if different E-Mail csr@acadvantageinc.com
from the owner listed above) State or County License CMC1249807
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,
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11/15/2019 FRI 9106 FAX 772 3367566 AC Advantage, ina. 100'03/004
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DESIGNER ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: _ _ Name:
Address: Address: I
City: State: City: State: '1
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _,Not Applicable 1
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone: I
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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,f_ cie County makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
whim 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 ail 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 fuJI 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 OP COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. F YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUA NOTICE OF COMMENCEMENT."
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AatureOwner/Lessee/Contractor as Agent for Owner Sig ure of;Contractor/Llcense Holder
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STATE OF FLORIDA TATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF 61Lu019
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The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisice,day of IVf1yE+NEer ZO A by this 15 day of tuoyemeer �20_0 by �
Scott Camlre Scott Camlre
Name of person making statement, Name of person making statement.
Personally Known xxx OR Produced Identification Personally Known xxx OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Jamie Pams
(sig ature of Notar Public-State of { gnatur of Notary Public-State of F!q
b'TA71e`OF F4L1 10 NOTARY FUM I
Commission No.00287323 Comtrd!GGa®73 STATE OF R
ommissionj No, aaze73za � Catrutlq GG287 Fi
Expires 101281 022
Irea 22
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ,I
DATE
RECEIVED
DATE
COMPLETED
ev.2/1/19
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11/15/2019 FRI 9- 06 FAX 772 3367566 AC AdVatntrLge, ine. U004/004
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Certar�f�cate of Product Ratings
AHRI Certified Reference Number:9005629 Date;09-30-2019 Model Status,AcUve
AHRI Type:RCU-A-CB
Outdoor Unit Brand Name:LENNOX
Outdoor Unit Model Number (Condenser or Single Package):14ACX5030-230A"'
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Indoor Unit Brand Name;ADP
Indoor Unit Model Number(Evaporator and/or Air Handler):SM7(1,2)30+TXV+TD
Region, Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,M$,NO,OK,$0,TN,TX,VA,AK,CO,CT,ID,IL,
IA,IN,KS,MA,ME,Mi,MN,M0,MT,ND,NE,NH,NJ,NY,OH,OR,PA,RI,50,UT,VT,WA,WV,WI,WY,U.S. ,I
Territories)
Reglon Note: Central air conditioners manufactured prior to January 1,2015 are eligible to be Installed In all reglons
until June 30,2016,Beginning July 1,2016 central air conditioners can only be installed in reglon(s)for
which they meet the regional afflclency requirement.
The manuf4tWOKOf W ,A13 Pb ilbfl8"rl3 4t59 b)e.�tSYtt fBtIH 'tit4fi( ',� tem oarntilnatlon, `' "h '�' ;
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Rated LiujbjlQY lin accordance wit' io'a latest edition of AN8I/Ay.FRI',�1Q1^��wat►t;Asld�n�a :l�rl�^�;P;�p�h�'�[ige�q�rjg,Qf!ll't�ItEi�y:,�';;,
Ilf)• onittg:>9t Alr Sbprbe Ijebl f?ttt�1P.,�quipment•and subj&f to rabh9;icdu�&k tiy�AHRI-��fohsbred;InclooluMeh,,k!thU parfSl�ta's)Ingf'
Cooling Eapatilty(A-2)SSingle or Hfgh Stage(95F),btuh''.28900;,
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instructions.
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t"Aotiva"Modol statue are those that on AHRI Ceniflcatlon Program Participant Is currently produeing AND selling or offering for sale;OR new models Ihat ere being
marketed but are not yet being produced'Production Stopped"Model Status are those that an AHRI Certification Program Partlelpant Is no longer producing BUT is sill
selling or offering for Bala.
n th I _nAAQw_g&�Le0_ralinP is shown siono with the orBviOUE(i.e.WAS retin .
D13CLAIMER
AHRI does not endorse the product(s)fisted 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 Cartiflcet'e.Carttfled ratings are valid only for models and configurations listed in the
directory at www.uhridirootory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHAL 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 is computer database;or otherwise utilized,In arty form or manner or by any means,except for the user's Individual, Mal
personal and confidential raferenco. AIR.ConotnoNINo,HEATING,
CERTIFICATE VERIFICATION jkREFRIGERATION INeTITUTH
The Information for the model cited on this certificate oon be verified at www.ohridItectoty.org,Click on"Verify Certificate"link u'e make life beUthr'I
end enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which Is listed above,and the Celtlflcate No,,which Is listed at bottom right y,,n�C<,;.• '
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®2019AIr-Conditlonln Heating,and Refrigeration Institute F MATE No.: 1321492B23pQ��a,
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