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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INF,1MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ? 'n Permit Number: 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 I Address: 29 Aqua Ra Dr Jensen Beach 34957 Legal Description: River Watch Property Tax ID #: 4511-815-0003-000-4 Lot No. 5 Site Plan Name: Stubing Block No. 1 Project Name: Flynn's AC Services Setbacks Front Back: Right Side Replace a 3T, 16.25 seer AC with a 8KW heater ✓❑— HVAC U Gas Tank Electric 0 Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 5305 Name Steven Stubing Arldrecv 29 Aqua Ra Dr City: Jensen Beach Zip Code: 34957 Phone No. 518-812-5273 Piping Sprinklers Left Side: Shutters Q Windows/Doors Generator 0 Roof SFt. of First Floor: Utilities:nSewerE]Septic Building Height: State: FL Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Roof pitch Name: Joe Flynn Company: Flynn's AC Services Address: 1323 SW Thelma St City: Palm City State: FL Zip Code: 34990 Fax: 772-781-1307 Phone No. 772-283-4114 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 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 Count, 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 andcovenants 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 exemptfrom 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 rec�ordin our Notice of Commencement. Signat,P,6f Owner/ L ee/Contractor as Agent for Owner S' a ure of co r/L nse Holder STATE OF FLORIDASTATE OF FLORIDA COUNTY OF 1 1t COUNTY OFQ)1' 1 d ) The forgoing instruryent was acknowledged before me thisA' day of , )_ LJViQ_ _ 2Q by The forgoing instrument was acknowledged before me this day of Jt ) _ 264a by Name of herson making st tement Personally Known -f OR Produced Identification Name o eZspa-making 'ement Personally Known !� OR Produced Identification Type of Identification Type of Identification Produced Produced Vjiq, L(= (Signature of Notary Public- State of Florida ) i j 1%1" p/E1 � az 9' L�Y IS✓ l' (Signature of Notary Publ' - State of Florida ) J. Bram Commission No. VMAP Commission No. Wolailli)J. Brown STATE OF FLORIDA NOTARY PUBLIC STATE OF FLORID FRONT COUNTER ��// /0�3p3�6� 'ftylivpREVIEWS ZONINGEX0 SUPERVISOR REVIEW REVIEW PLANS REVIEW VEGETATION REVIEW S R7Efq�l ly'l�{jVE REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. AHRI Certified Reference Number: 8900647 Date : 06-202018 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) : TC7B3621 Indoor Unit Model Number (Evaporator andfor Air Handler) : AE36BX21+TXV 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, VIL 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 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. Ratinas that are accompanied by WAS indicate an involuntary ne-rate. The new published ratinq 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.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andAm confidential reference purposes. The contents of this Certificate may not, in whole or In pan, 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. AIRCONDITONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify Certifioate" 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. - ©201$Atr-Conditioning, Heating, and Refrigeration Institute { �{ I ICAT NO.: sn3g932355ga3# '