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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 APPLICATION FOR: Mechanical Address: �1_1 V v) )ov-) Legal Description: 06 p0b G S Property Tax ID#: a Lot No. Site Plan Name: Block No. Project Name: a` T� i vie, Setbacks Front Back: fight Side: Left Side: LIKE FOR LIKE A/C CHANGE OUT 1 �1iX ! 5V0t/-1 Jim ,r SKI A'" — n X-ll t H NC) I y Xf t MMMA, ra:•, t� ' Wo ona wor to e e orme un er t is permit-c ec a app y:HVAC �_Gas Tank Gas Piping _Shutters n Windows Doors P g [-1 / Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ ' 00 Utilities:[]Sewer Septic Building Height: f s�. Dot Nam �tV'1 Name: JOSE RAMIREZ Address: (—I lf�I' ) �— { Company: EAST COAST MECHANICAL City: ri W c i State:F� Address: 1500 N HIGH RIDGE RD Zip Code:f CO Fax: City: BOYNTON BEACH State:FL Phone No. Zip Code: 33426 Fax: (561)493-2701 E-Mail: Phone No. (561)586-3739 EXT 2020 Fill in fee simple Title Holder on next page(if different E-Mail: PERMITS@ECMSERVICE.COM from the Owner listed above) State or County License: CAC036812 If value of construction is$2500 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: 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 of Owner/Agent/Lessee Signatur f Contractor/L cen a Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF PALM BEACH The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this_day of 20 14 by this&_day of t' 1,—e,f" ,20 fa-by 'I- JOSE RAMIREZ GILLIAN CHUCK (Name of person acknowledging) (Name of person acknowledging NOTARYPUBLIC STATE OF FLORIDA Cana,#FF972357 XWre*4/7/2020 (Signature of Notary Public-State of Florida) g(Skinature of Notary Public-State of FloridaPersonally Known OR Produced Identification onally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Sea() Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS { This combination qualifies for a Federal Energy ° Efficiency Tax Credit when placed in service between Feb 17,2009 and Dec 31,2016. Ceftificate of Product Ratings AHRI Certified Reference Number: 10260307 Date: 12/7/2017 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number:XP14-018-23OA10 Indoor Unit Model Number: CBA27UHE-018-230*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: LENNOX Series name: MERIT 14HPX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. 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): 18000 EER Rating(Cooling): 13.00 SEER Rating(Cooling): 16.00 Heating Capacity(Btuh)@ 47 F: 17500 Region IV'HSPF Rating(Heating): 8.50 Heating Capacity(Btuh)@ 17 F: 11100 Ratings followed by an asterisk(1)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,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, AM 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 marl!lire bcm,± l° 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. —1-3--15-7_1—5292,-8-3-6--84-134 ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE PICA.: