HomeMy WebLinkAboutMelvin Newman Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
-z
- 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: Mechanical
PROPOSED iMPROVEMENI" LOCATION:
Address: 804 Olive St Ft Pierce, FL 34982
Property Tax ID #: 3410-601-0024-100-8
Site Plan Name: White City Estates
Project Name: Melvin Newman
DETAILED DESCRIPTION OF WORK:
AC change out like for like
Champion 2 ton, 14.00 SEER, 10KW
Champlon1TC4132422 Champion1AE24BX21+TXV
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
k-Mechanical ^ Gas Tank — Gas Piping _ Shutters
Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ Lit^ .1 Im" . 4
Generator
Sq. Ft. of First Floor:
W
Lot No. 3
Block No. 2
Windows/ oors Pond
1.
Roof Pitch
Utilities: _Sewer —Septic BuilOgHeight:
OWNER/LESSEE:
Name Melvin T Newman, Robert Newman (TR) (EST)
Address. 804 Olive St
City: Ft Pierce State: T-1,-
Zip Code: 34982 Fax:
Phone No.317-714-1958
E-Mail. NIA
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 T
Address:601 S Market Ave
City: Ft Pierce State: FL
Zip Code: 34982 Fax 772-465-4945
Phone No 772-465-1606
E-MailAdvantagepermits@hotmail com
State or County License CAC039 64
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER; Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
Address:
City:
MORTGAGE COMPANY:
Name:
Address:
City
Zip: Phone:
Not Applicable
State
BONDING COMPANY:
Name:^
Address:
City:
Zip: Phone:
Not Applicable
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 bijild the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that m 3y 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 on -residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in pa ing 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 attorne before commencn work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Hol er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF _
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribe I before me of
'&_ Physical Presence or Online Notarization --S-- Physical Presence or Onl ne Notarization
this _Al day of Alpol 2020 by this 2L. day of 2020 by
Name of person making statement. Name of person making statement_
Personally Known OR Produced Identification Personally Known OR Produ ed Identification
Type of Id catio f Identi ' ation
Produced �°�P"Y"° JENNIFER E. CAGA Prod ed &PAY °q� JENNIFER E. CAGAS
Notary Public. Slate of FI rida _ Notary Public, State of Florid:
Commission No. GG263 39 " *< Commission No. GG263239
Canimis 1 2 '�o� Commissi:m Expires A130/20;
(Signature of lic- a ture of blic- Sta on a
�_
Commission (Seal) Commission No..'
o.• (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA Tt J RTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Eligible for Federal Tax Credit
CERTIFIED
f
Certificate of Product Rationgp
AHRI Certified Reference Number: 202323783 Date : 04-20-2021 Model Status : Active
AHRI Type : RCU-A-CI3 (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) : TC4132422
Indoor /Unit Model Number (Evaporator and/or Air Handler) : AE24BX21+TXV
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, T , 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 i 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 sysl�m 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 pant testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 24000
SEER : 16.00
EER (A2) - Single or High Stage (95F) : 13.00
t"Active" Modet 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
spelling or offering for sale.. . .
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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 praduct(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;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual,8090
aim
personal and confidential reference.
AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTEThe information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" lin
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.
@2021 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE N6.- 132633942386699464