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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/14/2018 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: 2109 NW Greebriar Lane, Palm City 34990 Legal Description: Greenbriar Village Harbour Ridge Plat 2 Unit 17 (OR 3986-1908) Property Tax ID #: 4425-701-0053-000-5 Lot No. Site Plan Name: Christopher and Cordelia Jennings Block No. Project Name: Flynn's AC Service Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Yf {'Sji5mias is JIRTHflVR Replace a 4T, 16.25 seer, AC system with a 10KW Htr. CO N STR Work in e nerrormed under this perm) — check all appy: Z✓ HVAC Gas Tank E]Gas Piping _ Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers 11 Generator E]Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 5850. Utilities: Sewer OSeptic Building Height: Name Christopher Jennings Name; Joe Flynn Address: 2109 NW Greenbriar Lane Company: Flynn's AC City: Palm City State: _ Address: 1323 NW Thelma Street Zip Code: 34990 Fax: City: Palm City State: FL Phone No. 717-576-3227 Zip Code: 34990 Fax: 781-1307 E -Mail: Phone No. 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: CAG055482 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 thepermit holder to build the subject structure which is in conflict Home with any applicable 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 cornmencing work or recording our Notice of Commencement. _—(t;��y v a ure bf Co pk5'tor/License Holder Sign a of Own Lessee/Contractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA,/�^ COUNTY OF OA 1 COUNTY OF Y �" 1 AA ✓\. The forgoing instrument was ack owledged before me this LL= day of v ` 20A by The f r ing instrument was acknowledgedloefore me this day of 20 / 8 by V\ 'V -I � osPnl� Fi��t� Name of person m�tement `/ Personally Known !< OR Produced Identification Name of per on aking statemen Personally Known 77 OR Produced Identification Type of Identification Type of Identification Pro(dduuccetd, Produced Y�6-�NX�c (Signature of Notary PublioL State of Florida) (Signature of Notary Public!State of Florida ) Commission No. pldyNJ.F7rawn NOTARY PUBLIC STATE OF FLORIDA��n��r1 Michels J. Brawn Commission No. WOTARYQSew STATE OF FLORIDA Com * 0 38 REVIEWS FRONT G 'ftVWR LXPM Pull I/ awu PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 8/2/17 This combination qualifies for a Federal Energy Efficiency tax Credit when AN'01 ,I placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number : 8902221 Date 02-14-2018 Model Status : Active Old AHRI Reference Number AHRI Type : RCU-A-CB Series : LX SERIES Outdoor Unit Brand Name : CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC7134821 Indoor Unit Brand Name Indoor Unit Model Number (Evaporator and/or Air Handler) : AE48CX21+TXV Furnace Model Number 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, INC, 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.. The manufacturer of this CHAMPION HEATING AND COOLING product is responsible for the rating of this system combination:. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air-Conditioning & Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh.: 45500 SEER :16.25 EER (A2) - Single or High Stage (95F) : 13.25 EER : }"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale, OR new models that are being marketed but are not yet being produced 'Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate The new oublished rating is shown alona with the Drev ous (i.e. WAS) ratna 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.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 entered into reference purposes. The contents of this Certificate may not, in whole or in part, be , except for copied; disseminated;1, enured 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 an 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. . . ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131631153010336129-