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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10118/18 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 Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 13 Address: 12817 NW Cinnamon Way, Palm City 34990 Legal Description: Cinnamon Village Harbour Ridge Plat 3 unit 8 (OR 3613-303) Property Tax ID #: 4425-602-0020-000-1 Lot No. Site Plan Name: Peter Brame Block No. Project Name: Flynn's AC Services Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace a 4T, 15.75 seer AC system with a 10kw heater. Additional work to be ertorme under hispermi —check all appy: Z✓ HVAC Gas Tank []Gas Piping Shutters ❑ Windows/Doors 11 Electric Plumbing Sprinklers I,l Generator Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 5250 UtilitiestSewer OSeptic Building Height: m Name Peter Broms Name: Joseph Flynn Address: 12817 NW Cinnamon Way Company: Flynn's AC Services City: Palm City State: FL Address: 1323 SW Thelma ST Zip Code: 34990 Fax: City: Palm City State: FL Phone No. 772-877-3142 Zip Code: 34990 Fax: 772-781-1307 E-Mail: Phone No. 772-283-4114 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. DESIGNER ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: Not Applicable Address: OF Y c�T I, Address: The forgoing instru en wa; acknowledged_pefore me City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: rS7Not Applicable BONDING COMPANY: Name: Not Applicable Address: Type of Identification Address: Produced City: cJe City: mature of Notary Pub' - State of Florida ) Zip: Phone: DAMa1MNJ, Zip: Phone: ommission No. p� uwNEK/ LUN I KALI uK Am-wvl I : 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 County 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 vour Notice of Commencement. Sign y�—i� Signa of Owner% see C ntractor as Agent for Owner Signat of Con ctor/License Holder STATE OF FLORIDA' La I i STATE OF FLORIDA �n n � \V\, COUNTY OF ) nCOUNTY OF Y c�T I, The for oing instrumen w acknowledged before me The forgoing instru en wa; acknowledged_pefore me this dayof_ 20(� by this�dayof. 20LX by I��^ Name ofpkrson making statement Name oferson making stat ment Personally Known X OR Produced Identification Personally Known .= OR Produced Identification Type of Identification Type of Identification Produced Produced cJe (Signature of Notary Public- aate of F mature of Notary Pub' - State of Florida ) STC DAMa1MNJ, Commission No. ommission No. p� E>tWrw 10112120 STATE OF F7,pRIDA Comm► 70H REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Certificate of Product Ratings AHRI Certified Reference Number: 8458527 Date 10-18-2018 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) : TC4B4821 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, NC, 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, RI, 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 this system combination Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda .1.and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) -.Single or High Stage (95F), btuh : 47000 SEER: 15.75 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 accompanied by WAS indicate an involuntary re -rale. The new Published ratma is shown alcna with the Previous (i.e. WAS) ratino. 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 products) 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.ahrid!rectory.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 far the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information far the model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify Certificate" 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 9te4a4sa47zszeSit