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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5001 Palmetto Ave Ft Pierce, FL 34982 Property Tax ID #. 3403-502-0098-000-0 Residential X Site Plan Name: WSiteCity SID043640N140FTofS57UFTOfthat part oflot 62112EofCanal 71and NofWLYEXTofNSCRYofoutlot14,15,16 Project Name: Russell Turner LQETAILED DESCRIPTION OF WORK: AC change out like for like Champion/TC7E43621 Champion/AVC42CX21+TXV 3 Ton, 17.00 SEER, 10KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No._ Block No. Additional work to be performed under this permit —check all that apply: f Mechanical _ Gas Tank — Gas Piping — Shutters Windows/Doors Pond _ Electric — Plumbing — Sprinklers `Generator ` Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ '350.00 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name W Russell Turner Name:Samuel T Durham Address:5001 Palmetto Ave Company: Advantage AC of the TC City: Ft Pierce State: FL I Address:601 S Market Ave Zip Code: 34982 Fax: City: Ft Pierce State: FL Phone No. Zip Code: 34982 Fax: 772-465-4945 E-Mail: Phone N0772-465-1606 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 _— -• — Y•• •� ���� �­VIC, Y n&a-vravru IYVucC uy Lummencemenz Is requirea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. F i-v i l , f+ppllcation Is nereay 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an nttnrney before commencing work or recording your Notice of Commencement_ Signature of Owne / Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF St Lucie Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 1 day of July 2020 by Samuel T Durham Name of person making statement. Personally Known x OR Produced Identificati Type of Ide fication Prod urea State of Florida ) Commission No GG263239 (Seal) REVIEWS FRONT ZONING COUNTER REVIEW RECEIVED DATE COMPLETED SUPERVi5 REVIEW o Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF S1Lucie Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this I day of July 2020 by r WSamuel T Durham ame of person making statement rsonally Know OR Produced Identification :)e of Iden ' cation ISign ture o�)Aa Public State da j ommis! 3239 (Seal) LANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when R3 CERTIFIED placed in service between 1/1/2015 and 12131/2020. rectory. Certificate of Product Ratings AHRI Certified Reference Number: 8900671 Date: 07-01-2020 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) : TC7133621 Indoor Unit Model Number (Evaporator and/or Air Handler) : AVC42CX21+TXV Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, 80, 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 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 (95F), btuh : 35400 SEER: 17.00 EER (A2) - Single or High Stage (95F) : 14.00 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 for sale. Ratio s that are accam anied by WAS indicate an involuntary re -rate. The new Dublished ratina is shown alono with the orevIous i.e. WAS ratio . 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.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and fill 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 MW 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 an "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better which is listed above, and the Certificate No., which is listed at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13238079510044,5194