No preview available
HomeMy WebLinkAboutBuilding permit appAll APPLICABLE 1 FO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: 'COUNTY Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT TYPE: HVAC Equipment ChangeOut Address: 3AlQl/ Property Tax ID #: 7 C Site Plan Name: Lot No. TI Block No. Like for like AC replacement 4— A, i Cz/ lwe Additional work to be performed under this permit— check all that apply: _Mechanical _Gas Tank _Gas Piping — Shutters Electric Plumbing _ Sprinklers Generator _— g Total Sq. Ft of Construction: — Sq. Ft. of First Floor: — Cost of Construction: $ b �l> Utilities: _Sewer _Septic Name r Xj 00 Address: City: % 'i/fir State: .-G Zip Code: 3� 1 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Windows/Doors Roof Pitch Building Height: Name: Steve Smith Steve Smith Air Conditioning AAAro«•8001 Eden Road City: Fort Pierce State: FL Zip Code: 34951 Fax: 772-461-2036 Phone No772-461-1425 E-Mail stevesmithac@aol.com State or County License CAC1813454 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. 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 Iructure. conflict lease consult with pyoiur Hlome Owners Association Association ebylaws y ur deed for restrthat c ons which may rict apply obit such 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 T E JOB�SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR NOTICE Af. COMMENCEMENT." WITH Y LENDF I,0 AN ATTORN BEFORE RECOR^u.nu ..,.,.....� 5..., Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDL LVC COUNTY OF_ S-� Lu t.� 6 COUNTY OF . TT — The forgoing instrument was acknowledged before me this Lyday of 204 by <��VGO �NA ►-T 4 Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced Dfl-%VEIL LI C-&,,SE ignat a of ota Public- to of Floit ChrWPherJ. NOTARY Pl Commission No. 22215-6STATE OF I Comm# GG; The forgoing instrument was acknowledged before me this JIndayof M(.tom_ 20_�5by Sfey .1 S". I Name of person making statement. Personally Known Type of identification u Produced OR Produced Identification k 8f Notary Public- State n No. FFgr7-?e / Stephanie I NOTARY F STATE OF Comm# FF REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 .�2W;2 r9I CERTIFIED° www.ahridirectory.org Certificate of Product Rati AHRI Certified Reference Number: 8927791 Date : 01-07-2021 Model Status : Active AHRI Type : HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TH4133021 Indoor Unit Model Number (Evaporator and/or Air Handler) : AP36BX21+TXV 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 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 : 28800 Heating Capacity (H12) - Single or High Stage (47F) : 29600 HSPF (Region IV) . 8.50 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. Ratings that are accompanied by WAS indicate an involuntary re -rate The new Dublished rating is shown along with the Drevious (i.e. WAS) ratino. 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.ahridlrectory.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, AM 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 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: i32544993478967193