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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9128/17 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: 11000 S Ocean Dr1-B, Jensen Beach Legal Description: VILLA DEL SOL CONDO UNIT BAND UND SHARE IN COMMON ELEMENTS TRACT 1 (OR 312-2447:396-363) Property Tax ID q: 4512-701-0002-000-0 Site Plan Name: S E M BUSINESS MGMT LTD Project Name: Flynn's AC Services Setbacks Front Back: Right Side Replace a 2T, 14 seer AC system with a 5KW hrt. HVAC Gas Tank E]Gas Piping Electric ❑ Plumbing ❑Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 4660. Name S E M Business Mgmt Ltd Address: 159 Marine Dr City: Tecumseh, Ontario Canada State: Zip Code: NEIN 4K1 Fax: Phone No. 519-735-9766 E -Mail: Lot No. Block No. Left Side: ❑ShuttersWindows/Doors U Generator ❑ Roof = Roof pitch SFt of of First Floor: Utilities:uSewer❑Septic Building Height: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Joe Flynn Company: Flynn's AC Services Address: 1323 SW Thelma St City: Palm City State: FL Zip Code: 34990 Fax: 781-1307 Phone No. 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: City: ZIP: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. is in conTlict makes no any applicable lHome Owners Pssoclationl rwill es,abylaws othe and covenants that may restrictborprohibit 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 he first work inspection. if you in'endito obtain financing, consult with lender or an attorney before Signat f Owner��Contraaor as Agent for Owner STATE OF FLORIDA COUNTY OF a4 l /s The forgoing instrument was acknowledged before me this day cf S 20 aby ffln re of L_Ay rac/License Holder s STATE OF FLORIDA COUNTY OF (-( y) The forgoing instrument was a�sacckknowledged before me this Aday of5',Jkg- a� 20 17 by (Name of person bcknowledgin ) (Name of Pers n acknowledaine 1 (Signature of Notary Pub c- State of Florida ) Personally Known, OR Produced Identification Type of Identification Produced ,.e, ,- AArhelia J_ R,,,, Commission No. Revised 07/15/2014 6"I )�J (Signature of Notary Public- State of Florida ) Personally Known Type of Identifical NOTARY PUBLIC VhhTEOFFLORIOA Commission No. C T" 00030338 OR Produced Identification REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS CERTIFIED" 11 Certificate of Product Ratings AHRI Certified Reference Number: 9764461 Date: 9/28/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 24ACC424A*030* Indoor Unit Model Number: FFMANP024 Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER 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, 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: COMFORT 14 AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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): 22800 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 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 remits. 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 confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; Arim 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.ahridirectory.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. --"- Air-Conditioning, Heating, CERTIFICATE NO.: t31510850029587m ©2014 and Refrigeration Institute ;