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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6 -'1 1 iq� Permit Number: �F?v �°`° 'o a 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 xxx PERMIT APPLICATION FOR: Mechanical —' PROPOSED IMPROVEMENT LOCATION: Address: 5300 Matanzas Avenue Legal Description: harmony heights addn blk d and 10 and that part of vac n 35 st adj w (or 1225-446: 3156-2394) Property Tax ID #: 1431-701-0039-000-1 Site Plan Name: Project Name: Jones Residence Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 11 Lot No. Block No. Like for Like A/C replacement -Vertical 15.5 seer\1 Okw15 ton Stright Cool CONSTRUCTION INFORMATION: Additional work toje pejr orme un er this permit— check a apply: ZHVAC L _J Gas Tank Gas PipingOGenerator Shutters O Windows/Doors 1-1 Electric 1:1 Plumbing Sprinklers Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 6900.00 Utilities: Sewer []Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Telisha Jones Name: Don Miranda Address: 5300 Matanzas Avenue Company: Miranda Plumbing & Air Conditioning, Inc. City: Fort Pierce State: _ Zip Code: 34946 Fax: Phone No. 772-216-1713 Address: 750 NW Enterprise Drive City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone No. 772-878-5123 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: LDIODATO@MIRANDACOMPANIES.COM State or County License: CAC1815486 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. aSUPvPLEMp�NfaAL;CONSTRUCTIDN LIEN LAllll 1NFORMATIQN � �k�,��, ��kh ,' ,. �.o 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 commeacirw-work or recording your Notice of Commence t. Signature of Owner/Agent/ Lessee STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this �6 dayof 20 11�>by Dcla -'�kPAliPA (Name gFperson (Signature of Notary Public- State of Florida ) Personally Known -< OR Produced Identification Type of Identification Produced Commission No. I'Fgd4'51 � - , (Seal) Revised 07/1 Z `�'= Commission # FH45187 a wires: November 19, 2019 REVIEWS Fa"9VT ZONING COUNTER REVIEW DATE COMPLETE INITIALS Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this (1 day of �1��i � 20 i0by OCD), t -A i j-� P (Name of #erson acknowledging) ature of Notary Public- State of Florida ) Personally Known �- OR Produced Identification Type of Identification Produced Commission No. iE`F!4"�Ag''+ _ Seal) Camrnissian # FF945187 Expires: November 19, 2019 SUPERVISOR PLANS I VEGETATION SEATURTLE I MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Telisha A Jones 5300 Matanzas Ave Fort pierce, FL 34946 Legal Description HARMONY HEIGHTS ADDN BLK D LOTS 9 AND 10 AND THAT PART OF VAC N 35 ST ADJ ON W (OR 1225-446:3156-2394) Current Values Just/Market Value: $153,800 Assessed Value: $119,918 Exemptions: $50,000 Taxable Value: $69,918 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 19 5300 MATANZAS AVE 1431-701-0039-000-1 10394 14/315 0100 RS -4 Saint Lucie County Total Areas Finished/Under Air (SF): 4,399 Gross Area (SF): 6,056 Land Size (acres): 0.53 Land Size (SF): 23,180 This information is believed to be correct at this time but it is subject to change and is not warranted. 0 Copyright 201$ Saint Lucie County Property Appraiser. All rights reserved. Certificate of Product Ratinas AHRI Certified Reference Number: 8996393 Date : 06-07-2018 Model Status : Production Stopped AHRI Type: RCU-A-CB Series : ASXC16 Outdoor Unit Brand Name: AMANA Outdoor Unit Model Number (Condenser or Single Package) : ASXC160601 B" Indoor Unit Model Number (Evaporator and/or Air Handler) : AVPTC61 D14A" 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 he 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 AMANA product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition ofANSUAHRI 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 : 56000 SEER: 15.50 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 accomoanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the orevious (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.a h rid i recto ry,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, AMI personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ,ve hake 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. 1317281.31597523234