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HomeMy WebLinkAboutBuilding PemitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/30/19 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 Residential X PERMITTYPE: AC replacement Address: 2171 Nettles Blvd, Jensen Beach 34957 Property Tax ID #: 4502-501-0174-000-1 Site Plan Name: David R Brown Project Name: Flynn's AC Services Replace a 2.5T, 14 seer Package Unit with a 10KW heater Ime 0wr.7 Block No. Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 3780 Name David R Brown Address: 2171 Nettles Blvd _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: City: Jensen Beach State: _ Zip Code: 34957 Fax: Phone No. 772-342-2331 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Joseph Flynn Company: Flynn's AC Address: 1323 SW Thelma St City: Palm City State: FL Zip Code: 34990 Fax: 781-1307 Phone No 772-283-4114 E -Mail mjb@flynnac.comcastbiz.net State or County License CAC055482 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Or Zip: Phone: FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: NotApplicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a to do the installation permit work and 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 our Notice of Commencement. �� Signatp Owner/ L0 see/Contractor as Agent for OwnerSin ure of Con c-tor/License Holder STATE OF FLORIDA STATE OF FLORIDA I COUNTY OF M A r� 1 /1 COUNTY OF lMQ {i 1 The forgoing instrument wqs acknowledged before me The for oing instr ment s acknowledge before me this �� Q day of W 12f-t 1 20 by this day of 20 by y D c�v� v1 Name of persorlimaking statem t. Name of person aking statement. Personally Known _X1' OR Produced Identification Personally Known —4—OR Produced Identification Type of Identification Type of Identification Produced Produced (Si na u e of Notary Publi tate o onda ) (Signature of Notary Public- S toAMWa� rarn ARY PUBLIC AXWEV Commission No. ATE OF FLORIDA Commission No. - ;' �' &vAn e;, CMMO00030338 1011/2020 1 STATE OF FLORIDA REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S UR 10AUWVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.9/26/18 Certificate of Product Ratin AHRI Certified Reference Number: 8560561 Date : 04-30-2019 Model Status : Production Stopped AHRI Type: SP -A Series : LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PCE4A30' 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 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 byAHRI-sponsored, Independent, third party testing; Cooling Capacity (A2). Single or High Stage (95F), btuh.: 29200 SEER: 14.00 EER (A2).: Single or High Stage (95F) : 11,00 }"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. Ralinps that are acoomoanied by WAS indicate an involuntary re -rate. The new published ratino is shown alona with the orevious fi e WAS) ratino 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 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, Irmo 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.ahrldlrectory.org, click on -Verity Certi/icate- link we make life ben,, 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. , .. ©2019Air-Conditioning, Heating, and Refrigeration Institute � 66MFICATE NO.: 132011148751271269