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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/5/2021 Permit Number:
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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:
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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.
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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 )
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Commission No. �9t10N Florida
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REVIEWS
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SUPERVISOR
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SEA TUkTLE
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REVIEW
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REVIE
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RECEIVED
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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