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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/2/18 Permit Number: a 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 III Address: 10600 S Ocean Dr #504, Jensen Beach 34957 Legal Description: Oceana South Condominium II unit 504 and undiv share in common elements (OR 3449-1505) Property Tax ID #: 4511-517-0051-000-0 Lot No. Site Plan Name: Charles and Barbara Cipriano Block No. Project Name: Flynn's AC Services Setbacks Front Back: Right Side: Left Side: Replace a 2.5T 12 seer thru the wall system with a 5kw htr JUIl1UU41 WUIK w UC CIIUf I[ICU UIIUCI a ID IJCI 1 Illi -61 ❑✓— HVAC Gas Tank ❑Gas Piping 11 Electric Plumbing Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 5640 Name Charles Cipriano Address: 253 Wilson Bay a Shutters ❑ Windows/Doors Generator 11 Roof = Roof pitch SFt. of First Floor: _ Utilities:n Sewer O Septic City: Islip State: NY Zip Code: 11751 Fax: Phone No. 631-708-5553 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Joseph Flynn Building Height: 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 State or County License: CAC055482 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name: N - —...-�...- me: MORTGAGE COMPANY: Name Address: Address: --- City: State: City: Zip: Phone Zip:ne FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Name: Address: Name: _ City: rs Address: s: Zip: Phone: City: Zip: -- phone OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do thl I certify that no work or installation has commenced priorto the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permft holde which Is in confllct with any applicable Home Owners Association rules, bylaws or and covenants 1 structure. Please consult with your Home Owners Association and review your deed for any restri In consideration of the granting of this requested permit I do hereby agree that I will, in all respel in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendme The following building permit applications are exempt from undergoing a full concurrency review: accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to an WARNING TO OWNER: Your failure to Record a Notice of Commencement may result improvements to your property. A Notice of Commencement must be recorded ai before the first inspection. If you intend to obtain financing, consult with lender o Slgnat Owner/LesCee/Contractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTYOF moj COUNTYOF The forgoing Instrumen • w s acknowledged before me this—;?- day of C) \ . 20i2; by Name of pLrson making statehlent Personally Known Y— OR Produced Identification Type of Identification Produced JJ� (% hl /I s- 1Z n fi 1J i f .4 (Signature of Notary Publid- State of Florida J �Aicileb Brown ..ev._ Commission No. REVIEWS Rev. 8/2/17 The forgoing this �4 day Name of G73 X Not Applicable State: Applic work and installation as indicated lat may restrict or prohibit such tions which may apply. S, perform the work ts. oom additions, ther non-residential use n your paying twice for d posted on the jobsite an attorney before me by Identification Type of Identification Produced (Signature of Notary a7"^"' -- I Commission No. STATE OF FLORIDA Cwn* 00030330 FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW I REVIEW to TURTLE REVIEW 1 J. Brgpn n'pUBUC OF FLOP31)4 REVIEW ■WILI CERTIFIED° www,ahridlectc org AHRI Certified Reference Number: 8641231 Date: 09-19-2018 Model Status : Active AHRI Type: SCP-RCU-A-CB Outdoor Unit Brand Name: NATIONAL Outdoor Unit Model Number (Condenser or Single Package) : NCPE-430-1010 Indoor Unit Model Number (Evaporator and/or Air Handler) : NCPAH-36-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 - f'Aclive" Model Status are those that an AHRI Cerfificalton 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 accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alone with the Previous (i.e. WAS) rams. 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 producl(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.abridirectory.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, Pin personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridlrectory.mg, click on "Verify Certificate" link eve make life bettor - 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 "AW, , IFICATE NQ; 131e1842237899253(l ,