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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09/19/2019 Permit Number: 4 J 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 XX Residential XX PERMIT TYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 9400 S. Ocean Dr., Apt. #304B, Jensen Beach, FL 34957 Property Tax ID #: 3535-702-0019-000-3 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Lot No. Block No. Replace a/c equipment, like for like Rheem 2.0 ton with 5kw heater Condenser Model: RA1424AJlNA Air Handler: RHIP2417STANJA CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors — Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 3800.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Marilyn Harris Name: William H. Britton, Jr. Address: 9400 S. Ocean Dr. #30413 Company: Buddy's A/C LLC City: Jensen Beach State: rL Zip Code: 34957 Fax: Phone No. 772-263-9115 Address: 8815 W Angle Road City: Fort Pierce State: FL Zip Code: 34947 Fax: Phone No (772) 480-4136 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail buddysacllc@gmail.com State or County License CAC1820063 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: >e Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: )c Not Applicable Name: BONDING COMPANY: )Not Applicable Name: Address: Address: City: 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 .JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ essee/Contractor as Agent for Owner Signature of Contracta License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF st Lu,,e COUNTY OF St L.n. The forgoing instrument was acknowledged before me this ' day of S� {-. 20 j by The for ing instru ent was acknowledged before me this l day of 20 V? by -r - — William H. Britton Jr. Wlliam H. Britton Jr. Name of person making statement. Name of person making statement. Personally Known XX OR Produced identification NIA Personally Known xx OR Produced Identification N!A Type of Identification Type of Identification Produce NIA Produce NIA ( nature of Notary Public- StateF rid6r}stina arsons (' nature of Notary Public- State of F ida) Kristins R. Parsons NOTARY PUBLIC `—' NOTARY PUBLIC No. GGo9osse $J TE OF FLORIDA Commission No. GG090836 >$ tATE OF FLORID ?; GG090836 � Comm# GGtMm �l REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 Certificate of Product Ratings AHRI Certified Reference Number: 201166832 Date : 09-19-2019 Model Status : Production Stopped Old AHRI Reference Number : 7490963 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1424AJ1 Indoor Unit Model Number (Evaporator andfor Air Handier) i RH1 P2417STAN Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, €'A, RI, SD, UT, 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 RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHRI 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 : 24000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 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` Modet Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sealing or offering for sate. Ratan s that are acoom anted b WAS indicate an involuntaryre-rate. The new ublished ratin is shown alon with the revious i.e. WAS ratan . 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 its of AHRI. This Certificate shall only be used for individual, personal and .:. ,.,r, This Certificate and contents are proprietary products 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, & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectery.org, dick on "Verify Certificate" link we make lire better` and enter the AHRI Certified Reterence number and the date on which the certificate was issued, which is listed above, and the Certificate No-, which is listed at bottom right. 132139153037652357 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.;