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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/15/2018 Permit Number: a.'t" 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 Address: 2221 NW Seagrass Dr, Palm City 34990 Legal Description: Harbour Ridge Plat 10 Fairway Village Unit 9 (Map 44/26S) (OR 2492-642) Property Tax ID #: 4426-805-0009-000-4 Lot No. Site Plan Name: Harris, James and Ellen Block No. Project Name: Flynn's AC Services Setbacks Front Back: Right Side: Left Side: all Replace a 3.5T, 15 seer AC with a 10KW HTR Additional work tobepertormed un ert ispermit—checka appy: ✓HVAC Gas Tank OGas Piping Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cast of Construction: $ 5800 Utilities: Sewer 1:1 Septic Building Height: Name James Harris Name: Joe Flynn Address: 2221 NW Seagrass Dr Company: Flynn's AC City: Palm City State: I Address: 1323 SW Thelma St Zip Code: 34990 Fax: City: Palm City State: FL Phone No. 772-336-0687 Zip Code: 34990 Fax: 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 $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before cornmencing work or recording our Notice of Commencement. 4��� 5 a ure of Co OF/Lirense Holder Signat Owner/ L ee/Contractor as Agent for Owner STATE OF FLORID COUNTY OF ►�1 af►. i ✓� STATE OF FLORIDA COUNTY OF lid The f r oing instru ent was acknowledged before me thisydayof 201$ by The for ing instrument was acknowledgedJ�efore me this7dayof 20f��s by � �Iv V, v w\ Name of p rs n making statement Personally Known OR Produced Identification Name o person making statement Personally Known � OR Produced Identification Type of Identification Type of Identification Produced Produced 1 �7 (Signature of Notary P)blic- State of Florida) (Signature of Notary—Publiq State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Certificate of Product Ratings AHRI Certified Reference Number: 8928387 Date : 05-15-2018 Model Status : Active AHRI Type: HRCU-A-CB Series : LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : T144B4221 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE48DX21+TXV 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 : 42000 SEER : 14.50 EER (A2) - Single or High Stage: (9517); 12.50 Heating Capacity (H12) - Single of High Stage (47F) : 41000 HSPF (Region IV) : 9.25 t"Active" Madel 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 for sale. Rat nos that are appomoan ed by WAS indicate an involuntary re -rale. The new published strip is shown along 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 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(sI, 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 CONDITIONS are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and Ion confidential reference purposes. The contents of this Certificate may not, in whale or in part, be reproduced; copied; disseminated; BMW MEM 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 al www.ahridImCtory.org, click on "Verity Certificate" link we make life beRer' and enter the AHRI Certified Reference Number and the dale 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 111ERTIFICATE NO.: 131708660430343311