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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/2/18 Permit Number: NO 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: 2167 Nettles Blvd, Jensen Beach 34957 Legal Description: Nettles Island Inc. A condo -section I parcel 167 and pro -rata share in common elements (OR 213-875: 1903-1157; 3840-814; 3965-850) Property Tax ID #: 4502-501.0170-000-3 Site Plan Name: Martha Schauer Project Name: Flynn;s AC Services Setbacks Front Back: Right Side: Left Side: Replace a 3.5T 14seer AC system with a 10kw htr Lot No. Block No. raaoatonai worKto oe enorrnea unuer tms permit —cnecK all apply: ❑✓_HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑ Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: S'c Ft. of First Floor: Cost of Construction: $ 4550 Utilities:Sewer ❑Septic Building Height: Name Martha Scheuer Address; 2167 Nettles Blvd City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772-323-1169 Fill in fee simple Title Holder on next page t 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@flynnae.comcastbiz.net State or County License: CAC055482 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Name: City: State: Zip: Phone FEE SIMPLE TITLEHOLDER: XNot Applicable MORTGAGE COMPANY: ,1:�- Not Applicable Address: City: State: Zip: Phone: Name: Name:_ Address: Address: City: City:_ Zip: Phone: Zip: - COMPANY: Applicable 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 Countv makes no representation that is granting a permitwill authorize the permit holder to build the subject structure which is in con lictwith any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Hoene 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. Rev. 8/2/17 Signa of Owner/ - see C &tractor as Agent for Owner Signat of Cont ctorJLicense Holder STATE OF FLORIDA,STATE OF FLORIDA r COUNTY OF I V Yq COUNTY OF The f Ding instrument as acknowledged before me r–dayofy The for ging instrumen was acknowledged before me this this 20A by -Z, 20_�&by Name of a on making Cement Name of p son making sta�nt Personally Known OR Produced Identification Personally Known 4 OR Produced Identification Type of Identification Type of Identification Produced Produced y (Signature of Notary Public- ate of Flori ) MichdBJ (ignature of Notary Public State of Florida ) Midrele J. Commission No. STATE OF FLOI�mm ission No. Ccmri* qrv4 STAT� Im 0. Qartn� REVIEWS FRONT ZONING SUPERVISOR – . 11 W. CA4m PLANS VEGETATION SEATURTLE MANGROVE !! COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW !{; REVIEW !, DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Outdoor Unit Model Number (Condenser or Single Package) : P7RE-042K 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, SMO, MS, MT, NC, ND, 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. f"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 sellina or offenna for sale. 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 useor 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.ahridirectory.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, 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.ahrldirectory.org, click on "Verify Certificate" link we make lik 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 __ MFI&'i Nle.. 1 31 8 2 9 75 28 6 7248 Certificate of Product afros AHRI Certified Reference Number: 7615296 Date: 10-02-2018 Model Status : Active AHRI Type: SP -A Series: NUTONE P7RE SERIES Outdoor Unit Brand Name; NUTONE Outdoor Unit Model Number (Condenser or Single Package) : P7RE-042K 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, SMO, MS, MT, NC, ND, 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. f"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 sellina or offenna for sale. 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 useor 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.ahridirectory.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, 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.ahrldirectory.org, click on "Verify Certificate" link we make lik 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 __ MFI&'i Nle.. 1 31 8 2 9 75 28 6 7248