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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/8/2020 Permit Number: Planning and Deve1opment5ervices Building Permit Application Building and Code Regulation Division 2300VirginiaAvenue, Fort Pierce FL34982 COMMercial Residential xxxx Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR; Mechanical [P:R:0PO�SEDON:MPROVEMENT LOCATIAddress: 1E Afdea Street Property Tax ID #: 3419-515-0239-000-0 Site Plan Name: Fedak Residence Project Name: DETAILED DESCRIPTION OF W RO K: Like for Like hvac System Replacement 3 ton-15 Seer-8kw-VerticalCloset -Ground 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 _ Electric 4 Plumbing _ Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 5819.00 — Windows/Doors Lot No. Block No. — Pond _ Generator — Roof Pitch Sq. Ft. of First Floor: Utilities: — Sewer _ Septic OWNER/LESSEE- Name Douglas Fedak Address:112 E Aldea Street City: Port St Lucie 34952 State: Zip Code; Fax: Phone No.772-878-5123 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: CONTRACTOR: Name. Don Miranda Company: Miranda Plumbing & Air Conditioning Address:750 NW Enterprise Drive City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone No 772-878-5123 E-Mai I Ldiodato@mirandacompanies.com State or County LicenseCAC1815486 If value of cott5ttuctivn is 2504 ov move, a RECORDED Notice oii Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN DESIGNER/ENGINEER: Name, - Address: City.- Zip- Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: LAW INFORMATION: Not Applicable MORTGAGE COMPANY; Name: Not Applicable Address: State: City: State: Zip: . Phone: Not Applicable BONDING COMPANY: Not Applicable Name: Address: ------------ City: 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. w 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 structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply, such 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 YO ER OR AN ATTORNEY BEFORE RECORDING OTICE OF ElYCEMEINT." 0/ �L Signa ure o Owner/ Lessee/Contractor as Agent for Owner Sign STATE OF FLORIDA COUNTY OFsi � u�ie The forgoing instrument was acknowledged before me this 15 da of "0"' Y 20�� by Lon Miranda Name of person making statement. Personally Known — OR Produced Identification Type of Identification Produced � i r (Signature of Notary Public- State Florida j Lod Diodato Commission Na. Inmission#GG069i Expires: Feb. 9, n ctor/License Holder STATE OF FLORIDA COUNTY OFStLL�1. The forgoing instrument was acknowledged before me this day of ZO - by Lan Miranda Name of person making statement. Personally Known -x OR Produced Identification Type of identification Produced (Signature of Notary Public- st ission No. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW DATE REVIEW RECEIVED DATE COMPLETED } Lori Diodat Commission # GG stokes. Feb. 9, Bonded thrn Aaron MANGROVE REVIEW •ti:na1 CERTIFIEDO www.all rid irectory,org Ah Ems: Le AHRI Certified Reference Number: 201168362 Date ; 06-08-2020 Model Status :Active Old AHRI Reference Number: 7491226 AHRI Type: RCU-A-CB Outdoor Unit Brand Name : RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1430AJ1 Indoor Unit Model Number (Evaporator andlorAir Handler) : PHIT3617STAN 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, It_, IA, IN, KS, MA, ME, Mf, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, 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 regions) 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 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 ; 28600 SEER : 15.00 EER (A2) - Single or High Stage (95F) : 12.50 T"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for safe; 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. Ratin s that are accom anied by WAS indicate an involuntary re -rate. The new published rating is shown alongwith the revious i.e. WAS 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 product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and confi directory at www.ahridirectory,orgurations listed in the g. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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, N� ■9 personal and confidential reference. CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at wvuw.ahridIrectory. org, click on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life Heuer" which is listed above, and the Certificate No., which is listed at bottom right. ©2024Air-Conditioning, Heating, and Refrigeration Institute CEFtTII=IrAT•F PJrJ 132360887153225478