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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/20/2020 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: Replace a 2.5T AC system Address: 3334 NW Perimeter Rd Palm City 34990 Property Tax ID #: 4436-510-0028-000-9 Site Plan Name: John Slevin Project Name: Flynn's AC Replace a 2.5T 14.25 seer AC with 8KW heater Lot No. 24 Block No. 77 n� ry L 9 Additi al 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: $ 5005.00 Name John Slevin Address_ 409 SE Saint Lucie Blvd City: Stuart State: Zip Code: 34996 Fax: Phone No. 970-390-0012 E -Mail: Generator Roof Pitch Sq. Ft. of First Floor: _ Utilities: —Sewer _Septic Building Height: 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: 772-781-1307 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 requirea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: -4N_ot Applicable MORTGAGE COMPAN Not Applicable Name: ` — Name: Address: Address: , City: _ State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: of Applicable BONDI COMPANY: Not Applicable Name:_ Name: Address: Address: City: City: Zip: Pho ; 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. Signature, wner/ Less 71"o - ntractor as Agent for Owner Si ure of Con ctor/License Holder STATE 01= FLORIDAr1 `I n STATE OF FLORID )N'r�A-( COUNTY OF P ►' fm lT-t V'�- COUNTY OF The forgoing instrument was acknowledged before me The forgoing instr nt was;acknowledged before me this, day of a,"( in 20 by this day of 20_jo by Name of person kir�a ng statement. Name of person m4king statement. Personally Known L— OR Produced Identification Personally Known_ OR Produced Identification Type of Identification Type of Identification Produced Produced (S nature of Notary Public- a ri ;`r PuBm (Signature of Notary'I56`bIic_,§iate of Florida ) TE DA Mkt J. Bram Commission No. Commission No. NOT OF FLORIDA • {res 10!112020 STATE WE)Vres1011/2020 14 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Te -v. Certificate of Product Ratings AHRI Certified Reference Number: 202322465 Date : 03-20-2020 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) : TC463022 Indoor Unit Model Number (Evaporator and/or Air Handler) : AP30BX21+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 : 29800 SEER 14.25 EER (A2) - Single or High Stage (95F) : 12.00 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 -rate. The new published rating is shown along with the previous (i.e. WAS) rating. 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, Mrim personal and confidential reference. AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.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. 132291995288219361 ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: