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
Permit Number:
Building Permit Application
PERMITTYPE: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1711 Coronado Ave Ft Pierce, FI 34982
Property Tax ID #: 2421-244-0015-000-7
Commercial Residential X
Site Plan Name: 113540N150FTOFE100FTOFW200FTOFS112OFSE114OFSE1AOFNW1/4(0.34AC)(OR 2275-1013
Project Name: Maria Montes
DETAILED DESCRIPTION OF WORK:
AC Change out like for like
Champion package unit Champion/PCE4B4821, 8KW, 14.00 SEER, y-r4N
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
'A ' -Mechanical _ Gas Tank i Gas Piping Shutters
Electric — Plumbing _ Sprinklers
Lot No._
Block No.
Windows/Doors
Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5650.00 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Maria Montex Name: Samuel T Durham
Address: 1711 Coronado Ave Company: Advantage AC of the TC
City: Ft Pierce State: FL Address: 601 S Market Ave
Zip Code: 349821 Fax: City: Ft Pierce State: FI
Phone No.772-940-9287 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
.•�•�. v...+•a a, Ma.aIV11 IJ 9LLWVV LPI 11RJIC, d wouce or Commencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Nat Ap
Name:_
Address:_
City:
State:
Zip Phone -
FEE SIMPLE TITLE BOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Nat 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this 10 day of January 20 20 by
Signature of Contractor/License Holder
STATE OF FLORIDA
Samuel T Durham
'
Name of person making statement.
The forgoing instrument was acknowledged before me
Personally Known x OR Produced Identifica
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Type of Identification
Produced.SET
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{Sign ure o t y . ublic- St -if Florida)
Commis ' GG263239 (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
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(Sign u lic- State of Florida) ru
Commission No. GG263239 (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie
The forgoing instrument was acknowledged before me
this to day of January 20M by
Samuel T Durham
-
`�*000
Name of person making statement.
Personally Known x OR Produced Identification
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Type of Identification
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(Sign u lic- State of Florida) ru
Commission No. GG263239 (Seal)
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number : 8560564 Date: 01-10-2020 Model Status : Active
AHRI Type: SP -A
Series : LX SERIES
Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING
Outdoor Chit Model Number (Condenser or Single Package) : PCE4648'
Region: All
Region Note : 1803
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 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 (95F), btuh : 47000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11,00
t"Active" Madel 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 $ that are accompanied bv WAS indicate an involuntary re -rate. The new Published rating,is shown along with the previous (i a 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.aliridirectory.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
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life betterT°
which is listed above, and the Certificate No., which is listed at bottom right.
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE N4.: 132231381111707131