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Home My WebLink About Building Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: A -6 -'QC) i M 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 PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: 1 4%; Legal Description:-�1�CZ. jt�2 ��o� OL-9:ST• V3 h (�T��'04a 361 y I.1W4—G- S V Property Tax ID #t: 4 42%Lo - $ l S - C`>0:,:k - dcm, a - Lot No. � (o Site Plan Name: Project Name: Setbacks Front �evi-st;' f -I Back: Right Side: Left Side: Block No. . i4111am DETAILED DESCRIPTION OF WORK: P.-L--�,-P st<c 6.�Par cam- 1-700 A3 -5 Q-e� C CONSTRUCTION INFORMATION: Additional work to be pertormeci under this permit - check all t apply: ✓HVAC Gas Tank ❑Gas Piping ❑ Shutters Windows/Doors 1 Electric a Plumbing F Sprinklers FIGenerator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 3 SND Utilities: Sewer 0Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name k.&.)i ILiF& V% a- Zc--xp,,j Q,_o Name: JOHN BROWNING Address: 6'15 f Company: JB"S AC & ELECTRIC City: State: FL Address: 1535 NW QUAIL CIR Zip Code: Fax: City: STUART State: FL— Phone LPhone No. 0� 3A Zip Code: 34994 Fax: E -Mail: Phone No. 772-934-6778 Fill in fee simple Title Holder on next page ( if different E -Mail: Jbrowningac@gmail.com from the Owner listed above) State or County License: CAC 1816319 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER Name: Address: City: Zip: Phone: Not Applicable State _ Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: _ Not Applicable State: 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 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 your Notice of Commencement. i Signature of Owner/ Agent/ Lessee STATE OF FLORIDA COUNTY OF -=;A- 4-4-4 C,I � The for oing instru ent was acknowled ed before me Com this - day of 20 17 by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. DENA RUSSELL Notary Public - State of Florida commission # rr 1 iybJu Revised(97/15/ OF°;,;; My Comm Expires Nov 30. 2018 REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE GA PMDLCTF.0 Signature of Contract Holder STATE OF FLORIDA COUNTY OF LLcC' The forgoing instrument was acknowledged before me this�lhday of 1? 20Qby n CuL-Lo inG (Name of person acknowledging ) (Signature of Notary Public- State of Florida ✓) Personally Known OR Produced Identification Type of Identif a r ,1111„ ;�aYP� DEBORAHS$,ELL Commission No :'o l� , ,/� ry Public • t Florida ''' 1�tT ' Commission # FF 179630 �,�OF G,b � my V11111111. CA1/IiGJ NV♦ ir, oi:E SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings 0 AHRI Certified Reference Number: 8715779 Date: 4/6/2017 Product: Variable Speed Mini -Split Air -Conditioner, with Remote Outdoor Unit -Air -Source, Free Delivery Outdoor Unit Model Number: MUY-GL12NA-U1 Indoor Unit Model Number: MSY-GL12NA-U1 Manufacturer: MITSUBISHI ELECTRIC COOLING 8r HEATING Trade/Brand name: MR. SLIM Series name: 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. Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC COOLING & HEATING Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 12000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 23.10 CERTIFIED RATINGS FOR VARIABLE -SPEED, MINI- AND MULTI -SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES) WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT. VISIT WWW AHRIDIRECTORY ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE. SEARCH ON THE AHRI REFERENCE # TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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-=vw.ahridlrectory org. TERMS AND CONDITIONS it "12' 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; ,' saw No 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.ahrldIrecto ry.org, click an "Verity Certificate- link %,p 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. �31359752658185s77 @2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: