HomeMy WebLinkAboutDebbie Hill Permit AppAll 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: 702 Ulrich Rd
Property Tax I D #: 3410-603-0039-000-1
Site Plan Name: Ulrich's S/D
Project Name: Debbie Hill
DETAILED DESCRIPTION OF WORK:
AC change out like for like
Champion/TC7134221 Champion1AE42CX21+TXV
3 Ton, 10KW, 17.00 SEER
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No, 24,25,26
Block No. B
Additional work to be performed under this permit —check all that apply:
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: $ 4800.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edmond Stafford
Name: Samuel T Durham
Address: 702 Ulrich Rd
Com pa ny: Advantage AC of the TC
City: Ft Pierce State: L
Address:601 S Market Ave
Zip Code: 34982 Fax:
City: Ft Pierce State: FL
Phone No. 772-201-6800
Zip Code: 34982 Fax: 772465-4945
E-Mail:
Phone N0772465-1606
Fill in fee simple Title Holder on next page (if different
E-MailAdvantagepermits@hotmail.com
from the Owner listed above)
State or County License CAC039664
ww VI 11IVIC, O RC1..unur-Li imotice or Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ' Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
C11AlNGR/l'�ll►ITonr•rne wer�nai��_ .
— -- --•-. . W11 MR , rrrvI I . MPPIlcauon is nereny Mae 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 attornev before commencing work or recording our Notice of Commencement.
Signature of Owner/ 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 13 day of July 2020 by
Samuel T durham
Name of person making statement.
Personally Known x OR Produced IdentType
of IdentificatioProduced
Fitui
(Signature of Notar ublic- State of Florida-1
Commission No. GG263239 (Seal
sa-1v�;;7 Ae�
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF $tLucle
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 13 day of July 2020 by
Samuel T Durham
Name of person making statement.
Personally Known OR Produced
Type of ldentificat'
Produced
(Signature of Notpy Public- State of Florida )
Commission No. GG263239 (Seal)
o�
Of
w - 9 U,
REVIEWS FRONT I ZONING OR I PLANS VEGETATION I SEATURTLE MAL
COUNTER REVIEW REVIEW I REVIEW REVIEW REVIEW REVI
RECEIVED
DATE
COMPLETED
As .m°i CERTIFIED
www.ahrid irectory,org
This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 1/1/2015 and 12/31/2020.
Product Ratings
AHRI Certified Reference Number: 8901426 Date: 07-13-2020 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) : TC7B4221
Indoor Unit Model Number (Evaporator and/or Air Handler) : AE42CX2I+TXV
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, CA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NF, 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 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 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 : 41500
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 13.75
f"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.
Ratin s that are ac.m s nied by WAS indicate an involuntary re -rate. The new oublished ratinn is shown along with the rev[ous i.e. WAS)tin.
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,a h ridirectory.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, AMR
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 we make life better"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
02020Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132391380778508298