HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 18, 2017 1
Permit Number:
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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
Address: 8 Lake Vista Trail 104
Legal Description: VISTA ST LUCIE BLDG 8 UNIT 104 (OR 1637-543, 544)
Property Tax ID #: 3422-500-0102-000-5 Lot No.
Site Plan Name: William Larson Block No.
Project Name: Flynn'sAC
Setbacks Front Back: Right Side: Left Side:
Replace a 1.5T, 14.25 seer, with a 5KW HTR AC System
Huuawnai worK w ue ver I Orrneo unuer uuS perrnu— cnecrc an apply:
✓❑—HVAC 11 Gas Tank ❑Gas Piping Ll _Shutters L]Windows/Doors
Electric 0 Plumbing Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 3770 Utilities: ESewer Septic Building Height:
45 RUM p tt tA,
Name William Larson
Name: Joseph Flynn
Address: 1600 NE Dixie Hwy 1-101
Company: Flynn's AC Services
City: Jensen Beach State: FIL
Address: 1323 SW Thelma St
Zip Code: 34957 Fax:
City: Palm City State: FL
Phone No. 252-474-4819
Zip Code: 34990 Fax: 772-781-1307
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.
MORTGAGE COMPANY:
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
Not Applicable
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
commencing work or recording Your Notice of Commencement.
tP � �• s
Sig e of OM Lessee/Contractor as Agent for Owner . ature of Cotense Holder
STATE OF FLORIDA
COUNTYOF UVI(R) �i1
The forgoing instrnt was acknowledged before me
this day o T } 20 by
`rp(? Pl f h -C)V 1'1 b"1
(Name of pers acknowledging)
(Signature of Notary Public, S to of Florida I
Personally Known " OR Produced Identification _
Type of Identification Produced
STATE OF FLORIj�p�h�
COUNTY OF UU��II
The forgoing instrument 1was acknowledged before me
this day of " \ r1t t� 20 n by
(Name -of person icknowledging
M A /' #4" —(4—BA
(Signature of Notary Public- Stale of Florida )
Personally Known OR Produced Identification
Type of Identifica ion Produced
Commission No. BtOtYn Commission No. NOT
BLJC
NOTARY PUBLIC STATE OF FLORIDA
a i nr a yr rLXff9W
Revised 07/15/2014 con ommme Eons 10111202D
E)gitres 1011/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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- NEZI CERTIFIEEr-
" irerto rViorg
certificate of Product Ratings
4JI Illlli II VIII II IIII 11 Jill, I II III Ilp mi
AHRI Certified Reference Number: 8455870 Date: 7/18/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: TC4B1821
Indoor Unit Model Number: AP18BX21+TXV -
Manufacturer: CHAMPION BY JOHNSON CONTROLS
Trade/Brand name: CHAMPION HEATING AND COOLING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, Hl, 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 combirtatfon is CHAMPION BY JOHNSON CONTROLS
Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditiohirig amid Alf -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsdred, independent, third
party testing:
Cooling Capacity (Btuh): 18000
EER Rating (ConOnO 12,00
SEER Rating (Cooling). 14.25
IEER Rating (Cooling): _
`Rabngs followed by an asterisk (') indicate a voluntary real 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.ahrldirectory.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, Aim
- 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 A� REFRIGERATION INSTITUTE
The information for the model ched on this certificate can be verified at www.ah rid lrectory.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. 1 31448 80692 7 767875
OO 2014 Air -Conditioning, Heating, and Refrigeration Institute :CERTIFICATE NO.: -