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HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 6/25/2021 Permit Number: Building 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. 514 Nettles Blvd Jensen Beach, FL 34957 Property Tax ID #: 4502-501-0700-000-8 Site Plan Name: Nettles island Inc, A Condo -section II Parcel 514 Andpro-Bata Share in Common Elements Lot No. Project Name: Patricia Johnson Black No. DETAILED DESCRIPTION OF WORK: AC change out like for like Champion 2.5 ton packaged unit M# PCE4A3024 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 ^ Shutters Windows/Doors Pond Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5,000.00 _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: `Sewer Septic Building Height: OWNERAESSEE: Name Patricia Johnson Address: 514 Nettles Blvd City: Jensen Beach State: V1 Zip Code: 34957 Fax: NIA Phone No. 772-528-6674 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 TC Address: 601 S Market Ave City: Ft Pierce State: FL Zip Code. 34982 Fax: 772-465-4945 Phone No 772-465-1606 E-Mail Advantagepermits@hotmail.com State or County License CAC039664 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: 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. 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 anothe d r non -rest enUal 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 leader or an attorne before commencin work or recordin our Notice of Commencement. Signat a 5—of Owner/ Lessee/Contractor as Agent for Owner Signatu of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ', COUNTY OF LULL,� • , Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 22 day of 2020 by Name of person making statement Personally Known R Produced Identification Type of Identification Produced (Signature of Notary P - to SE�� sgafao` u70 FUG XQWa Public -� GG' Commission No. Camnissti°nN �"� _�I) cosnn�isston REVIEWS I FRONT I ZONING I SUPERVISOR COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 2-� day of 2024 by Name of person making statement Personally Known Y,,— OR Produced Identification Type of Identification Produced ,,V)jgnIFure of Notary Public- to of v- 7 7 �' �12�22 , P,�yn c p9i 51on N 'Ara e G6�i5��5 "a¢ of PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW •��■:�i CERTIFIED" www.ahridirectory.urg Certificate of Product Ratim AHRI Certified Reference Number: 206020310 Date : 06-25-2021 AHRI Type; SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name : CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PCE4A3024 Eligible for Federal Tax Credit P� Model Status: Active 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, MO, MS, MT, NC, ND', NE, NH, NJ, NM, NV, NY, OH, 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, 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 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 party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 29200 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.30 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 produoed.°Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. .. ... _._ _.._ ........... ...... ..rza., DISCLAIMER ,a�,,, AHRI does not endorse the products) 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 gill liability for damages of any kind arising out of the use or performance 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. of the product(s), or the TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andAl confidential reference purposes. The contents of this Certificate may notr 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. MW AIMMION CERTIFICATE VERIFICATION The information for the model cited on this certificate can be AIR-CONDITIONING, HEATING, & REFRIGERATION iNSTtTUTE verified at www.ah rid I rectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make lire better - which is listed above, and the Certificate No., which is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO_-- 132690992013810716