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BUILDING PERMIT
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/2 012 0 1 8 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)462-1S78 Commercial x Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 10044 S Ocean Dr#1101, Jensen Beach 34957 Legal Description: Sea Winds Condominium Apt 1101 (OR991-396) Property Tax ID#: 4502-804-0081-000-2 Lot No. Site Plan Name: John and Katherine Yebra Block No. Project Name: Flynn's AC Services Setbacks Front Back: Right Side: Left Side: ETAIIED I)ESCRIP-10"N OF Replace a 2.5T, 14 seer, AC system with a 5kw htr. itiona wor to e e orme un er is perm —checka apply: L0HVAC Gas Tank Gas Piping _Shutters Windows/Doors 11 Electric Plumbing Sprinklers 11 Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 4450 Utilities:0Sewer ElSeptic Building Height: Name John Yebra Name: Joe Flynn Address: 10044 S Ocean Dr#1101 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.772-229-1273 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. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _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: 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 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 cornmencing,work or recording our Notice of Commencement. Signat of Owner/ ssee/Contractor as Agent for Owner a ure of Con for/License Holder STATE OF FLORI � _ STATE OF FLORIDAI A COUNTY OF � tV� COUNTY OF NI&A� The for oing instrument was acknowledged before me The forgoing instr ment was ackno ledged before me this�dayof 20Uby this�day of� 20�by �bS AQ �� �os�.r� 17 � ill.h Name of ��rsggn making sta ment Name off p on making statement Personally Known �X OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced Awl '�Sr &M"7� jn) ttt yp_ (Signature of Notary Pu ic-State )MiCh (Signature of Notary Public°State of Florida) ATE OFNOTARY d. )Cffl"WQG03033B MlChof J.Brwn Commission No. Commission No. MPTARYp� • Ccm nti GG030035 STATE OF FLOR Exp1m 10I 2020 /Z02p REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 FCERTIFIEEr ericate of Product Ratings AHRI Certified Reference Number : 10206429 Date:02-20-2018 Model Status :Active Old AHRI Reference Number AHRI Type : RCU-A-CB Series : Outdoor Unit Brand Name :CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) :TC4B3021 Indoor Unit Brand Name :ADP Indoor Unit Model Number(Evaporator and/or Air Handler) :SM6(6,9)36+TD Furnace Model Number : 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,VW,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 ADP product is responsible for the rating of this system combination. Rated as folbws in accordance with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2,Performance Rating of Unitary Air-Conditioning 8 Air-Source Neat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing. Cooling Capacity(A2)-Single or High Stage(95F),btuh.:28400 SEER :14.00 EER(A2)-Single or High Stage(95F) :12.00 IEER : t"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 far sale. Rat that acc an' d b WAS dot n' tary - le Th published f shown along will e orevious{e WAS)rating. DISCLAIMER AHRI does not endorse the producl(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 filing confidential reference purposes.The contents of this Certificate may not,in whole or in pan,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, AIR-CONDITIONING,HEATING, personal and confidential reference. &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridlrectory.org,click on"Verify Certificate"link we make life better- and enter the AHRI Certified Reference Number and the date an which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. 131636271591483973 ©2018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO..