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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/4/2018 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 10680 S Ocean Dr 703 Legal Description: Island Crest Condominium Unit 703 and undiv share in common elements (OR 3391-1251; 3424-281 Property Tax ID #: 4511-516-0070-000-6 Site Plan Name: Ira Greenberg Project Name: Flynn's AC Setbacks Front Back: Replace a 2T, 12 seer, 5KW htr AC Right Side: Left Side: Lot No. Block No. HaaitwnaiworKcoDe ❑✓_ HVAC errormea Gas Tank unaertmspermn—cnecKanappy: E]Gas Piping _Shutters 11 Windows/Doors 11 Electric ElPlumbing Sprinklers 11 Generator Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 5380 Utilities:Sewer OSeptic Building Height: Name Ira Greenberg Address: 10680 S Ocean Dr 703 City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 845-633-4536 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: josepn riynn Company: Flynn's AC Services Address: 1323 SW Thelma St City: Palm City State: FL Zip Code: 34990 Fax: 781-1307 Phone No. 283-4114 E -Mail: mjb@flynnac.comcastbiz.net 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 bylaws rules, 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 recordin our Notice of Commencement. 4"Z /� �� rte ( 1 Signat Owner/ L ee/Contractor as Agent for Owner S' a ure of Co for/Li ense Holder STATE OF FLORIDA p COUNTY OF V\1�J y� STATE OF FLORIDA p `!-1 ✓\ COUNTY OF �'Vlcul' The for oing instrument was acknowledged before me this V day of 1 20JI by The for oing instru�en�t was acknowledged before me this V day of /YVG 1( 20�yby 7� �as� 0�1 �t��,n ��i Name of rson makitig statement Name of pers n making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced ��j (Signature of Notary Pu I' - State of Florida) (Signature of Notary Public- Sc- S to of Floridaf FlSoa ) Mkhdo Commission No.J' MicheleJ. &own Commission No. NOTAIR9'4dJPIJC ARYSTATE OF Ir1.OR STATE OF FLORIDA Cam* 000303M •rea tat REVIEWS FR NING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Certificate of Product Ratings AHRI Certified Reference Number : 8641228 Date: 05-04-2018 Model Status : Active AHRI Type: SCP-RCU-A-CB Outdoor Unit Brand Name: NATIONAL Outdoor Unit Model Number (Condenser or Single Package) : NCPE-424-1010 Indoor Unit Model Number (Evaporator and/or Air Handler) : NCPAH-24-A1 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, 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 NATIONAL product is responsible for the rating of this system combination. Rated as to#" in accordanee7Mdt the latest edition of ANSMAHRI 210/240 with Addenda T and 2, Performance Rating of Unary Air-Conditioning &'Air-Sotuce Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2): - Single or High Stage (95F) Dun; 23000 SEER 52.00 EER (A2) - Single or High Stage (91 ; 10.50 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 Stoppe8 Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are acwmoanied by WAS indicate an involuntary re-rete. The new published ratina is shown along with the previous (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 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 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, personal and confidential reference. AIR-CONDRIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ave make life better" and enter the AHRI Cenified 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.: 131699252623912500