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HomeMy WebLinkAboutRobert Smith Permit App 9 Nogalesnu rarrLIWADL[ iivru Mu, I t5t LUMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/25/2021 Permit Number:
J
n Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
X
2300 Virginia Avenue, Fort Pierre FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9 Nogales Way
Property Tax ID #: 1002781
Lot No.
Site Plan Name: Spanish Lakes
Block No.
Project Name: Robert Smith
DETAILED DESCRIPTION OF WORK:
AC change out like for like
ChampionlTC4133621 Champion1AE48CX21+TXV
3 ton, 15.50 SEER, 8KW
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
YMechanicai _ Gas Tank — Gas Piping _ Shutters _ Window,/Doors
Pond
Electric _ Plumbing _ Sprinklers — Generator _ RooJ
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,150.00 Utilities: —Sewer —septic Building
Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp
Name: Samuel T Durham
Company: Advantage AC of the
Address:8000 S US Hwy 1 #402
TC
City: Port St Lucie State: SL
Address:601 S Market Ave
Zip Code:34952 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-MailAdvantagepermits@hotryiaii.com
from the Owner listed above)
-_ -
State or County License CACO
9664
• _a•..= �• �- -luu u, -ure, a nrt-uKuru ivocice 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:
Name: Name:
Address: Address:
City: State: City:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the wo
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
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that
structure. Please consult with your Home Owners Association and review your deed for any restrictio
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects,
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: roc
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anoth,
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in i
improvements to your property. A Notice of Commencement must be recorded
Lucie County and posted on the jobsite before the first inspection. If you intend t�
with lender or an attorney bef re commencing work or recording your Notice of
Signature of Owner/ Lesse—elContractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF StLucle
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 25 day of January , 2020 by
Samuel T Durham
Name of person making statement.
Ily Known x OR Produced Identification
Identification
d
& `
ire of Notary PubligfState o arida J
EWS
RECEIVED
No, GG263239 (Seal)
Signature of Contractok/License
STATE OF FLORIDA
COUNTY OF S1 Lucie
Sworn to (or affirmed) and subsc
x Physical Presence or
this 25 day of January
Samuel T Durham
Name of person making stateme
Personally Known x
Type of Identification
Produced _ /I
(Signature of N
Commission No.
Not Applicable
State:
Not Applicable
k and installation as indicated.
Ad the subject structure
ay restrict or prohibit such
which may apply.
rform the work
i additions,
non-residential use
lying twice for
the public records of St.
obtain financing, consult
Dnxnencement.
Ider
!d before me of
line Notarization
-11 2020 by
OR Prodduced Identifi
[7 o N
�o
rvyZ
Florida
it-
M
(Seal) z
FRONT I ZONING
CO NTER REVI W � S REVIEW REV EW VEGETATION EV EWS R VIEW LE M EV]EEWU
Certificate of Proguct Rating*
AHRI Certified Reference Number: 8457350 Date : 01-25-2021 Model Status Production Stopped
AHRI Type: RCU-A-GB (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) : TC4133621
Indoor Unit Model Number (Evaporator and/or Air Handler) : 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 ir 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 systi m combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating
& Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third p
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 36000
SEER: 15.50
EER (A2) - Single or High Stage (95F) : 12.75
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AN[) selling or offering for
marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Partic
selling or offerino for sale. _. :.w — ...,...,...,
DISCLAIMER
AHRI does not endorse the product($) listed on this Certificate and makes no representations, warranties or guarantees as to,
the product(s) listed an this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or 1
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in
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 an
confidential reference purposes. The contents of this Certificate may not; in whole or in part, be reproduced; copied; dissemlm
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individt
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridIrectory.org, click on "Verify Certificate"
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
Unitary Air -Conditioning
r testing:
OR new models that are being
is no longer producing BUT is still
assumes no responsibility for,
rmance of the product(s), or the
JUMMI
AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
we snake life better^
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