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MaiuriPermitSubmit
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/2912017 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 7004 Sebastian Rd, Fort Pierce, FL 34951 Legal Description: Lakewood Park - Unit 11 Block 150 Lot 9 (MAP 13112N) (OR 3828-2948) Property Tax ID M. 1301-613-0308-000-8 Lot No. 9 Site Plan Name: Block No. 150 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: A1C Changeout, Same for Same, Existing Duct Work. 3 ton, 14 SEER, AMERISTAR M4AC4036C1000A 1 M4AH4036A1000A / 5kw Heater CONSTRUCTION INFORMATION: Additional work to a er orme under this permit – c ec a appy: HVAC Gas Tank E]Gas Piping _ Shutters Windows/Doors Electric 0 Plumbing O Sprinklers ElGenerator E] Roof Roof pitch Total Sq. Ft of Construction: S�Ftj of First Floor: L'nct of Gnnstruction: S 5183.00 Utilities: !—l5ewer F] Septic Building Height: OWNER/LESSEE; CONTRACTOR: Name Vincent Maiuri Jr Name: Adam Emanuel Address: 352 E Arberne Ave Company: Adam's Air Conditioning City: Ocean Gate State: NJ Zip Code: 08740 Fax: Phone No. Address: 588 NW Mercantile PL City: Port Saint Lucie State: FL Zip Code: 34986 Fax: (772)878-3951 Phone No. (772)337-6559 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: lynette@adamsairconditioning.net State or County License: CAC1814146 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: 568 Nw Mercanfiie gL City: BONDING COMPANY: Not Applicable Name: Address: 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 inspectio you intend to obtain financing, consult with lender or an attorney before commencing work or r ord ng your Notice of Commencement. Rev. 8/2/17 Sig ure of Owner/ Lessee/ ractor as Agent far Owner 5i e of Contractor/License Hol4-r,-.,,,\ STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Lucie COUNTY OF SaitttLude The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 29th day of November20_ by this 29th day of _ November 20 by Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Si atu of Notary Public- State of Hod (Si atu of Notary Public- State � Com n No, FF948668 L{iI)TTE HAMILTON FFW668 aoETTE HAMILT Com Na./a S o�ssioN � FFva MY co SIGN # FF948668 EXPIRES: ia»uwy 07, 2020 of F}CPiRES: leauary 07, 202 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 � o www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 8068142 Date: 11/29/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: M4AC4036C1 Indoor Unit Model Number: M4AH4036A1000AA Manufacturer: INGERSOLL RAND COMPANY Trade/Brand name: AMERISTAR 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. Series name: Manufacturer responsible for the rating of this system combination is INGERSOLL RAND COMPANY Rated as follows in accordance with AHRI Standard 2101240-2008 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): 36000 EER Rating (Cooling), 12.20 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): * 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 www.ahridiFectory.org. TERMS AND CONDITIONS I 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; AA, M"40 entered into a computer database; or otherwise utilized, in any farm or manner or by any means, except for the user's individual, personal and confidential reference. AER -CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information far the model cited on this certificate can be verified at www.ahridirectofy.org, click on "Verify Certificate" link we make life betteT— 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. i CERTIFICATE NO.: 13156450123139146Q ©2014 Air -Conditioning, Heating, and Refrigeration Institute