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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/11/2018 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL 34982 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: 9600 S Ocean Dr 1201, Jensen Beach 34957 Legal Description: Empress Condominium Unit 1201 (OR 3508-903: Property Tax ID #: 4502-620-0091-000-1 Lot No. Site Plan Name: Stephen and Maureen Green Block No. Project Name: Flynn's AC Services Setbacks Front Back: Right Side: Left Side: ETAILED DCE71PttON OF WORK. Replace a 3.5T, 15.25 seer AC with a 10 KW HTR JU1L1U11d1 WU1K LU UC 1GU11IICU YIIUCI LIIIJ pC11111L—L.I Z✓ HVAC Gas Tank ❑Gas Piping 11 Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 5120 Name Stephen Green Address: 9600 S Ocean Dr#1201 Shutters ❑ Windows/Doors Generator Roof = Roof pitch S Ft. of First Floor: Utilities:Sewer[]Septic Building Height: City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 724-612-8007 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Joseph Flynn 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 value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY:Not Applicable Name: Address: Address: City: City: Zip: Phone: DWNFR/ rnNTRArTnD e[cinvrr..__.:--.:__, Zip! Phone: - - - - - -- --- --- - -- - • ••r -r- IIC:CUy FIIGUC Lo ootam a permit to do the work and installation as indicated. I certify that nt�ooK work or installation has commenced prior to the issuance of a permit. St. is in conWicmt awlth any applicable lHome Owners tAssociation' rules authorize bylaws or and covenants that may restrictbor 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- rnna dt With urc•1ia Signa t Owner/ L tee/Contractor as Agent for Owner Wfature of Co6F/Ubense Holder STATE OF FLORIDA I STATE OF FLORIDA I COUNTY OF iN10.,1 _I n COUNTY OF_- Mk;A I n The forgoinginstru ent was acknowledged before me this j I day of IdiN. 26 c6 by V\. Name of pemaking statement Personally Known OR Produced Identification Type of Identification Produced /l Nk" �- i/3)4OW 1- - nature of Notary Public- State of Florida ) Commission No. REVIEWS Rev. 8/2/17 J. Brown Y IPUBUC O�F..F�L�DFUDA GG030 35 The forgoing instrum t was acknowledged before me this I I dayof ,20Ll� by N.e ( Name �person makin_ statement Personally Known_ OR Produced Identification Type of Identification Produced (Signature Commission No. COUO TER NT I REV IEW ING I SREVIEWOR I REVIEW Brom f IK ICK'i VEGETATION I SEA TURTLEI MANGROVE REVIEW REVIEW REVIEW Certificate of Product Ratin AHRI Certified Reference Number: 8457832 Date: 06-11-2018 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) : TC4B4221 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, INC, 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, Rl, 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 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 thissystemcombination Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda'. t and 2, Performance: Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI sponsored, indeperli third party, testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 41000 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 offering for sale. Ratings that are awomoanied by WAS indicate an involuntary re -rate. The new oubl shed retina is shown along with the orevious (i. e. WAS) ralina. 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 produclfs) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the products), 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.ahridireclory.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 whale 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, Pam 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.ahridirectory.org, click on "Verify Certificate" linkwemake 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.: 131732169132371487