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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ) ( I a o I 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 PERMIT TYPE: AC Change out Address: 10680 S Ocean Dr #205 Jensen Beach 34957 Property Tax ID #: 4511-516-0022-000-5 Lot No._ Site Plan Name: Brian and Concettina Bernier Block No. Project Name: Flynn's AC Replace a 2T, 12seer AC system with a 5KW heater Additional work to be performed under this permit– check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 6075 Name Brian Bernier Address: 5 Friendly Way Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: City: Rocky Hill State: Zip Code: 06067 Fax: Phone No. 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 Services Address: 1323 SW Thelma ST Palm City 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 LicenseCAC055482 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 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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. sign atu reaftwner/ Lesse Contractor as Agent for Owner Si ure of Con ctor/License Holder STATE OF FLORIIQ► + �1 'I"i STATE OF FLORID COUNTY OF Ulr �Gt COUNTY OF 0,jL_4 1 ✓ 1 The forgoing instrument was ack, gwledge, before me The forgoing instrument was acknowledged before me this 1� day of 20 by thiiss em-^day of /JO U4 i'k . 20 � by Name of person aking statemen . Name of person aking statemeq,lt. Personally Known X OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced ( ignature of Notary Public ti Tom; ( ignature of Notary Publ State of FI r' J. Brown Commission No. TE OFUC Commission No. �/� FLORIDA ST Explres 10/11/2020 c 11PIP GG0303e 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: 8641228 Date : 11-11-2019 Model Status : Active AHRI Type: SCP-RCU-A-CB Outdoor Unit Brand Name : NATIONAL Outdoor Unit Model Number (Condenser or Single Package) : NCPE-424-1010 Indoor Unit Model Number (Evaporator and/or Air Handler) : NCPAH-24-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. 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 : 23000 SEER: 12.00 EER (A2) - Single or High Stage (95F) : 10.50 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 prod uced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinos that are accompanied by WAS indicate an involuntary re -rate. The new published ratinq is shown alonq with the previous (i.e. WASI ratinq. 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 t, 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.aliridlrectory.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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132179711563866586