Loading...
HomeMy WebLinkAboutTownsend permit app.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Additional work to be performed under this permit— check all that apply: )(Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction:. Cost of Construction: $ 4920 Name Jean Townsend Address: 10851 S Ocean Dr lot 53 Generator Sq. Ft. of First Floor: Utilities: _Sewer _Septic City: Jensen Beach State:-1ULd Zip Code: 34957 Fax: Phone No. 772-229-9323 E -Mail: FIII in fee simple Title Holder on next page ( if different from the Owner listed above) Windows/Doors Roof Pitch Building Height: Name: Joe Flynn Company: Flynn's AC 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 IT vaiue of construction is pz5uu or more, a HtcoeDrrD Notice of commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. Addl City: Zip:. Phone State: FEE SIMPLE TITLE HOLDER: _ Not Applicab Name: Address: City: Zip: Phone: MORTGAGE COMPANY:' _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Address: Zip: Phone: _Not 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 County makes no representation that is granting a permit will authorize thepermit 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 reviewyour 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 record!qg your Notice of Commencement. Rev. 9/26/18 Si ' e of O yrfer/ Lessee/Contractor as Agent for Owner 9191ature of C actor/License Holder STATE OF FLORIDA COUNTY OF �VO(oi m STATE OF FLORID a COUNTY OF a.i o The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thiiss�})) daypo�f Q`Y by this_21 dayof U p}`�201 (,'FQ 1 `_,2/o��jby �/�� Name of pers n making stateYnent. Name of person making statement. Personally Known �_ OR Produced Identification Personally Known )(- OR Produced Identification Type of Identification Type of Identification Prjyodufic(edj Produced ��� (Signature of Notary Pub ic- State of F ida ) J, Brarm {Signature of Notary Publi- to lori We J. B ivn NOTARY PUBLIC ��QQ Commission No. 5 &TATEOPFLORIDA co'" G0030336 Commission No. ��T STA? FLOWOA 0emr*0p03032R REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 9/26/18 AHRI Certified Reference Number : 8927792 Date : 01-21-2019 Model Status: Active AHRI Type: HRCU-A-CB Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TH4B3021 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE36BX21+TXV 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 : 30000 SEER: 15.75 1"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 producedPProduction 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 acc:1med by WAS indicate an involuntary re -rate. The new oublished ratino is shown along with the previous de WAS) rathm. 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), 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.anridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and ;r 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 malre 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. aS--.fir-. '77 7 -- 131925547781912D©2019Air-Conditioning, Heating, and Refrigeration Institute PCERTIFICATE NO.: -,,--9 v=