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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08/13/2020 Permit Number: o Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 - Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:Replace A/C System PROPOSED IMPROVEMENT LOCATION: Address: 359 Seashore Ter Fort Pierce, FI 34982 Property Tax ID #: 3410-508-0268-000-3 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: 3.5 Ton 14 SEER Package Unit 10 KW Heater Like for Like New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. Block No. 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:. Cost of Construction: $ 5950 OWN Sq. Ft. of First Floor: Utilities: —Sewer Septic Building Height: NameJoann Bush Address: 359 Seashore Ter City: Fort Pierce State Zip Code: 34982 Fax: Phone No. 772-595-2348 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Robert Marcella Company: Comfort Experts USA In Address:664 NW Enterprise Dr #120 City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772-873-3090 Phone N0772-873-3090 E-Ma i I ckongerl4@gmail.com State or County License CAC1 814439 If value of construction is 2500 or more, a RECORDED Notice of Commencement is requ If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: City:_ Zip:_ Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to clothe work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count yy 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. Inconsideration 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 your Notice of Commencement. Signature of Owner/ Les a Contractor as Agent for Owner STATE OF FLORIDA { � / /y p COUNTY OF �fl�t, 0 Sworn to (or affirmed) and subscribed before me of x Physical Presence or_ Online Notarization this 13 day of A-uust 2020 by K6-6ri mag, Name of person making statement. Personally Known OR Produced Identification Type of Identification Signature of C tr ctor/License Holder STATE OF FLORIDA ,I.I COUNTY OF \�T Ala _ Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 43 day of August 2020 by RiN��cd ►-e- Name of person making statement Personally Known OR Produced Identification Type of Identification Produced Drivers Ucense IFEFtipt"Or E MILLER 1V(ft/V gnature of Notary Pub m fit- I F °f1 e. Si nature of Notar Pub' - i Com fission #GG 273315 g Y Commission No. `%'' �' My Commission Expires CA HE NE MILLER cG2taats o, wqo' l6f®a�mber Ot, 2022 ommission No. GG273315 ;o� °`e.: State WE9 rida-Notary Publi ,� •c Commission# GG 273315 a` My Commission Expires rrWO" GVe erullzuzz REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO COUNTER REVIEW REVIEW REVIEW I REVIEW I REVIEW I REVIEW RECEIVED COMPLETED Certificate of Product Ratin AHRI Certified Reference Number: 7614674 Date: 06-12-2020 Model Status: Active AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: NORDYNE P71RE SERIES Outdoor Unit Brand Name: NORDYNE Outdoor Unit Model Number (Condenser or Single Package), P7RE-042K 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. NORDYNE 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 : 40500 SEER: 14.00 EER (A2)- Single or High Stage (I : 11.00 ?"Aciive" Model Status are those that an AHRI Codification 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 Cedlflcation Program Participant Is no longer producing BUT Is still selling or offering for sale. Retinas that are accomoanied by WAS Indicate an Involuntary re -rate. The new Published Patina is shown alone with the Previous (i.e. WAS) rafino. 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 AM 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 farm or manner or by any means, except for the user's Individual, personal and confidential reference. AIRCONDRIONING, HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified al www.ahridirectory.org, click on "Verify Certificate" link make life better - 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.: 132417367973210426