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Building-Permit App
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/20/2020 Permit Number: c L Building Permit Application Planning and Development Services Building and Code Regulation Division Commercia 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: �;, PROPOSED IMPROVEMENT LOCATION: Address: 9523 Shadow Lane Property Tax ID #: 1334-502-0100-000-1 Site Plan Name: Project Name: Evans Residence DETAILED DESCRIPTION OF WORK: Like for Like HVAC Replacement 5 ton ArcoAire Heat Pump, 14 Seer, 10 kw, closet, Ground New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: XCMechanical _ Gas Tank _ Gas Piping —Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 6822 _ Generator Residential xxx Lot No. Block No. _ Windows/Doors _ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameJohn D Evans Name: Don Miranda Address:9523 Shadow Ln Company: Miranda Plumbing & Air Conditioning City: Fort Pierce _ State: _ Zip Code: 34951 Fax: Phone No.772-577-0484 Address:750 NW Enterprise Drive City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone N0772-878-5123 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail Ldiodato@mirandacompanies.com State or County License CAC1815486 If value of construction is 2500 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 Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: 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. 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 b� recorded in the public records of St. Lucie Cou t"rTposted on the jobsite before the first inspe If you intend obtain financing, consult with I der or an aytorney before commencing work or re rding your Notice of)Commencement. Signa ure of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie COUNTY OF St Lucie Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this i.,,a day of 2020 by this.Jr day of 0"5i 2020 by Don J Miranda Don J Miranda Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification TypeP€yldentification �at)'d� ,,� Lori Diodato Type of Identification �1v'rS�/�.,,,� Lott 10 0 Pr xxEe �����° Commission # GG069258 Produce ;�?'' �� Commission # GGOS Expires: Feb. 9, 2021 ;�* " Expires: Feb. 9, Aaron NotaryU '��` ',.��' Bonded thru Aaron N (Signature of Notary Public- StafE+lbf' lorida) (Signature of Notary Public- State of Florida ) Commission No. FF945187 (Seal) Commission No. FF945187 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. Certificate of Product Ratinas AHRI Certified Reference Number: 204902283 Date : 08-20-2020 Model Status : Active AHRI Type : HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: 14 SEER R SERIES R410A HP Outdoor Unit Brand Name: ARCOAIRE Outdoor Unit Model Number (Condenser or Single Package) : R4H460(A,G)KP** Indoor Unit Model Number (Evaporator and/or Air Handler) : FVM4X60***L The manufacturer of this ARCOAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, 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 : 57000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 Heating Capacity (H12) - Single or High Stage (47F) : 54000 HSPF (Region IV) : 8.20 ?"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. Ratinas that are accompanied bv WAS indicate an involuntary re -rate. The new published ratina is shown alona with the previous (i.e. WAS) rating 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 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.: 132424132595605119 Michelle Franklin, CFA— Saint Lucie County Property Appraiser —All rights reserved. Property Identification Site Address: 9523 SJIADOW LN panel ID: 1334502-01004004 Sca/7—VRange: 34134S/39E Account#: 5748 Map ID: 13/34N Use Type: 0100 Zoning: Planned Un Jurisdiction: Saint Lucie County Ownership John D Evans Karen Evans 9523 Shadow Ln ,on Pierce, FL 34951 Legal Description MONTE CARLO COUNTRY CLUB -UNIT TWO. LOT 219 (OR 3534-2677) Current values Just/Market Value: $342,700 Assessed Value: $261,639 Exemptions: $50,000 Taxable Value: S211,639 Property taxes are subject to change upon change of ownership, • Pevttaxes me notx reliable projection of future toxea. • Thn sole ofn properly will pramptthe removal oY eB exemptions, assessment cape, vvd speclul claseiritations. Taxes for this parcel: SLC Tox CollecWr's Office = Download TRIM for this parcel: Doumlued PDT — Total Areas Finished/Under Air(SF); 5,123 Gross Sketched Area (SF): 4,490 Lead Size, (acres): 0.4E Land Size (SF): 18,300 All information is believed to be correct at this time, but is subject to change and is provided without any wananty. C Copyright 2020 Saint Lucie County property Appraiser. All rights reserved.