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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/10/2017 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: Other PROPOSED IMPROVEMENT LOCATION: Address: 7500 Winter Garden Parkway Fort Pierce FL 34951 Legal Description: Lakewood Park Property Tax ID #: 1301-605-0077-000-4 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: A/C Change Out Champion 5 Ton 14 SEER 10 kw Model TC4136021 SA Model AE60CX21 B Right Side: Left Side: Lot No. 6 Block No. 43 CONSTRUCTION INFORMATION: Additional work toa ertormed under this permit —check a appy: HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors FlElectric ElPlumbingSprinklers I Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 4300.00 S Ft. of First Floor: _ Utilities: u Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Karen Thompson Name: James K Hafke Address: 7500 Winter Garden Parkway Company: James K Hafke Individual City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. 863-214-7747 Address: 2200 Tall Pines Dr City: Largo State: FL Zip Code: 33771 Fax: 772-248-0227 Phone No. 727-277-1208 E -Mail: N/A Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: ihafke4547@aol.com State or County License: CMC1250196 tr vaiue or construction is >t5uu or more, a KLLUKLto Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW; INFORMATION: DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: x Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable Name: BONDING COMPANY: x Not Applicable Name: Address: City: Zip: Phone: Address: City: Zip: Phone: 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 another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded 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 your Notice of Commencement. e of as Agent for Owner STATE OF FLORIDA c COUNTY OF The forgoing instrument was acknowledged before me this Jor0l day of 20 L) by (ivame or person acknowledging) (Signature o Notary Public- State of Florida ) Personally nown_ OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 MAW DGLORES MSAM MY COMMISSION # FF994031 EXPIRES: Mav 18.2020 re ofContractornse Ho STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this i i"' day of n, 20 i 1 by (Name of person acknowledging) (Signatu e otary Public- State of Florida ) Personally Known _ ( OR Produced Identification Type of Identification Produced Commission No. N* "RGINADU ESCRISAN'FE EXPIRES: May 18, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ll www.ahridirectory.org L Certificate of Product Ratings AHRI Certified Reference Number: 8459158 Date: 1/10/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: TC4136021 Indoor Unit Model Number: AE60CX21+TXV Manufacturer: CHAMPION BY JOHNSON CONTROLS Trade/Brand name: CHAMPION HEATING AND COOLING Region: Southeast and North (AL, AR, DC, DE, FL, GA, H1, 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. Series name: LX SERIES Manufacturer responsible for the rating of this system combination is CHAMPION BY JOHNSON CONTROLS Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh) 56000 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.25 IEER Rating (Cooling): Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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 This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and Min confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; ARM 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.ahvidirectory.org, click on "Verify Certificate" link we make life better'" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. - 4128 ©2014 Air -Conditioning, Heating, and Refrigeration Institute f CERTIFICATE NO.: 131285476859268842