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HomeMy WebLinkAboutWilliam Brown Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/6/2021 o IJ TPIWTWITti-- Permit Number: Buildiny Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 604 S Market Ave Ft Fierce, FL 34982 Property Tax ID #: 2434-601-0019-000-0 Site Plan Name: KELLEM'S S1D from SE COR pf lot 4RUN W 107ff for POB, TH N 165FT, TH W 90FT, TH S 165FT, THE 90FT Project Name: William Brown DETAILED DESCRIPTION OF WORK: AC change out like for like Champion/TC4B2422 Champion/AE24BX21+TXV 2 ton, 16.00 SEER, 5KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. — Block No. Additional work to be performed under this permit— check all that apply: Mechanical , Gas Tank ` Gas Piping , Shutters Windows/Doors Pond Electric _ Plumbing —Sprinklers —Generator ` Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4300.00 Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name William Brown Name: Samuel T Durham Add ress:2939 Yates Rd Company: Advantage AC of the TC p Y� City: Ft Pierce State: FL Address:601 5 Market Ave Zip Code: 34982 Fax: N/A City: Ft Pierce State: FL Phone No. 772-607-4832 Zip Code: 34982 Fax: 772-465-4945 E-Mail: NIA Phone No 772-465-1606 Fill in fee simple Title Holder on next page ( if different E-Mail Advantagepermits@hotmail.com from the Owner listed above) State or County License CAC039664 If valua of rnnetri-1.1nn i, Tenn .. _ nrr......�.. . - - - ---- _...... �, •• •.�.......�Y FVW%1 .c an wrFIFIla cerrleni is requires. 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. I certify that noworkor installation has commenced prior to the issuance of a permit. ie which is n�o1 li t wimakth any s no representation aOwis ners Association irules bylaws or andpcovenants that maya estrictbor prohibitsuch 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 1 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 accessor u t OL"er non-reSidential WARNING TO OWNER: Your failure to Record a Notice of Commencement may result npayingtw twice for use 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 commencin work or recordingYour Notice of Commencement. 5ignatu of Owner/ Lessee/Contractor as Agent for Owner Signatur�.fcon=ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF �7 Lure,~ Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this ( Physical Presence or Online Notarization (_ `Q_ day of , 2021 by this I_ day of 202 1 by Name of person making statement. C it Name of person making statement. Personally Known — "� OR Produced Identification Type of Identification Produced �1 (Signature of Notary Public- S to of Florida ) Commission No. (Seal) Personally Known ')(` OR Produced Identification Type of Identification Produced (Signature of Notary Publ c- to of Commission N (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE DATECOUNTER REVIEW REVIEW REVIEW REV RECEIVED COMPLETED JENNIFER E. GAGAS k=: Notary Public. State of Florida C* Commission No. GG263239 117 Commission Expires 21W2022 TATION IEW SEA TURTLE REVIEW MANGROVE REVIEW Notary Public, State of Florida Gommissicn No. GG263239 COMMiSS:N Expires 'M30i2022 • u:�i CERTIFIED`k' avww.ahridirectory.org Certificate of Product Ratin AHRI Certified Reference Number: 202323783 Date: 05-05-2021 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) : TC482422 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE24BX21 +TXV Eligible for Federal Tax Credit Model Status : Active Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, II], IL, IA, IN, KS, MA, ME, Ml, 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 : 24000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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. 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) fisted on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producl(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, cop 1, personal and A 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, on 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.ahrldlreetory.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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute !CERTIFICATE NO_- 132647181587459176