HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/15/2017 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: To Select from dropbox, click arrow at the end of line
Address: 701 NW Winters Creek Rd, Palm City 34990
Legal Description: Harbour Ridge Plat 20 Lot 3 (OR849-849 : 1973-1927)
Property Tax ID #: 4422-810-0013-000-9
Site Plan Name: Wasserman
Project Name: Flynn's AC
Setbacks Front Back:
Right Side: Left Side:
Replace a 2T, 15.75 seer AC system with a 5KW HTR
Lot No. 3
Block No.
V1101:v VIN\V VC CI IV II ICU
❑✓— HVAC Gas Tank
UIIUef Ina perrmi—cnecK au apply:
❑Gas Piping Shutters
❑
_
Windows/Doors
❑ Electric
❑ Plumbing
❑Sprinklers Generator
❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction:
$ 4200
Utilities:]Sewer ❑Septic
Building Height:
Name Barbara R Wasserman
Address: 701 NW Winters Creek Rd
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 772-336-8592
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joe Flynn
Company: Flynn'sAC
Address: 1323 SW Thelma St
City: Palm City State: FL
Zip Code: 34990 Fax: 772-781-1307
Phone No. 772-283-4114
E -Mail: mjb@flynnac.comcastbiz.net
State or County License: CAC055482
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.
is In conflicmt with any applicable lHome Owners tAssociationl runes authorize
bylaws or and covenants that may restrict subject
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
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SiSWure of O fwr r/r/ Lessee/Agent
STATE OF FLORI
COUNTY OF A t
The forgping instru ent was acknowledged before me
this fes! day of �, 20 Llby
JDSPDK P (Name of person acknowledging) �
�- ,,�.-�
(Signature of Notary Pu Iii- State of Florida )
Personally Known OR Produced Identification
Type of Identification Prod ucg MA- Mkhd*J. Brown
STATE OF FLORID
COUNTY OF ! /1
The forgoing instrument was acknowledged before me
this _1Zday of✓ la,4 20 1? by
T-
7,0 se p h V
(Name of person ackn ledging )
(Signature of Notary Publi - State of Florida )
Type of
Commission No. fl[�4� JISjMOF FLORIDA I Commission No.
Revised 07/15/2014
OR Produced Identification
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REVIEWS
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ZONING
SUPERVISOR
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SEA TURTLE
MANGROVE
COUNTER
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DATE
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INITIALS
CERTIFIED'
or
Certificate of Product Ratings
AHRI Certified Reference Number: 8456290 Date: 5/15/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: TC4B2421
Indoor Unit Model Number: AE24BX21+TXV
Manufacturer: CHAMPION BY JOHNSON CONTROLS
Trade/Brand name: CHAMPION HEATING AND COOLING
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, SO, 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 JOHNSONCONTROLS
Rated as follows in accordance with AHRI Standard 2101240-2008 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): 23800
EER Rating (Cooling): 12.75
SEER Rating (Cooling): 15.75
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 products) 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.ahrldlreetory.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, Aim
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 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.
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131393320242763355 -.