HomeMy WebLinkAboutParcells permit app ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/3/18 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 x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Pill ..-a .u« : Mil .:euii I, e.... ...�.:1 t� �i..�•u, t 11°1'•avt
Address: 10600 S Ocean Dr Unit 4, Jensen Beach 34957
Legal Description: OCEANA SOUTH CONDOMINIUM II UNIT 4 AND UNDIV SHARE IN COMMON ELEMENTS
(OR 1153-2389)
Property Tax ID fi: 4511-517-0004-000-6 Lot No.
Site Plan Name: Miriam Parcells Block No.
Project Name: Flynn's AC Service
SPthacks Frnnt _ Rack Right Side: _Left Side:
[DETAILED DESCRIPTION OF WORK:
Replace a 2.5T AC, 12 seer, 8kw heater
in
Additional work to Ilfelerlormed under t is perm it—checka appy:
Z✓ HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Scn of First Floor:
Cost of Construction:$ 5280 Utilities: Sewer Septic Building Height:
Name Miriam Parcells Name: Joe Flynn
Address: 10600 S Ocean Dr unit 4 Company: Flynn's AC Service
City: Jensen Beach State: FIL Address: 1323 SW Thelma ST
Zip Code: 34957 Fax: City: Palm City State:FL
Phone No. 229-3531 Zip Code: 34990 Fax:
E-Mail: Phone No. 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.
WDSSIGER/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 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 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
commencing work or recording our Notice of Commencement.
Signat Owner/L496e/Contractor as Agent for Owner S' aftire of CopW or/L( nse Holder
STATE OF FLORIDA STATE OF FLORIDA j
COUNTY OF A) i ") COUNTY OF 1*1 `t't a -
The forgoing instrument was acknowledged before me The forgoing instruniant was acknowledged before me
this ' day of _JS 0(SI 201 V by this_3�_day of '++ 20_a by
"�A z2 rf lls Vi 11 4 �1t
Name f person making statement Name of person making stet ment
Personally Known X_OR Produced Identification Personally Known )C OR Produced Identification
Type of identification Type of Identification
Produced Produced
Q
(Signature of Notary Pu it-State of Florida) (Signature of Notary Public S*te o�orida)
(SepNdndb J.eram S�°J.Brown
Commission No. Commission No. ( NOTARYPUBUC
NOTARY PUBLIC STATE OF FLORIDA
STATE OF FI-ORIDA _
REVIEWS FRONT Z PLANS VEGETATION SEA •E fSFA }t
COUNTER REVIEW• REVIEW REVIEW REVIEW REVIEW REVEEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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CERTIFIED011 Raj
Certificate of Product Ratings
AHRI Certified Reference Number:8641232 Date:07-03-2018 Model Status:Active
AHRI Type:SCP-RCU-A-CB
Outdoor Unit Brand Name: NATIONAL
Outdoor Unit Model Number (Condenser or Single Package):NCPE-430-3010
Indoor Unit Model Number(Evaporator and/or Air Handler):NCPAH-36-Al
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,NO,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SO,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 responsiblefor-therating of this system combination.xg
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t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND sellingor offering for sale;OR new models that are being
marketed tam 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.
Retinas that are accempanied by WAS indicate an involuntary re-rate. The new published retina is shown alone with the previous(i.e.WAS)ratma.
DISCLAIMER
AHRI does not endorse the products)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),orthe
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 contents are proprietary products of AHRI.This Cenificate 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, 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.amidireetory.org,click on"Verify Certificate"link wwr make life br,m rw
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. -
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