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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 2/2 512 02 1 �C�,a\ � �� '� Permit Number: TU ra 0 Building Permit Application Planning and Development services Building and Code Regulation Division Commercial Resideritial X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 PERMIT APPLICATION FOR: MEChanical PROPOSED IMPROVEMENT LOCATION: Address: 4708 Regina Dr Ft Pierce, FL 34982 Property Tax ID#: 3403-501-0120-000-1 21 &22 Lot No. Site Plan Name: Regina Palms Black No. 5 Project Name: Pat DETAILED DESCRIPTION OF WORK: AC changeout like for like Champion/TC483021 Champion/AE30BX21+TXV 2.5 ton, 5KW, 15.00 SEER New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: I Additional work to be performed under this permit—check all that apply: Mechanical ,Gas Tank —Gas Piping ,Shutters _Window;/Doors Pond Electric `Plumbing —Sprinklers _Generator _Roo ` Pitch Total Sq. Ft of Construction: Sq. Ft, of First Floor: Cost of Construction: $ 4600.00 Utilities: —Sewer ,Septic Building Height: OWNERAESSEE: CONTRACTOR: Name James Michael Chandler Name: Samuel T Durham Address:4708 Regina Dr City: Ft Pierce State: Address:Company:Advantage AC of the TC 601 S Market Ave Zip Code: 34982 Fax: City: Ft Pierce State: FL Phone No. Zip Code: 34982 ax: 772-465-4945 E-Mail: Phone No772-465-1606 Fill in fee simple Title Holder on next page(if different E-MailAdvantagepermits@hotrrail.com from the Owner listed above) State or County License CACO 9664 I f 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone- OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the w rk 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 t build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants tha may restrict or prohibit such structure.Please consult with your Home owners Association and review your deed for any restricti ns which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, erform the work in accordance with the approved plans,the Florida Building Codes and 5t.Lucie County Amendments The following building permit applications are exempt from undergoing a full concurrency review:ro m additions, accessory structures, swimming pools,fences,walls,signs,screen rooms and accessory usesto anoth r non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in aying twice for improvements to your property. A Notice of Commencement must be recorded n 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 recordtn&y our Notice of ommencement. Signature of Owner Lessee) ontractor as Agent for Owner Signature of Contractor/License H)]der STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SrLucle COUNTY OF SlLucie Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of x Physical Presence or Online Notarizatio x Physical Presence or mine Notarization this 25 day of February 2020 by a this 25 day of February 2020 by Samuel T Durham LU & Samuel T Durham Name of person making statement. Name of person making statemen . Personally Known R Produced Identificati Personally n x OR Pr duced Identification Type of Identific Ion Type of entificatio Produced Produ d ffi (Signatur of Notar rl a) (Sig ature f Pu Commission No. GG263239 (Seal) Commission No. GG263239 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW R VIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/6/20 CERTIFIED(` certificate of Product Rating� AHRI Certified Reference Number:8456845 Date:02-25-2021 Model Statu i: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):TC4133021 Indoor Unit Model Number(Evaporator and/or Air Handler):AE30BX21+TXV Region: Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TN,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 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 syste m 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 pa testing: Coaling Capacity(A2)-Single or High Stage(95F),btuh:30000 SEER: 15.00 EER(A2)-Single or High Stage(95F) : 12,50 T"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sa a:OR new models that are being marketed but are not yet being produced."Production Stopped"Model Status are those that an AHRI Certification Program Participa it is no longer producing BUT is still selling or offering for sale. R tin s that are ac om Hied by WAS indicate an involunta re-rate. The new published ratin is shown alono 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,ant 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 pert rmance 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.ahFidirectory.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, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate'link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better'" which is listed above,and the Certificate No.,which is listed at bottom right. 02021 Air-Conditioning, Heating,and Refrigeration Institute [CERTIFICATE NO.: 132687538933678278