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Edward Reed Permit App
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/8/2021 Permit Number: Building; Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 3180 Linda Vista Ave Ft Pierce, FL 34982 Property Tax ID #: 2428-601-0013-000-9 Lot No. 15,17,19,21 Site Plan Name: Maravilla Heights Block No. A Project Name: Edward Reed j DETAILED DESCRIPTION OF WORK: AC change out like for like Champion/AL19133621 Champion/AE36CX21+TXV 3 ton, 18.00 SEER, 8 KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: X Mechanical _ Gas Tank — Gas Piping Electric —Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 7,125.00 OWNER/LESSEE: Name Edward Reed `Shutters _ Windows/Doors Pond Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: Address: 3180 Linda Vista Ave City: Ft Pierce State: IL Zip Code: 34982 Fax: Phone No. 772-370-0185 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Samuel T Durham Company:Advantage AC of the TC Address: 601 S Market Ave City: Ft Pierce State: FL Zip Code: 34982 Fax: 772-465-4945 Phone N0772-465-1606 E-MailAdvantagepermits@Hotmail.com State or County License CAC039664 If value of construction is 2500 or more, a RECORDED Notice olCommencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LA FF EER: Name: Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: INFORMATION: Not Applicable. MORTGAGE COMPANY: Not Applicable Name: Address: State: City: State: Zip: Phone: Not Applicable BONDING COMPANY: 'Not Applicable Name: Address: City: Zip Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 maestrict or prohibit such y r 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 Cgdes 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 paying twice 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. -Apt Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF St Lucia Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 8 day of April 2021 by Samuel T Durham Name of person making statement. Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF St Lucie Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 6 day of April 202r1 by Samuel T Durham Name of person making statement. Personally Known x OR Produced Identification — Personally Known x Type of Identificatioh,-, Produced l \ Type of Identification (Signature of Notary u c- S o F ; Notary Putrlic, Comission rl GG263239 Commission No. Commission Ei REVIEWS FRONT ZONING SUPERVISOR; COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED 0� tlmturlof Notary Produced Identification State JEdMyMss[ No. G063239 (Seal) PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when 0% Ulm placed in service between 1/1/2015 and 1213i1/2020. Alu Nual 1 WWw.ahridirectory.Grg certificate of Product Ratings AHRI Certified Reference Number: 201950902 04-09-2021 Model Status: Active AHRI Type: RCU A -CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : Momentum Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : AL19B3621 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE$6CX21+TXV Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, M0, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, taH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2016 are eligible to be installed in all regions until June 30, 2016, Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35400 SEER: 18.00 EER (A2) - Single or High Stage (95F) : 14.25 t"Active" Model Status are those that an AHRI Certification Program Particip$nt 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 offeg ale. Ratin s that arerinfor s accom anied W WAS indicate involuntary re -rate. The neblished ratin s shown alonwith t he DISCLAIMER previous i.e. WAS rating. 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.ahri4irectory.org. TERMS AND CONDITIONS j This Certificate and its contents are proprietary products of AHRI. This not, in shall only be used for individual, personal and' confidential reference purposes. The contents of this Certificate may not, in 4rhole or in part, be reproduced; copied; disseminated. entered into a computer database; or otherwise utilized, in any form or manthole or by any means, except for the user's individual, personal and confidential reference. Arm" AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at wwrr,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 bettei— which is listed above, and the Certificate No., which is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration lnsti#ute CERTIFICATE NO.: 132624424609445053