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HomeMy WebLinkAboutWilliam Umbach Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11 /16/2020 Permit Number: 5 L C1E Ma R I D A 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: 6004 Palm Dr Ft Pierce, FL 34982 Property Tax ID #: 3402-609-0578-000-4 Site Plan Name: Indian River Estates -Unit 8 Project Name: William R Umbach DETAILED DESCRIPTION OF WORK: AC change out like for like Champion/TC4B4221 Champion1AE48CX21+TXV 4 ton, 15.25 SEER, 5KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: Mechanical ` Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing , Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5350.00 OWNER/LESSEE: Name William R Umbach _ Generator Sq. Ft. of First Floor: Resideotial X rM Utilities: , Sewer ` Septic Address:6004 Palm Dr City: Ft Pierce State: 1`L Zip Code: 34982 Fax: Phone No. 772-979-0024 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Lot No. 8 Block No. 68 Doors Pond Building Height: CONTRACTOR: Name: Samuel T Durham Company: Advantage AC of the Address:601 S Market Ave City: Ft Pierce Zip Code: 34982 I Phone No 772-465-1606 E-Mai1Advantage permits@hotn State or County License CA= If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. Pitch State: FL 772-465-4945 Isom SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: Zip: Phon FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone; Not Applicable State Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable ,Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do thework 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 tc 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, oerform 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 anoth 2r non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in aaying 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 t obtain financing, consult with lender or an attorney before commencing work or recording -your Notice of ommencement. Signature of Owner/I Lessee/Contractor as Agent for Owner Signature of Contractor/License H lder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucia COUNTY OF St Lucie Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscri ed before me x Physical Presence or Online Notarization this 16 day Of November x Physical Presence or Online of Notarization 2020 by this �6 day of November 2020 by el T Durham Samuel T Durham e of person making statement. Q Name of person making statement. onall Known x Y OR Produced Identification e of Identificati Personally Known x OR Pro used Identification m -Q 0 " U Type of Identifi ion IRrduced LU Produced 2 v- 3 nature f Not b 'c- State of Florida) a (Signatur - - St to f Florida) z C mission No. GG263239 (Seal) 4 Commission No. GG263239 (Seal) � O VIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED IatNino ■out CERTIFIED www.ahridirectory.nrg Certificate o Product Ratin AHRI Certified Reference Number: 84,97832 Date: 11-13-2020 Model Stat: : Production Stopped AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC4134221 Indoor Unit Model Number (Evaporator and/or Air Handier) : AE48CX21 +TXV Region : Southeast and North (AL, AR, DC, DE, FL, GA, Hi, KY, LA, MD, MS, NC, OK, SC, TN, TX VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed i all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in regions) 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 AHRI 210/240 with Addendum 1, Performance Rating of Jnitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third part testing: Cooling Capacity (A2) —Single or High Stage (9517), btuh : 41000 SEER: 15.25 EER (A2) - Single or High Stage (95F) : 12.75 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sal marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participa ; OR new models that are being is selling or offering for sale. Ratings that are accompanied by WAS indicate an involunta t no longer producing BUT is still re -rate. The new Qubiished rating is shown along with the orevioug i. . WAS ratin DISCLAIMER . AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or assumes no responsibility for, pert 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. rmance of the product(s), or the TERMS AND CONDITIONS This and its contents are proprietary products of AHRI. This Certificate shall only be used for individual personal and Alm confidential a ec, confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reprotluced; 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. CERTIFICATE VERIFICATION information for the model cited on this certificate be AIR-CONDITIONING, HEATING,&REFRIGERATION INSTITUTEThe can verified at www.ahrid€rectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make lire better — which is listed above, and the Certificate No., which is fisted at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE N 132497643010927581