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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/20/2018 Permit Number:
i .
r�.. 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 X Residential
z
IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 10680 S Ocean Dr#1007, Jensen Beach 34957
Legal Description: Island Crest Condominium Unit 1007 and undiv share in common elements (OR 3659-2847)
Property Tax ID#: 4511-516-0104-00-4 Lot No.
Site Plan Name: Henry and Ruth Pino Block No.
Project Name: Flynn's AC Services
Setbacks Front Back: Right Side: Left Side:
Replace a 2T, 12 seer, AC system with a 5kw htr.
No
AlClaitional wor to e performed un ert lspermlt—c ec a apply:
✓❑—HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11Electric 0Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 5375 Utilities:]Sewer Septic Building Height:
Immil
Name Henry Pino Name: Joe Flynn
Address: 10680 S Ocean Dr#1007 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. 305-586-0606 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
commencin work or rec0rdin our Notice of Commencement.
Signat oTowner essee/Contractor as Agent for Owner ture of Cop* ctor/License Holder
STATE OF FLORI STATE OF FLORI A
COUNTY OF �✓� COUNTY 0Fr� l'l ✓1
The forgoing instr en was acknowledge fore me The forgoing instr e t was acknowledged before me
this day of r' 20by this, day of 1>4)) 20& by
/ purl' s-JR )o \j O PI
Name dY perigip-makind statement Name ch{person makingstatement
Personally Known /\ OR Produced Identification Personally Known `2 ! OR Produced Identification
Type of Identification Type of Identification
Produced Produced
innz k , _ .n '- I
(Si nature of Notary PUbI6&a id ° '0*" (Sig a ure of Notary Public- t id 0111doi.gq,M
NO TARY PUBLIC ► OTAR
Commission No. FE OF LOJ A Commission No.
Co
E)gires 10/1/2020 Cott
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
fill wal CERTIFIED"'
r
Certificate of Product Ratings
AHRI Certified Reference Number :8641228 Date.02-20-2018 Model Status :Active
Old AHRI Reference Number
AHRI Type :SCP-RCU-A-CB
Series
Outdoor Unit Brand Name :NATIONAL
Outdoor Unit Model Number (Condenser or Single Package) : NCPE-424-1010
Indoor Unit Brand Name :
Indoor Unit Model Number(Evaporator and/or Air Handler) :NCPAH-24-Al
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, NC, NO,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 NATIONAL.product is responsible for the rating of this system.combination
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/24D with Addenda'I 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:23000
SEER :12.00
EER(A2)-Single or High Stage(95F) :10.50
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(or sale.
Ratings that are acwmoanied by WAS indicate an involuntary re-rate The new oublished ratina is shown alone with the orevious(i.e.WAS)rating.
DISCLAIMER
AHRI does not endorse the producten 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 an 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;
entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, Pam
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.ahriditectory.org,click on"Verify Certificate"link we make lik becrer°
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.: 131636256483232396