HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
F L O R 1 G
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9 Kassaba Ln
Property Tax ID #: 3414-501-1701-000-9
Site Plan Name: St Lucie Gardens 26 36 40
Project Name: Robert Smith
Permit Number:
Building Permit Application
Commercial Residential x
Lot No.
Block No. 1 & 2
I DETAILED DESCRIPTION OF WORK: I
AC Change out like for like 3.5 ton package unit, 10KW, 14.00 SEER
On 1 PC 2�
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
'A,Mechanical _ Gas Tank _ Gas Piping _ Shutters , Windows/Doors
_ Electric — Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,800.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynn Building Corporation
Name: Samuel T Durham
Address: 8000 S US 1 Suite 402
Com pa ny: Advantage AC of the TC
Address: 601 S Market Ave
City: Port St Lucie State: FL
Zip Code. 34952 Fax:
City: Ft PierceState: 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 -Mail Advantagepermits@hotmail.com
State or County License CAC039664
from the Owner listed above)
IT value or construction is 52500 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 Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Nat 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_"
ev,
7 /'2
S' nature of Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
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 me
this 20 day of December 20_jq by
this 20 day of December 20 Iq by
Samuel T Durham
Samuel T Durham
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
{Signa ure of Notary Public- State JENNIFER E. =AGA
ure of otary Pu ic- State of o JENNIFER E. CA
Notary Public, State of FI
Commission No. CG263239 y�al}Cornr�tisalon No. GG263
da Notary Public, Stats o
3fom ssion No. 130263239 Ar 1) Comr47ission No. GG
E
' ,,, Commission Expires fl91
2022 Commission Expires 0
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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A
Certificate of Product Ratings
AHRI Certified Reference Number: 8560563 Date : 12-20-2019 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) : PCE4A442"
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, MF, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, 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 fegion(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 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 : 41500
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.00
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 far sale.
Ratinos that are accompanied by WAS indicate an involuntary re-rate. The new published rating is shown along with the previous (i.e WAS) rating.
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.ahridire0t0ry.0rg.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and Bin
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
RMEM
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
for the model cited on this certificate can be verified al www.ahridlrectory.org, click on °Verify Certifleate" link we make life better^e
AHRI Certified Reference Number and the date on which the certificate wag issued,
ed above, and the Certificate No., which is listed at bottom right,ir-Conditioning,
LThetion
Heating, and Refrigeration Institute CERTIFICATE NO.: 132213253415229355