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HomeMy WebLinkAboutWilliam Kemmett Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/30/2021 Permit Number: O �1 Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue Fort Pierce FL 34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 155 NE Jardain Rd Port St Lucie, FL 34983 Property Tax I D #: 3419-565-0054-000-4 Site Plan Name: River Park Project Name: William J Kemmett DETAILED DESCRIPTION OF WORK: AC change out like for like Champion 2.5 ton, 14.25 SEER, 8KW New Electrical Meter Second Electrical Meter KI Lot No. 18 Block No. 78 CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: 'C Mechanical , Gas Tank _Gas Piping — Shutters _ Windows/Doors Pond Electric , Plumbing Sprinklers ` Total Sq. Ft of Construction: Cost of Construction: $ 5300.00 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: OWNERAESSEE: Name I I 6cj Address: l 1 City: LL 1 State: Al Zip Code: Fax: (� Phone No. E-Mail Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: -T 1 t Company - A_�-��[, Address i k-li City: Q Icxcc State: 'VI- Zip Code: q Fax Phone No E-Mai 1� State or County License 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 TITLE HOLDER: Not Applicable Name: Address: City. Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable 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 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 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. gnature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF -p Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this � day of r 2024 by Name of person making statement Personally Known 1 produced Identification Type of identification (Signature of Notary Pu 1PAV P& JENNIFER E, CAGAS Commi55ionNd, � - %W Yublic. State of Flodda ' Comr4ssicii No. G0263239 Coromiss'::o Expires L 9,30;2022 Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this M�_ day of &QC 1 2024 by Name of person making statement. Personally Known_ q�p'r�uced Identification Type of Identification (((/ 11 Produced nature o€ Notary Public- qS�t.,WJENNIFER E. CAC mission �lotaryPublic' State of l�a I✓omrrissicn No. GG2 9�'Orrvq Commission Expires 21 REVIEWS I FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW esCERTIFIED`' tvww.ahritlirectary.org Certificate of Product Ratings AHRI Certified Reference Number: 202322465 Date: 04-30-2021111111111 Model Status :Active 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) : TC4B3022 Indoor Unit Model Number (Evaporator and/or Air Handier) : AP30BX21+TXV Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, 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 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 : 29800 SEER: 14.25 EER 02) - Single or High Stage (95F) : 12.00 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 acoompauklU WAS indicate an involuntary re-ra . The new ublished rating is shown alongwith the previous i.e. WAS r tin . 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 so 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 for the model cited on this certificate can be verified at www.ahrid Irectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date an 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 Nn- 132642768851514654