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HomeMy WebLinkAboutBuilding PermitIE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: �� 41 Building Permit Application Planning and Development Services Building and Code Regulation Division j 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE:HVAC Equipment ChangeOut view,.z r �.+1.7-"rr�^_"�� t^•"' -.:�. ,�.. a,. "M� .ntf: xH'..c. t z '� x';- Address: �/�' >� Property Tax ID #: ��Gb �G� ✓�l7Z ✓aGc Lot No. 7 Site Plan Name: Block No. 71-_ Project Name: :T m001 c Like for like AC replacement ,S.d,•o ,per J RIME- ;;>: Additi nal work to be performed under this permit — check all that apply: 7Mechanical — Gas Tank —Gas Piping _ Shutters —Windows/Doors _ Electric _ Plumbing — Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: 7��% Sq. Ft. of First Floor: Cost of Construction: $ fl, �oo Utilities: _Sewer _Septic Building Height: �.RENIP''! VIEZ.:+4.... '$ Name A4 '? Name: Steve Smith Address: �r2e� Company- Steve Smith Air Conditioning City: State: Address:8001 Eden Road Zip Code: T 'e-rJ Fax: 7 City: Fort Pierce State: FL Phone No. 77Z— FEE` v / �� Zip Code: 34951 Fax: 772-461-2036 E-Mail: Phone No772-461-1425 Fill in fee simple Title Holder on next page ( if different E-Mail stevesmithac@aol.com from the Owner listed above) State or County License CAC1813454 i 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. qa d 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 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ONPE E JOB XM BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUICLENDWIllk AN ATTORNEY BEFORE RECORDING YOUR NOTICEOf COMMENCEMENT." SI(W-, Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA, COUNTY OF S-r LLU t:N F COUNTY OF .s •Lo _ `p The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me 20� by this _A7yday of "4 tru 20ja by this JL-V day of 4��&VQP SM ►'rµ Jft'iti'✓1 S,� Name of person making statement. Name of person making statement. Personally Known OR Produced Identification _� Personally Known OR Produced Identification k Type of Identification Produced D(2-1 L I C- &-1 S E- Type of Identification Produced I'L u L— VC-tL &gnat a of ota Public- State of Florid ChriatopherJ. NOTARY PLI Commission No. 22�►1 ��j STATE OF rV nature If Notary Public- State of Flo " Stephanie Mourel LIC NOTARY PUBLI 01300%ission No. FE9Sr o� A l a a STATE OF FLO I Comm# GG 2758 . ; = Comm# FF9573 1 0 10 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 .-,�2Wo? Certificate of Product Ratings AHRI Certified Reference Number: 205420084 Date : 03-31-2021 Model Status : Active AHRI Type : HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: LXSERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TH4134223 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 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 : 40500 SEER: 15.25 EER (A2) - Single or High Stage (9517) : 12.25 Heating Capacity (H12) - Single or High Stage (47F) : 40000 HSPF (Region IV) : 8.20 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 Drevious (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.ahridirectory.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; INVE 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 for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make lire 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 I= ©2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132616704917219085