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JACKSON APP
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: J`M. LLIC-m c L 011 c� c c k,Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: JANA JACKSON PROPOSED IMPROVEMENT LOCATION:7201 NORTH BOULEVARD Address: 7201 NORTH BOULEVARD, FORT PIERCE FL 34951 Property Tax ID #: 1301-611-0202-000-9 Site Plan Name: LAKEWOOD PARK-UNIT9-BLK 109 LOTS 24 AND 25 Project Name: JANA JACKOSN DETAILED DESCRIPTION OF WORK: A/C CHANGE OUT OF A 2.5 TON YORK UNIT - 17.00 SEER - 7.5 KW New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4200 _ Generator Sq. Ft. of First Floor: Lot No.24 Block No. 109 Windows/Doors _ Pond Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameJANA JACKSON Name:GRETA B. SMITH Address:7201 NORTH BOULEVARD Company:ALL YEAR COOLING & HEATING City: FORT PIERCE State: _ Zip Code: 34951 Fax: Phone No. 772-480-1763 Address:1345 NE 4TH AVENUE City: FORT LAUDERDALE State: FL Zip Code: 33304 Fax: Phone No954-566-4644 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail PERMITS@ALLYEARAC.COM State or County License FLORIDA/BROWARD Vd1uc u1 LuMuuLLIUn is cwu or more, a KtCUKutu Notice oT Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �>41` LL 'EL-7 L Li, >v c c) C�' - -- Building Permit Application Planning and Development Services - Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: JANA JACKSON PROPOSED IMPROVEMENT LOCATION:7201 NORTH BOULEVARD Address: 7201 NORTH BOULEVARD, FORT PIERCE FL 34951 Property Tax ID #: 1301-611-0202-000-9 Lot No.24 Site Plan Name: LAKEWOOD PARK-UNIT9-BLK 109 LOTS 24 AND 25 Block No. 109 Project Name: JANA JACKOSN DETAILED DESCRIPTION OF WORK: A/C CHANGE OUT OF A 2.5 TON YORK UNIT New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4200 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameJANA JACKSON Name:GRETA B. SMITH Address:7201 NORTH BOULEVARD Company:ALL YEAR COOLING & HEATING City: FORT PIERCE State: _ Zip Code: 34951 Fax: Phone No.772-480-1763 Address:1345 NE 4TH AVENUE City: FORT LAUDERDALE State: FL Zip Code: 33304 Fax: Phone No954-566-4644 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail PERMITS@ALLYEARAC.COM State or County License FLORI DA/BROWARD it value or construction is Z500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County 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. Signatur f Owne Lessee/Contractor as Agent for Owner Signature 6f Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OFST LUCIE COUNTY COUNTY 0FBROWARD Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization X Physical Presence or Online Notarization this 22 day of MAY 12020 by this 22 day of MAY 2020 by JANA JACKSON GRETA SMITH Name of person making statement. Name of person making statement. Personally Known OR Produced Identification X Personally Known X OR Produced Identification Type of Identification Type of Identification Produce ENSE Produced (Signature of Nota Pgblic, t` a - � Y"� �0� (Signature of Notary P Ilcr, $pee o Ffor� d x r oSa r T JAMES Bll I: EY _IvOldry Pui) �IIC-Sl,rate lu Commission No. = Comrni f �CRj ES P n Nolar, �AI1/j B� JCKL ' -� hr���.J .�, Commission No. I F�9e�f)S aie EY Couirn my CornntissiUn expires OCtUber' SSir,r My Cc;rf MISSipr�����,.� Q m REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE' ' 19,2020 COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW _ REVIEW DATE RECEIVED DATE COMPLETED Rev. 5 5/16/2020 Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 7201 NORTH BLVD Parcel ID: 1301-611-0202-000-9 Account #: 2593 Map ID: 13/01N Use Type: 0100 Zoning: RS-4 Count City/County: Saint Lucie County Ownership Robert K Maag Jana L Jackson 7201 North BLVD Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 9- BLK 109 LOTS 24 AND 25 (0.54 AC - 23,400 SF) (MAP 13/01N) (OR4012-1568) Current Values Just/Market Value: $115,400 Assessed Value: $104,059 Exemptions: $50,000 Taxable Value: $54,059 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 12 Total Areas Finished/Under Air (SF): 1,032 Gross Sketched Area (SF): 1,536 Land Size (acres): 0.54 Land Size (SF): 23,400 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved. hftps://www.pasIc,org/RECard/#/propCard/2593 __ 1/1 5/16/202(Y"rF'"''?14) 328821(1755x2314) T Over 150,000 Installations roc Counting! �Cull Us (888) 373.1189 voC)u F 'tit.il�. I;ur, v' InI:P.Inlrl,i le.y+.'.In•L111r•,r,Y lltf7 Contact Us into@allyearac.corn Stoke ws DaceAll YearCoolin c g• om `�, - C.nntracl ftfy� ❑ Estimate •k}���'.a��l� W eretl .u...,«. v6,..t ..S.L' ..1....Y ctJnu /s�'�".5?t`.a.l c:•..�r+•'Y, "Y: y submit speciricatlons for + `r �� fin. ►:b�{`� t Equymlent Installation [ WooAlt QualilY nhrr \�Jl Al. I-,Como,wrlrF., nlllr Jll ll.rrl,.Jb�l,+nd r��,rr;l'nC'.Inf'.J,,.r�y lrrlM.II•I.rIC llln ,.r ire rl,a(tad JbdrU lr, JilnrrlJr�--•—'.--..--.. .. rICCt•iU'uy�++Ar Ynlp4t{N1pA Ca rrllh tlH UMr•)iLM•11 Ilpn[rA[JheI111Hlpolnl�rt(OntriCl D,e nor ilKlodp _ - � � r -- Add,,-;,; CIIY State,,. i, `, 1 .. _._ I lurnr I'I n v .. Em ll ._ I,ybuld lnr:prp[rr.y nr �g1Jlc:.ilHrry JnA n•Jmul dot .+r S-IS Ir•I Cr }G.3 MSPlit System trical Heat O (] Air Handle ❑ Package Unit p ystems ' Oxat Pump ` Use Existing Breaker L Replace Breaker S. Attic [I New Breaker Brand_ _ _ ghtCool ❑ V ticalApplication orizontalApplication^ to ❑Conde nser reaker Wire Size _ — Other__, Use Existing Breaker ] keplace8reai[er New Breaker Brand __ _ Electrical Disconnect Box: r Provided by All Year Cooling [j Existing Electrical to Code �. ..`.. ..v..vr. r.Jrrey Pane ❑Auxiliary ] Primary ❑ Refrigerant Copper Liquid Line, Size Zformed with Existing Codes pQ New Slab ountmg Hardware of Stand for Air Handler ❑ Crane/Genic Lift Hurricane Code Strapping Subtotal S _ ,= SL y Utility Rebate S S �4F_� S _ Man. Rebate 5 __.. _-_5,1�S Misc Credits Total investments Extended Warranty Balance Due TERMS: AnY 6n �b .ngd 7d n tln I a Torltnldan Upo W on ob ARVev�w. `e-._-- _.-..--._ LecArlsa lrCACoS . S .94CME1506x, U16711.06E000413.E80017903 - to Ina' switch A 'any Float Safety Switch l ' ' eof Rlennostat(SpccihU _L_ ".��___ Vvy;ofrwl Resistant Vibration; Isolation Pads( Yn..ar I Vrslr Mainfr.tw ce Agreement rear Fxurnded Wa•rartty D 10 Ycar ExtenJCd 1•Yarranty Lf Refrigerant Copper ❑ Length _-_ n N orExistineCor with Insulation. Size ❑ Refrigerant Line Cover V tvap. Loil __�.1. Years 1 Vim Wmramy by All Ye. C—Una on wort uarranurd. JMI manulJ•au.ar t emr+nty on Nwpmrm umnt olnawiw tlNpd below. labor Itrov,dM by tabs in;nu naNna r c nJrr...t.,...,,,,...w e.._...- ,l _I On Call Box ❑ Yes ❑ N Formoli yment ❑ Cash VCheck ❑ CC ❑ Finance �/ 4! Dat. Customer fl n e D+. SEE REVERSE FOR TERMS AND CONDITIONS https:Hayc.ayccrm.com/files/328821 1/1 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: 8863199 Date : 05-16-2020 Model Status: Active AHRI Type: RCU-A-CB Series: LX SERIES Outdoor Unit Brand Name: YORK Outdoor Unit Model Number (Condenser or Single Package) : YCG301321 Indoor Unit Model Number (Evaporator and/or Air Handler) : AE36BX21+TXV 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 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 YORK 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 (9517), btuh : 29200 SEER: 17.00 EER (A2) - Single or High Stage (95F) : 14.25 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 accompanied by WAS indicate an involuntary _re -rate. The new published rating is shown alona with the previous (i.e. WAS) ratina. 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, 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 we male life bolter - 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. -- ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132341202688108825 MM A DIA►DE MIAMI-DADE COUNTY • PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.miamidade.aWeconomy York International, Inc. subs. of Johnson Controls 3110 N. Mead Street Wichita, Kansas 67219 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-Product Control Section to be used in Miami -Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami -Dade County) and/ or the AHJ (in areas other than Miami -Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: OD Condensing Units with Steel Tie -Down Clips for At -Grade and Rooftop Applications APPROVAL DOCUMENT: Drawing No. 15-2783, titled "OD Condensing Units At -Grade and Rooftop Structural Applications", sheets 1 through 6 of 6, dated 02/24/2016, with last revision dated 05/29/2018, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E. on 04/30/2019, bearing the Miami -Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/ series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/ or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 16-0418.09 and consists of this page I and evidence pages E-1 and E-2, as well as approval document mentioned above. The submitted documentation was reviewed by Sifang Zhao, P.E. miAmmADE COUNTY -S' Z . NOA No. 19-0401.05 "' 07/03��1 I Expiration Date: July 12, 2023 Approval Date: July 03, 2019 Page 1 York International, Inc. subs. of Johnson Controls NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED 1. Evidence submitted under NOA # 16-0418.09 A. DRAWINGS 1. Drawing No. 15-2783, titled "OD Condensing Units At -Grade and Rooftop Structural Applications", sheets 1 through 10 of 10, dated 02/24/2016, with last revision dated 05/29/2018, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E. B. TESTS 1. Test report on Uniform Static Air Pressure Test per FBC, TAS 202-94 of OD Condensing Units with Composite Base Pan with YXV, YZV, YXT, and YZT Cabinetry, prepared by American Test Lab of South Florida, Test Report No. 0127.01- 17, dated 03/01/2017, signed and sealed by Stephen W. Warter, P.E. 2. Test report on Uniform Static Air Pressure Test per FBC, TAS 202-94 along with marked -up drawings and installation diagram of OD Condensing Units with YCJF, CZF, YFE, RAC, YHE and RHP Cabinetry, prepared by American Test Lab of South Florida, Test Report No. 1029.01-15, dated 12/12/2015, signed and sealed by Stephen W. Warter, P.E. C. CALCULATIONS 1. Anchorage calculations prepared by Engineering Express, dated 03/15/2018, signed and sealed by Frank L. Bennardo, P.E. 2. Anchorage calculations prepared by Engineering Express, dated 03/18/2016, signed and sealed by Frank L. Bennardo, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. F. MATERIAL CERTIFICATIONS 1. None. STATEMENT 1. Statement letter of code conformance to the 5 h edition (2014) FBC issued by Engineering Express, dated 04/04/2016, signed and sealed by Frank L. Bennardo, P.E. 2. Statement letter of no financial interest issued by Engineering Express, dated 03/18/2016, signed and sealed by Frank L. Bennardo, P.E. Sifang Zhao, P.E. Product Control Examiner NOA No. 19-0401.05 Expiration Date: July 12, 2023 Approval Date: July 03, 2019 E-1 York International, Inc. subs. of Johnson Controls NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED 2. New evidence submitted A. DRAWINGS 1. Drawing No. 15-2783, titled "OD Condensing Units At -Grade and Rooftop Structural Applications", sheets 1 through 6 of 6, dated 02/24/2016, with last revision dated 05/29/2018, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E. on 04/30/2019. B. TESTS 1. None. C. CALCULATIONS 1. None. D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENT 1. Drawing No. 15-2783 statement of code conformance to the 6' edition (2017) FBC issued by Engineering Express, dated 04/30/2019, signed and sealed by Frank L. Bennardo, P.E. Sifang Zhao, P.E. 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