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Building permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/21/2019 Permit Number: S - s- • s Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Building Permit Application Address: 10851 S Ocean Drive #121 Jensen Beach Property Tax ID #: 4511-810-0128-000-1 Site Plan Name: Project Name: Commercial Residential xxxx DETAILED DESCRIPTION OF WORK: like for like AC Package unit replacement 3 ton 14 seer 5 kw Ground CONSTRUCTION INFORMATION: Lot No._ Block No. Additional work to be performed under this permit— check all that apply: WMechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing — Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 6000.00 Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Pauline Lefever Name: don Miranda Address:10851 S Ocean DR Lot 121 Company: Miranda Plumbing & Air Conditioning City. Jensen Beach State: _ Zip Code: 34957 Fax: Phone No.772-229-3128 Address:750 NW Enterprise Drive City: Port St Lucie State:fl Zip Code: 34986 Fax: Phone No772-878-5123 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail IDIODATO@MIRANDACOMPANIES State or County LicenseCAC1815486 ii vague UT cunsLruciion Is:�zauu or more, a P LLUKULU Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. P.'T � I f i� � � �S•G' 3:�Y.f F�R� - ��'� Gy'— '' �,( .yx�3i1 � ? � � _ Ttl DSIGNEiiJENG1NEER;_ �ti.t..... Y...�w lVpt Applicable �"'�e.r���'i�`. '.e:'��1"la��'���1��: 4a.... �x•Tr�]�....��� L.ti•Yix ..�.L:tr..�.-.. . � `ill fViI�RT%,4CE C(3iVlPANY: Not Applicable Name: — Dame; Address: Address; �� City: State: City: _ _._.__, , .•., Zip: Phone: ZIP: Phone: —State,. FEE SIMPLE TITLE HOLDER: ____ Not Applicable BONDING COMPANY; Not Applicable Name: Name: Address: —Not Address: City: .: City: Zip: Phone: Zip: Phone; _ l certify that no work or installation has commenced prior to the issuance of a permit, St. Lucie Countty� makes no representation that Is granting a permit will authorize the permit holder to build the subject structure which is in confEict with any applicable Home Owners Association rules, bylaws or ana covenants that may restrict or prohibit such structure, Please consult with your Home Owners Association and reviewyour deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, In ali 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 accessary 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 - ,a first ins ggction. if you intend to obtain financing, consul a ern attorney before co enci rt nr rsarnrrLlr��)^IIr Ni-4--C r_�_.__ _._ _ .... �'sli;natdre-of'Owner/ Lessee/Agent ra L, STATE OF FLORIDA Q '� COUNT1f aF The forgoing Instrument was acknowledged before,Q� A C= 5 this day of 2b Tr by A2.18 M -p is Al l A/2 {dame j person acknowledging ] „,e ° t,Dignazure or wotary Public- State of Florida) Personally Known 1-� OR Produced Identification Type of Identification Produced Commission No.���V (Seal) Revised 07/15/2014 REVIEWS I FRONT I ZONING COUNTER REVIEW COMPLETE INITIALS re of Contr�tor/License STATE OF FIL COUNTY OF _L L rb rr7 , The forgoing instrument was acknowledged before m '1 this day of 20 1 `i by a rr�� 0 ,= 4 E -- {Name off rson acknowledging ) ( gnature of N tary Public- State of Florida) ,urns*r�'���*• �� Personally Known JJ OR Produced Identification Type of Identification Produced Commission No,�ZYI (Seat) S PERVISANGRO REVIEWOR REVIEW I I PLANSVR V EWON ISEREVIEEGETATIATURTW I MREVIEWVE r..:�i CERTIFIED° wvvw.ahridireutory.org .. It _ 0 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Product Ratings AHRI Certified Reference Number: 200945843 Date : 06-21-2019 Model Status : Active Old AHRI Reference Number: 6892357 AHRI Type: SP-A Series : GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1436H41 D* 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, INC, 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. The manufacturer of this GOODMAN 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 : 35600 SEER: 14.00 EER (A2) -Single or High Stage (95F) : 12.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AN D selling or offering for sale; OR new models that are being marketed but are not yet being prod uced.`Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is stiff selling or offering for sale. Ratin s that are accom anied b WAS indicate an mvolunta re -rate. The new -published rating is shown alone with the previous O.e. WASI ratin . 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 pmduct(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.abridifectory.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, 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.ahridlrectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better which is listed above, and the Certificate No., which is listed at bottom right. ©2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132056193756231345