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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/3/18 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 3(_ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line C7VEMENT LOCATION: Address: 1731 SW Buttonbrush Circle, Palm City 34990 Legal Description: Harbour Ridge Plat 18- Deer Moss Village lot 10 (OR 2327-1710; 3331-2697) Property Tax ID #: 4426-835-0020-000-0 Lot No. Site Plan Name: Sharkey Block No. Project Name: Flynn's AC Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace a 2T AC system, 15.75 seer with a 5kw htr. 0 Plumbing LJ Shutters ❑ Generator ❑ Windows/Doors Roof = Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 4350 Utilities:11Sewer ❑Septic Building Height: Address: t-731 t>L)*4-0v%0QSh C i a- City: 1, Un Ci 4 -1 State: �L Zip Code: 34 190 Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: J,7,t J— I q vi Company: L Address: i I City: Zip Code: 3 Phone No. 77:2-2,? I 04-V q43 9 a 3— State: tlC Fax: 72/-/,3(}'� qJ14 E -Mail: Ui1�%4� IUh✓1Q(t�1(_044f s- !fly State or County License: CT1C r-�bpi QS�`f(J If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER ENGINEER: Not ApplicableMORTGAGE COMPANY. Not Applicable Name: Name: Address: Address: f l%1 City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Type of Identification Address: Address: Produced City: City: Zip: Phone: Zip: Phone: of Florida ) nwuCD/ PAWTDAr•Tno eeerMnr. . Michele J. Broin — --- I PP'' GLIVII 1� IPC[ COY rnaue w ootam 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 andcovenantsthat 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 vour Notice of rnmmanramant Sig a of 0 r/ Lessee/Contractor as Agent for Owner ture of C actor/License Holder STATE OF FLO �I�j A�� \��/�� COUNTYOF STATE OF FLORIDA� Yy�N/\�I l COUNTY OF IL IGU f l%1 The for oinginstru!�entwl Acknowledged before me this Lday of k{ 4YyAX_J 26J'5 by The for Ing instrument was this V day of cknowledged before me 201_!�by 30��x Name of 33`ersyyy��� makin tatement Name of pts on making stat ment Personally Know OR Produced Identification Personally Known OR Produced Identification Type of Identificatio Type of Identification Producced, Produced (Signature of Notary PubI4 Stat (Signature of Notary Public- Skate of Florida ) ATE OF FLORIDA 3TATEOFFLORJCommission Michele J. Broin Commission No. No.—Alk NORf)PUBLIC Expires10/112020 STATE OFFLORIDA REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 CERTIFIE[r [[Certificate of Product Ratings AHRI Certified Reference Number : 8456290 Date : 04-04-2018 Model Status : Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name : CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC4132421 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE24BX21+TXV 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 regions) 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-Souroe Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 23800 SEER : 15.75 EER (A2) - Single or High Stage (95F) : 12.75 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 Slopped° Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sellior offfor sale. Ratingsng that areering accompanied by WAS indicate an involuntary re -rate. The new oublished retina is shown alona with the previous (i.e. WAS) retina. DISCLAIMER AHRI does not endorse the products) 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 MAIM 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, 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131673213379393809