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Building Permit Application
ALL APPLLICABLEyy INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Olot``1� _ Permit Number: s -•'� 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: To Select from dropbox, click arrow at the end of line I I PROPOSED IMPROVEMENT LOCATION: Address: Legal Description, Property Tai Site Plan Na Project Nam Setbacks V Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace AC, exact change out with, to �+ 6EER, KW AC unit ; CONSTRUCTION INFORMATION: Additional work to orme under this permit - check a apply., aVAC f] Gas Tank Gas Piping _ Shutters a Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor; Cost of Construction: $ Utilities: Sewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name n Name: Dennis Zacek Address: Company: AIRS American Residential Services City: State' Address: 2800 US Hwy i Zip Code: Fax: City: Vero Beach State: FL Phone No.-1-10— t_ - I t&? Zip Code: 32960 Fax: E-Mail: Phone No.- I a Fill in fee simple Title Holder on next page { if different E-Mail: S •ti S • CC TICK from the Owner listed above) State or County License: CMC1249753 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGNER/ENGINEER: X Not Applica Name: Address: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: X Not Applicable Name: Address: City: State: Zip: Phone' BONDING COMPANY: x Not Applicable Name: Address: City: 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 your Notice of Commencement. 5 _Signature of O er/ Lessee/Agent Signature of Contra r/License Holder STATE OF FLORIDA COUNTY OF s1Luoe The for oing instr ent was acknowledgeMefore me this day of 20 by STATE OF FLORIDA COUNTY OF S1Lude The Zfing instr ment was ac nowledged b fore me thisday of 20 y Dennis Zacek Dennis Zacek m f person ack owledging (Na of p rson acknowledgi "oloCs kn (Signature of Notary u rc- State of Florida } (Signatur o Notary Pu 1 - ta Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identif cation Produced Type of Identification Produced Commission ND �6 (Seal) Commission No. 71535 (Seal) �.: CULEEN SULLIVAN COLEEN ��ELLIVAN . -MY COMMISSI "= MY COMMISSIO d Revised 07/ 15/201 ''' EXPIRES February 09, 2021 ' :;r ' EXPIRES Febm ary 09, 1021 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. r Certificate of Product Ratin s AHRI Certified Reference Number; 201754311 Date: 08-13-2019 Model Status; Active AHRI Type: HRCU-A-CB-O Series Name: M-Series Outdoor Unit Brand Name; Mitsubishi Electric Outdoor Unit Model Number: MUZ-GL12NA-Ul Indoor Type: Mini -Splits Indoor Model Number(s) . MSZ-GLI2NA-U1 Rated as follows in accordance with the latest edition of ANSIlAHRI 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 (95F) : 12000 EER (95F) : 13.00 SEER 23.10 High Heat (47F) : 14400 Low Heat (17F) : 9200 HSPF : 12.50 Sold In?: USA t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR now 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 ;s still selling or offering for sale. R I.n l.*ra' re mem ied WAS ndi te, n :nvofun' rfl I ts. The now ublished r n is shown along wi'h the revLUu I.0 WAS F t-n 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 klr'd wising 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 ompoko 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, XM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INsTnIfrE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, cJlck on 'Verify Certificate' link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued. we make lire heater which Is listed above, and the Certificate No., which Is listed at bottom right. -- ©2019Air-Conditioning, Heating, and Refrigeration Institute f CERTIFICATE NO.: 132101707930497508 This combination qualifies for a Federal Energy Efficiency tax Credit when Placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratinas AHRI Certified Reference Number: 201754315 Date: 08-13-2019 Model Status : Active AHRI Type: HRCU-A-CB-O Series Name: M-Series Outdoor Unit Brand Name: Mitsubishi Electric Outdoor Unit Model Number: MUZ-GLI8NA-U1 Indoor Type: Mini -Splits Indoor Model Number(s) : MSZ-GLI 8NA-U I Rated as follows in accordance with the latest edition of ANSIIAHRt 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 (95F) : 18000 EER (9517) : 13.40 SEER : 20.50 High Heat (4717) : 21600 Low Heat (17F) : 13800 HSPF : 11.20 Sold in?: USA VActive" 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 Sill seliing or offering for sale. R tin s In t rp i, cxompaniBd by WAS indicate an involunt re le. Thu new ublished raling is 1hown..310nil with the previou1.tr WASraiir, . DISCLAIMER AHRI does not endorse the products) listed an 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 an 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 snail only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copled; 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 INSTITUrE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on -Verify Certificate- link we maLe lire better and enter the AHRI Certified Reference Number and the date on which tho certificate was issued, which is listed above, and the Certificate No., which Is Itsted at bottom right. 02019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132101708259560810 MITSUBISHI ELECTRIC COOLING & HEATING PRODUCT GUIDE MSZ-GL SINGLE -ZONE HEAT PUMP The latest generation of waft -mounted M-Series models Is here \\ Introducing the GL line, the successor to the popular GE models �! These models provide enhanced, industry -leading performance for the single -zone ductless product category. FEATURES INCLUDE: M-SERIES SINGLE -ZONE k IWX • Washable long life filters n Nano Platinum filter with deodorizing and anti -bacterial properties. A Anti -allergy Enzyme filter traps dust and reduces germs, bacteria and viruses (except GL24). • Auto restart and auto cooling/heating changeover. • Air distribution u Vertical air swing (all units). n Horizontal swing (GL18, GL24 only). n Wide airflow (GL24 only). • Control functions Wireless hand-held controller. 24-hour timer. n Smart Set feature recalls the preset temperature by pressing single button on remote controller (GL06 - GL18 only). M-Net interface. • Multiple fan speeds: 5 speeds (GL06 - GL18), 4 speeds (GL24 only). WHAT'S NEW: • All models ENERGY STAR qualified. • Quieter than previous GE models. • Blue Fin anti -corrosion coating on outdoor unit for increased coil protection and longer life. • New chassis for GL18 (35-5/16" x 12" x 9-3/16"). • New logo treatment on indoor unit. • Compatible with kumo cloud'"^ control app and Thermostat Interface. COMPATABILITY: MSY/Z-GL and MUY/Z-GL models are not compatible with MSY/Z-GE and MUY/Z GE models. MSY/Z-GL and MSWZ-GE indoor units are compatible with MXZ C outdoor units. MITSUBISHI ELECTRIC / M-SERIES / SPECIFICATIONS / 1 SINGLE -ZONE I IVISY System Cooling Only Indoor1 Outdoor Rates Capacity 1121.1111 I 9,000 12.OD0 14 ODD 18.000 22 500 Capa=ity Range $'urn 3.000 - 12.200 3.800 - 13.600 500 - 13,6DD 5,8110.22.000 8.20(1-31.4D0 Cooling 'I Rated Total Input W 585 920 1,080 1,34D 1800 Energy Efficiency SEER 24.6 231 205 2D 5 MoielureRemoval Pin[, h 15 2.5 27 21 51 Sefttle Heat Factor 0.920 0 740 0.800 0.870 0 750 Power Supply Phasd. Cycle. Voltage Phase 6OHz, 2D81230V '2 Indoor - Outdoor S1 - S2 AC 208.1 230V Voltage Indoor - Outdoor $2 - $3 DC s24V Indoor - Remote Conoofler Wireless Type (Optional Wired Controller DC 12V) MCA A 10 Blower Motor (ECM) F. A. 076 0,67 076 Airflow at Cooling (Ouiet-Lo-Med-HI-Super H,"1 DRY (CzM) 145-170.237 321 399 21-5-e72-335-42a-533 258.332-417.522-646 388.469-544.628-738 WET ICFM) 109.134-2D1-286.364 170-237-300-385-498 232.299.375-470-581 347.420.487.562-661 Sound Pressure Level at Cooling (Ouiel-Lo-Med-Hi-Super Him '1 dBIA) 19-22 30.37.43 19.22 30 37.45 26 32-38-44 49 28-33-30.44.49 34.41.45.49.53 Indoor Unit External F rush CSIor Munsell 10 42 � 0.2 Dimension Unil W 11. 31-746 16-5116 43.5/16 D: In. 9.1to 9.13/16 9.3la H:In. 11-5/8 12 12-13/16 Weight Unit Los. 22 28 37 Field Drainpipe Size O.D. In. 518 Remote Comroller Type Select from PAC.WHSOIWF-E lei kumo cloud", PAC-L15444CN•1, MHK1, PAR•31MAA, or PAC-YT53CRAU Remote Controllers MCA A 7 1 9 1 14 171 MOCP A 15 20 Fan Motor (ECM) F.L.A. 0,50 0,93 Compressor Model IT O DC INVERTER -driven DC INVERTER -driven Twin Rotary H.L.A. 4.9 6.8 10.0 12.9 LR,A. 6.1 8,5 12, 5 16. I Outdoor Unit Arllow(Coolin) CFM 1,229/LI72 1.24311.229 1.69111.691 1.769l1,701 RelrigemRl Control Linear Expansion Valve Sound Pressure Level atCooling 'I dBIA) 48 49 54 55 External Finish Color Munsetl No. 3Y 7.811 1 Dimensions W. In. 31-If2 33-1/10 D In. 11.114 13 H,In. 21-518 34-5/8 We ght Los. 81 121 119 Type R410A Ref gerant Charge Los., Oz. 2.9 3 7 4 3 Oil Type 18. Oz,) FV505 (0 27) FV50S (0.35) FV50S (D.40) Refi gerant Gas Side 0-D. In. 318 112 518 Pipe Liquid Side O.D. In. 1,4 31a Rehigerant Pipe Height Difference (Max.) Ft.. 40 50 Lerigm Length(Max,l Ft.. 65 1DO Con lection 1811100 Indoor/outdoor Flared/Ftared )TOTES Test conddions are oascd on AHRI 2101240. ' I . Rating conditions (cooling) - Indoor O.B. 901 F 1270 C), W.B. 670 F (19' C): Outdoor. D B. 95F F (351 Cl. W B 751 F (241 C). '2. Indoor units receive power trom outdoor units through Feld -supplied interconnected wiring. Spocificulions are subject to chani}o without notion. LIMITED WARRANTY I Seven-year warranty on comUressor. Five-year wartanty on parts. 2 / MITSUBISHI ELECTRIC / M-SERIES / SPECIFICATIONS SINGLE -ZONE I MSZ System j Heat Pump -, _ _- t __ Rated Capacity Btuft 9,000 12.000 14,000 18,OD0 22.400 Capacity Rave Bluth 3,600 - 12,200 1.500 - 13,600 3.100. 18.200 5.800 - 22,000 8.200 31, Cooling'1 Rated Total Input W 585 920 1,080 1,340 1,800 Energy Elficiency SEER 24.6 23.1 21.6 20.5 20-5 Moisture Removal Pinlsllt t.5 2.5 27 2.1 5.1 SemWla Heat Factor 0.820 0.740 0,800 0,870 0.75n Heating at 471 F'2 Hated Capacity B1u111 10,900 14.400 18.000 21,1500 27.600 Capacity Range BUb 4 5D0 - 14.1 DO 5,500 - IS, 100 4.500 - 20.900 5.400 - 25.000 7,500 36.900 Rated Totallnpul W 720 1,100 1.600 1.680 2,34D HSPF (M fiW Wy 12.8 12.5 11.7 11.2 10.0 Heating at 171 F,3 Rated Capacity fingh 7.000 12.000 16,400 18.200 24.WO Rated Total Input W 620 9,20D I2.20D 13,800 16,000 Maximum Capacity Stunt 9.400 1,24D 1,850 1 2.150 3290 Heating at 5° F Maximum Capacity Stulh 7,6DO 9,70D 13,7DD I 14,50D 21.160 Power Supply Phase. Cycle. Voltage I Phase, 60Ht, 2081230V'4 Voltage Indoor - Outdoor SI - S2 AC 208123GY Ind= - Outdoor S2 - S3 DC ,24V Indoor - Remote CuntrWler I Wireless Type {Optional Wired Controller DC121O Indoor Unit MCA A 1.0 Blower Motor (ECMI F.L.A. 0.76 0.67 0.76 Airlow at Cooling (Ouiet•Lo•Med•Hi•SuperHr]'1 DRY(CFM) t45-170.237.321.399 205.272-335-420.533 259.333 416 523 646 388 469-544.628.738 WET(CFMI 109.134.201.286.364 170-237.300-385.498 Z33.300.375-470-581 347-420.487.562.661 Airflow at Heating (Ouiet•Le•Metl•Hi-Sucer Ifil -2 DRY(CFM) 145-170.237.321.400 205.247.304.367.463 296.384.469.563.646 3118.469.544.628 738 External Static Pressure In. Vl6 Sound Pressure Level at Cooling (Quiet-La'1 d8( A) 19d2.30.37.43 19.22.30.37.45 25.32.38-44.49 28.33.38 44-49 34.41.45.49.53 Sound Pressure Level atlfeating (Quiet-Lo-Med Hi -Super HII'2 d8{Al 19.22-30-37.43 f9.22.30.37.43 26.30.35-40.46 28.33.38 43-48 32.41.45.49 52 External Finish Color Munsell 1.OY 9.210.2 W:Im Dimension Una D: in, H;tn• 31-7116 36.5116 43.5116 9.1 /8 9.13/16 9.3/8 11.5/8 12 12-13116 Weight Unit Lbs. 22 28 37 Field Drainpipe Sue O.D. In. 5/8 Rernotc ConOolle+ Type Select from PAGWHSDIWF•Efor kumdcldud""PAC•US444CN•1,MHRI,PAR•31MAA.orPACYT51CRAllRerndteControBe:s Outdoor Unit MCA A 9 10 14 171 MOCP A TS 20 Fan Motor (ECMI F.LA. 0-5 0-93 Compressor Model fi 1 DC INVERTER -driven Twin Rotary R.L.A. 6.2 66 74 10.0 12.0 L.R.A. 77 8.2 03 12.5 16.1 Au flow (Coolin Heottn) CFM 1,22W1,172 1,22911.172 1.243 / 1.229 1.69111,691 1.769 / 1,701 Refrigerant Control Linear Expansion Valve Defrost Method Reverse Cycle Sound Pressure Level at Cooling '1 dB(A) 48 49 54 55 Sound Pressure Level at Healing'2 1 dB(A) 50 51 55 E+ilemal Finish Color Munsell No, 3Y 7.811.1 Dimensions W In 31.112 33.1116 D; In. 11.114 13 H:In. 21.518 34.5/8 Weight Lb& 81 171 119 Refrigerant Type R41OA Chatge Lbs., Oz. 2.9 3.7 4.3 Oil Type III, nz.) FV50S (0.35) FV50S (D,40) Refrigerant Pipe Gas Side 0A. In, 318 112 5/0 Liquid Side O.D, In. 114 310 Refrigela[11 ppe LY4rgIh Height Ditferonce (Max.) Ft. 40 5D Length (Max 1 Ft. 55 100 l nnnectlon Method Indoortoutdoor Flared[Rared NOTES Test conditions are based m A10 2101240. 'I Rating tanditions+cooling)-lndoor O 0 B(r F 127• Q. W 8.67' F (19' Q Outdoor 0 B SS' F 135' Q W B 75' F (24' Cl '2 Raung conditions !heating) -Indoor D 8 70' F (21' C) W.6.6O' F 1161 L') Outdoor 0 8 47' F 18' C). W 0 43' F Z' CS '3 Rangg Cor4lJon3 iheatingHndoor 0 B Ar F .21' C'-. W..0 60' F (16' L) Outdoor 0 0 17' F( 8' C) W B 15' F I -T C. -4 Indoor units rmcbm power rrorn outdoor unds through held -supplied intercdnneded wi ing. Spac:F,cauons are subject to change without nonce LIMITED WARRANTY I Seven-yaar warranty on compressor Five-year warranty on parts MITSUBISHI ELECTRIC / M-SERIES / SPECIFICATIONS / 3 MULTI -ZONE f MSZ Indoor Units f Heat Pump (FOR MXZ-C OUTDOOR UNITS) ,r, I. I Cuoling'1 Rated Capacity &turn 6,000 9.000 12 ODD 14,000 17,200 22 400 Heating at Rated Capacity Btu n 7 2DO 10,90D 14 40D 18,DOO 21,600 27 600 47- F 'z Power Supply Phase, Cycle. Voltage i phase. SOW, 208 + 230V -3 Indoor - Outdoor 51 - S2 AC 208123GV Voltage Indoor - Outdoor S2.53 DC -24V MCA A 1.0 Blower Molar FL.A. 076 0,67 076 AktirmatCoating DRY(CFM) M5-170-237.32i-399 145-170.237-321-399 205-272-335.420.533 259.333-410-523-646 388-469.544.628.738 (Quiet-Lo•Med-Hi WET (CFM) 1pg-134 201 266 364 109-134-201 266 364 470 237 300-385-498 233.300.375-470-581 347.420-487.562 661 SuperH}'1 Fan Aidbw at Heating (Ouzel-Lo-Metl-Hi- �CFM 145-170.237.321-406 145-170-237-321-4D6 1205-247-304-367-463 296-384.489.563.648 388-469-544.628.738 Super H1'2 Sound Pressure Level Cooling er (OuieDLo•Med-Ni•Super Hp'I dBIA) 19.22.30-37-43 19-22-30.37.45 26 32 38 44 49 28 33.38 44.49 34-41-45.49.63 Sound Pressure Level at lleating (Ouiel-Lo.Med•Hi-Super Hi; '2 dB(A) 19.22.30 37-43 19-22-30-37.43 26 30.35-4] 46 28-33.38-43-48 32-41.45-49 E2 External finish Color Mansell 1.0Y 9 210.2 W-In. 31-7.+16 30.5116 43-5116 Dimension unit 0 in. 94:13 9.13116 9-318 H.In, 11-5/8 12 12 13116 Weight unit Us. 22 28 37 Field Drainpipe Size 0.0 In. 518 Remote Type Select from PAC WHSOI WF E lot kunto doudT'" PAC LIS444CN I. MHK1. PAR 31MM, or PAC. YT53CRAU Remote Conuallers Controller • Refrigerant Type R410A Refrigeranl Pipe Gas Side 0.0 In 348 lf2 518 Liquid Side 0 D I In. 114 318 Connection MethodInWorlOuldoor Fiareditred NOTES: Test conditions are based on AHRI 2101240. • t, Raring conditions 4cooling)-Indoor D-S 804 F (27" C). W B 67° F 091C): Outdoor D.B 95' F (35' C). W.B. 75P F (24° C) '2. Rating conditons (heating) -Indoor- D.B 70° F (2t° C), W.B fill° F (16° C); Outdoor O,B 47" F (8° C), W.B. 43' F (6" C). '3. Indoor units receive power from outdoor units through field-supplled wiring. Specifications are subject to change without notice. LIMITED WARRANTY I Seven-year warranty on compressor Five-year warranty on pans For data an specific indoor unit combinations visit www-mitsubishipro com/muitizone 'fftMITSUBISHI ELECTRIC COOLING & }1fiAif ING MAKE COMFORT nerjo 1- Fr)r more frdorrlldiio'I a'isii www.mitsubishipro.com Mitsubishi Electric Cooling & Heahmg 1310 Sa:CAIL Bouk.-vmd liirtr3nFie, GA 3005- Pr iunc: 800 A33-4822 Mitsubishi Electric. H'.l and the three diamond k)go are registered trademarl.s of Mitsubishi Electdc Corporation See Complete warranty far terms. conditions and [imitations RedLINK Ls a registered trademark e1 -lorpywE I Inter -at Or,r ii r WARRANTY 12 ;ear compessor and parts when installed and reg,stered by a Diamond Contractor 12.2015 I SKU: GLPLG I Printed In Tire U S.A 4 / MITSUBISHI ELECTRIC / M-SERIES / SPECIFICATIONS