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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/13/2017 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: 16 Nettles Blvd- Jensen Beach Legal Description: Nettles Island Inc.,a Condo-section ii parcel 16 and pro-rata share in common elements(OR 3946-2708) Property Tax ID#: 4502-501-0202-000-7 Lot No. Site Plan Name: Brown Block No. Project Name: Flynn's AC Setbacks Front Back: Right Side: Left Side: Replace a 16.25 seer, 3T AC system with a 1oKW htr. Itlona wor to je e orme under t ispermit—c ec a apply: ❑HVAC L�Gas Tank ❑Gas PiP in _Shutters Windows/Doors g ❑ ❑_Electric ❑_Plumbing []Sprinklers ❑_Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction:$ � � Utilities. Sewer❑Septic Building Height: Name Kelly Brown Name: Joseph Flynn Address: 16 Nettles Blvd Company: Flynn's AC Services City: Jensen Beach State: FL Address: 1323 SW Thelma St Zip Code: 34957 Fax: City: Palm City State: FL Phone No. 772-530-2008 Zip Code: 34990 Fax: 781-1307 E-Mail: Phone No. 772-283-4114 - Fill in fee simple Title Holder on next page(if different E-Mail: mjb@flynnac.comcastbiz.net from the Owner listed above) State or County License: CAC055482 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. DESIGNER E . pp / NGINEER: Not A licable — MO RTGAGE Y. pp COMPAN Y: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 commencingwork or recordin our Notice of Commencement. 'Z/; s S' n ure f Own /Lessee/Contractor as Agent for Owner nature of C Factor/License Holder STATE OF FLORID (( �� STATE OF FLORIDA ,A{ COUNTY OF +�,f�``t'l� COUNTY OF U' d The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of \ 20 ATby this i3 day of -,Tot 20 J7 by �Sb (�11 �I D p in, (Name of pers n acknowledging) (Name of person ac nowledging) (Signature of Notary Pub c-State of Florida) (Signature of Notary Public-State of Florida) Personally KnownIX,OR Produced Identification Personally KhowrY✓,_�LOR Produced Identification Type of Identification Produced Type of Identification Produced' Orciiiin Commission No. (� Commission NoYPUBUO . AR J. l) STATE OF FILMDA STATE OF FLORIDA CoeImIM 0003M Revised 07/15/2014 10/112020 e*r"10/112020 E>fpkea REVIEWS FRONT • ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS r This combination qualifies for a Federal Energy CERTIFIED Efficiency Tax Credit when placed in service r t between Feb 17, 2009 and Dec 31,2016. Certificate of Product Ratings AHRI Certified Reference Number: 8900647 Date: 7/13/2017 Product:Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: TC7133621 Indoor Unit Model Number: AE36BX21+TXV Manufacturer: CHAMPION BY JOHNSON CONTROLS Trade/Brand name: CHAMPION HEATING AND COOLING 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. SeriesWW _rune � E Manuf trerle"pgttsfble tattltePatSrtgx thlssYs# �dtiOr, NiPaC Y phF hk f{OLS Rate s�w5macc rdancelwlthkHRlSta�rdZ 240v�OQ8fti` U ¢i c�ndiEiottt ani rSource Heat _ i1lp quipmetft ar�d utxf is ire flcauQW-, iat g a cgrac r yA I spohsore rf�fiePgn n#t,third pa tnt(11tTg Ca B[uh ff0 t 7 ' . SEERf�a(`ing ("Coo m9! _, K IEER Rating (Cooling): Ratings followed by an asterisk(')indicate a voluntary rents of previously published data,unless accompanied with a WAS,which indicates an involuntary recede. DISCLAIMER AHRI does not endarse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility far, 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.ahridUectory.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, Pin 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.ahridirectory.org,click on"Verify Certificate"link w,malt,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. ©2014 Air-Conditioning, Heating,and Refrigeration Institute 13144433171iTf3-8E41f? ifi1CATE NO.: g e. .. - ;se.:;