HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MOIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
•
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
Permit Number:
Building Permit Application
Commercial Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: 87 Calle De Lagos
Property Tax ID #: 1301-500-0141-000-2
Site Plan Name: Ron Pauls
Project Name. Spanish Lakes Country Club Village Leasehold Estates
DETAILED DESCRIPTION OF WORK:
AC Change out like for like
ChampionlTH4133021, Champion/AVC36CX21+TXV, 2.5 Ton, 5KW, 16.00 SEER
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
K Mechanical `Gas Tank _ Gas Piping ` Shutters
_ Electric ` Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5900.00
Sprinklers Generator
Sq. Ft. of First Floor:
Lot No. 87
Block No.
Windows/Doors
Roof Pitch
Utilities: ^Sewer `Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ronald Pauls Name: Samuel T Durham
Address: 87 Calle De Lagos Comp anY: Advantage AC of the TC
City: Ft Pierce State: F7L Address: 601 S Market Ave
Zip Code: 34951 Fax: City: Ft Pierce State: FI
Phone No. 772-882-4251 Zip Code: 34982 Fax: 772-465-4945
E -Mail: Phone No 772-465-1606
Fill in fee simple Title Halder on next page if different E-Mai1Advantagepermits@hotmail.com
from the Owner listed above) State or County License CAC039664
If value of constructinn i, 42snn — w, _ oernone..
--1 - --_ ___ ....------c.MC111tlr1i n reyurrea.
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
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.
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."
Slgnature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this 23 day of December 20A by
Samuel T Durham
Name oT person making statement.
Personally Known x
Type of Identification
Produced
(Signet re o o I
OR Produced identification
blic-
CommiSS-M - lo. GG263239
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
S -e-` . A, _
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St Lucia
The forgoing instrument was acknowledged before me
this 23 day of December 20-19 by
Samuel T Durham
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
(31 ature of tart' Public- State of Florida
'`may p�4f, JENNIFER E. CAGAS
(S$64(y Public, State of Floft I C mission No. GG263239 �0" P"4� �J 1 NIFER E. CAGAS
a* ` COmra"on No. GG263239 tsblic, State of Florida
Commission Ex ices* * Commission No. GG263239
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
:nai CERTIFIED'
www.ahri(Iirectory.org
AHRI Certified Reference Number: 8927795 Date: 12-23-2019
AHRI Type: HRCU-A-CB
Series: LX SERIES
Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING
Outdoor Unit Model Number (Condenser or Single Package) : TH4B3021
Indoor Unit Model Number (Evaporator and/or Air Handler) : AVC36CX21+TXV
Madel Status : Active
The manufacturer of this CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 30000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
Heating Capacity (1-112) - Single or High Stage (47F) : 30000
HSPF (Region IV) : 9.50
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
Marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
PIC- 46-
ISCLAIMER
AHRI does not endorse the product(&) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product($) 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.ahrid!rectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andalln
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,BMW
personal and confidential reference.
CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING,
&REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date an which the certificate was issued, we make life better -
which is listed above, and the Certificate No., which is listed at bottom right.
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE Nd_- 132215923735109988