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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/5/2021 Permit Number: ( rr Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Replace a 4T AC System PROPOSED IMPROVEMENT LOCATION: Address: 8101 Kiawah Trace Port St Lucie 34986 New Electrical Meter Second Electrical Meter RMATION: 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: $ 7025 Utilities: —Sewer _Septic OWNER/LESSEE: � x Name Erroldo Duroseau Address: 8101 Kiawah Trace City: Port St Lucie State: _ Zip Code: 34956 Fax: Phone No. 772-529-1129 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: Name: Joseph Flynn Company: Flynn's AC Services Address: 1323 SW Thelma ST City: Palm City State: FL Zip Code: 34990 Fax: 772-781-1307 Phone No 772-283-4114 E-Mail mjb@flynnac.comcastbiz.net State or County License CAC055482 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. DESIGNER/ENGINEER:k Not Applicable Name: Address: MORTGAGE COMPANY: "Not Applicable Name: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: Not Applicable Name: Address: BONDING COMPANY: VNot Applicable Name: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and i'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 re trict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions whici 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 payingltwice 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 attorney before commencing work or recording our Notice of Commencement. �66f Sign e o Owner/ ssee/Contractor as Agent for Owner Si ure Co actor/License Holder STATE OF FLORIDA COUNTY OF �- n STATE OF FLORIDA n COUNTY OF ' 1 Sworn to (or affirmed) and subscribed before me of P ysical Presence or Online Notarization this - day of 2024 by Swo n to (or affirmed) and subscribed before me of P ical Prese a or Online Notarization this day of 2020 by Name of -person m king statemee . Name of person making tatement. Personally Known OR Produced Identification Personally Known _ OR Produced Identification Type of Identification Type of Identification Produced Produced )A o c,,J.BMW" Notary Public State of Florida (Signature of Notary P blic- State oflvot Commission No. Comm#HH04337 ° Expires 10/1/202 (Signature of Notary Pub ic- S e of Florida ) �k+1urW► J. n Commission No. �9t10N Florida �--L 3tatR of Flprl REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION i 0 1 SEA TUkTLE 3373 QU COUNTER REVIEW REVIEW REVIEW REVIEW REVIE REVIEW DATE RECEIVED DATE COMPLETED ev. Certificate of Product Ratings AHRI Certified Reference Number: 10603926 Date : 02-05-2021 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 Model Status : Active Outdoor Unit Model Number (Condenser or Single Package) : TH4B4822 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE48CX21+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 2101240 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 : 46000 SEER: 14.25 EER (A2) - Single or High Stage (95F) : 12.00 Heating Capacity (H12) - Single or High Stage (47F) `. 47500 I HSPF (Region IV) : 9.00 i I 1 i i 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 published rating is shown along with the previous (i e WAS) rating 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, MM 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.ahrldlrectory.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 I CERTIFICATE NO.: 132570204397201657