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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/28/2020 Permit Number: S51ro Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: AC replacement PROPOSED IMPROVEMENT LOCATION: Address: 104 N Las Olas Dr Jensen Beach 34957 Residential x Property Tax ID #: 4511-500-0012-000-3 CONTRACTOR: Name Karin Serakas Lot No. 6 Site Plan Name: Karin Serakas Company: Flynn's AC Services City: Palm City State: _ Zip Code: 34990 Fax: Phone No. 772-631-8818 Block No. Project Name: Flynn's AC E -Mail: fraukarin@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail mjb@flynnac.comcastbiz.net State or County License CAC055482 DETAILED DESCRIPTION OF WORK:' � D. � t : Replace a 3T, 15.50 seer, AC system with a 10KW heater New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 5000 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Karin Serakas Name:Joseph Flynn Address: 4420 SW Laurel Oak Terr Company: Flynn's AC Services City: Palm City State: _ Zip Code: 34990 Fax: Phone No. 772-631-8818 Address: 1323 SW Thelma St City: Palm City State: FL Zip Code: 34990 Fax: 772-781-1307 Phone No 772-283-4114 E -Mail: fraukarin@gmail.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: ;Not Applicable Name: Address: BONDING COMPANY: Not Applicable Name: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Sign atu of r e Ownessee/Contractor as Agent for Owner Si ture of Co actor/License Holder STA/TE OF FLORIDATATE COUNTY OF as>> , �� OF FLORIDA - COUNTY OF �� L ✓1 The forgoing instrument,was acknowledged before me thisA. day of 1 20 by The fo o'ng instrument was acknowledged before me this may of 24 by )o��lu�� h� Name of person making statement. Name of person making stat ment. Personally Known OR Produced Identification Personally Known 'X OR Produced Identification Type of Identification Type of Identification Produced Produced Lill, (ignature of otary Public State 'da NOTARY PUBLJC Commission No. ATE OF FLORIDA (Signature of Notary Public- Stat of ASTidS J11AUJI116 Michele J. Brawn Commission No. NWARYPUBUC cc ffraG 10/1/2020 STATE OF FLORIDA REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE P TFeVF3VA&RffiVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Certificate of Product Ratings AHRI Certified Reference Number: 202305677 Date : 07-28-2020 Model Status : Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: LX SERIES Outdoor Unit Brand Name: CHAMPION HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : TC463622 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE36CX21+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 : 35000 SEER: 15.50 EER (A2) - Single or High Stage (95F) :,12.75 f"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."Prod uction Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Retinas 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.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personaland confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; AM 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.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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132404335493286410