HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/13/2018 Permit Number:
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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
-:ROPOSED IMPROVEMENT LOCATION:
Address: 2500 NW Hollyberry Lane, Palm City 34990
Legal Description: Harbour Ridge Plat NO 1 Lot 9 (OR 3462-1653)
Property Tax ID#: 4436-601-0009-000-9 Lot No. 9
Site Plan Name: Scott, Wylie Block No.
Project Name: Flynn's AC
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a 4T, 15.75 seer AC with a 10kw htr
MACICI tionawo r to e e orme un ert ispermit—checka appy:
❑✓—HVAC 11 Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SqI-F�t. of First Floor:
Cost of Construction:$ 5795 Utilities:nSewer E]Septic Building Height:
Name Wylie Scott Name: Joseph Flynn
Address:2500 NW Hollyberry Lane Company: Flynn's AC Service
City: Palm City State: FL Address: 1323 SW Thelma St
Zip Code: 34990 Fax: City: Palm City State: FL
Phone No.772-446-4024 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: 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an ants 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
commencing work or recording our Notice of Commencement.
Signat of Owner/L ee/Contractor as Agent for Owner S' a ure of Con for/License Holder
STATE OF FLORIDA STATE OF FLORIDA/�A `
COUNTY OF ry\w COUNTY OF /V IGU��t 1%11
The forgoing instr ent w s acknowledge before me The forgoing instr ment wa acknowledged before me
this-M day of 20 by this 17 day of'4-��, 20jZ by
-56�L44 \ l.�v�� �b � ��VA
tame of _ r;o en makin statement Name of pens aking state ent
Personall Know OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced (� Produced
NO
(Sig—nature of Notary Pub c-State of Floridaj,Brown (Signature of No=49E
State' MOW* Brown
gjVXT�T7nEOF=0A RY PUBLIC
Commission No. Commission No. OF FLORIDA
#00030336
Oanni � es I oil/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
CERTIFIED
Certificate of Product Ratings
AHRI Certified Reference Number:8458527 Date:04-13-2018 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):TC4134821
Indoor Unit Model Number(Evaporator and/or Air Handler):AE48CX21+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,NO, NE,NH,NJ,NY,OH,OR,PA, RI,SO,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.
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':47000
SEER: 15.75
EER(A2)-Single or High Stage.(95F) :12.75
t"Active"Model Status are these 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.
Ratinos that are accompanied by WAS indicate an involuntary re-rate. The new oublished rating is shown alona with the previous(i.e.WAS)ratino.
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 far models and configurations listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This MSCertificate 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,
personal and confidential reference. AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The Information forthe model cited on this certificate can be verified at www.ahridir rctory.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.
C2018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131681142020026728