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Home My WebLink Aboutbuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Bate: 04/23/2018 Permit Number: i 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 PROPOSED IMPROVEMENT LOCATION: Address: 115 Ocean Bay DR,Jensen Beach, FL 34957 Legal Description: OCEAN BAY VILLAS(OR 2627-1946)UNIT 115(OR3377-2078; 3546-1964) Property Tax ID#: 3522-608-0009-000-1 Lot No. Site Plan Name: Block No. Project Name: Setbacks FrontT Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: A/C CHANGE OUT SAME FOR SAME, EXISTING DUCT WORK, YORK 5 TON 15 SEER, AE60BX21 /YCG601321 S / 10KW CONSTRUCTION INFORMATION: Additional work to TeIrformea uu er t is permit—c ec a apply: RJHVAC Gas Tank FiGas Piping Shutters Windows/Doors 11l Electric El Plumbing Sprinklers [Generator 0 Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of first Floor: Cost of Construction:$ Utilities:11 Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR:- Name JEAN LOSO Name: RAY LAL LOO Address: 115 OCEAN &XV t)r Company: CB CONSTRUCTION AND DESIGN SERVICE City: JENSEN BEACH State: FL Address: 562 NW MERCANTILE PL SUITE##101 Zip Code: 34957 Fax: City: FORT SAINT LUCIE State: FL Phone No. (320)493-8363 Zip Code: 34986 Fax: (772)493-8363 E-Mail: Phone No. (772)337-6559 Fill in fee simple Title Holder on next page(if different E-Mail: LYNETTE@CBAIRCARE.COM from the Owner listed above) State or County License: CAC1819319 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 you r rty. A Notice of Commencement must be record an posted on the ' bsite before the first inspection. you intend to btain financing, consult with lender an attorn re commencin work or n s of Commencement. Signature a Owner/Lesse ontr for as Agent for Owner Si ature of Contractor/ older STATE OF FLt�R-x,- STATE OF FLORID COUNTY OF l �:1 COUNTY OF C i A- The f r i g instrViiVnt was cknowledged before me The#er g instru nt was cknowledged before me this ay of ,20 1 by this $ day of f=jp( i k 20 by Name of pers_ongaking statement Name of person making statement Personally Known !� OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of identification Produced Produced l (Signa ure of Notary Public-State J� o of Notary Public-State of Florida fission No. ''"''e NNETTE HAMILT N xo i NETTS HAMi:LTcor MISSIO14 a n No. I c�i ussiori 4 FF94 r liu s Jima 07, D jqq 07,2a2 ru EXPIRFS:]anudry REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECE[VED DATE COMPLETED Rev.8/2/17 • CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number:91 OD274 Date:04-23-2018 Model Status:Active AHRI Type:RCU-A-CB Series:LX SERIES Outdoor Unit Brand Name,JOHNSON CONTROLS Outdoor Unit Model Number (Condenser or Single Package):YCG60B21 Indoor Unit Model Number(Evaporator and/or Air Handler):AE60DBG21 Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA, HI,ID, IL,[A,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS, MT,NC,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 JOHNSON CONTROLS 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(9517),btuh:58000 SEER,:15.25 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 Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or affenng fvr sale. Ratings that are accom hied by WAS indicate an i vol n a re-rate. The new published ratin i shown alon with the revio s i.e.WAS rating. 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 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.ahridlrectory.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, AM 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. o2018Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131689671053120812