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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 4 0 •-9 • ' furl Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: ) V PROPOSED IMPROVEMENT LOCATION: Permit Number: Building Permit Application Commercial Residential X Address: 2 �� /-3-7 1 ��� lyg c� Property Tax ID #: 219 tZ —69O21 &)-eQ z5 Lot No.2-1_ Site Plan Name: %II'1 5 At 1 e 4 ee ;P12 Block No. -39 Project Name: DETAILED DESCRIPTION OF WORK: H l/a l jk Aw l )A e- v -R' 176 A6.2 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: $ �4' 2 0 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name,l Name: �I �Al2cL'il�l ! Address: ?�� �ly/�_� Company: 1 �r�;t City:fi State: - Zip Code: S Fax: Phone No. i4,_) —I'J"L--i Address: City: y% State: Zip Co e: ?344 4C Z Fax: Phone No z2122— E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail �G'� 41_L e 64�14 6 State or County LicenseeC% If value of construction is SZ500 or more, a KML)KUtU NOIIGe or %-Omm0r7GCITlen1. m I cyan Cu. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: NER/ENGINEER: _ Not Ap Name: Addre! City: _ Zip: _ Phon FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone:_ State: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name:_ Address: City:_ Zip: Phone: _ Not Applicable State: Not Applicable 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 w1Tu vn"D i ciunFo nR AN ATTORNEY BFFnRF RECORDING YOUR NOTICE OF COMMENCEMENT." Sigr� of wner/ Lessee/Contractor as Agent for Owner SigpWi&& ontractor/License Holder STATE OF FLORIDA Cs» STATE OF FLORIDA :5A COUNTY OF S 1 Lv e 16 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _ day of O A-dNo-�- 20 � by this day of DGt-ob-tn-- , 20 mw by Name of person making statement. Name of person making statement. Personally Known Produced Identification Personally Known ✓ OR Produced Identification _.,,�011 Type of Identification Type of Identification Produced Produced (A Ja,Qt--1 (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commissio "= Commission o,, NDRA WA , _ RA WALS gState.of Florida -Notary Public ,State of Florida -Notary Public 'c+ *= Co missign # REVIEWS ''+iii Z y COm ON I i Expi a SsU RVISOR PLANS %+, o�` My �''`#P;' Commission Expires i 2 GROVE PMP022 IEW REVIEW IEW ��. DATE RECEIVED DATE COMPLETED Rev. 2/7/ 19 1578 Niemeyer Circle Port St. Lucie, FL 34952 Clean Air Tectincicaies PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lic # CA-0058660 CUSTOMER NAME 04i % ADDRESS CITY, STATE, ZIP,A�-:r � �Zl j C. rZ 34kV5 — (772) 335-2061 Fax 335-1802 PHONE _-717 — 342— —']6�3 J DATE JOB ADDRESS WORK PHO We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on all pages of this proposal. EQUIPMENT SPECIFICATIONS Make it 1C�lG�/%�' Model Number(s) f iga —04�ZL SEER e EER BTUH Cooling 4t BTUH Heating 1CFM Installation shall n - include: .N New Amp disconnect New low voltage wiring New reinforced equipment pad New vibration isolation pads New properly sized refrigerant lines New, clean, dry ACR copper tubing Charge to manufacturer's specs Insulate refrigerant suction lines Install refrigerant drier(s) Evacuate refrigerant system Remove existing equipment from premises Install new thermostat New copper wire from to *Complete system start up Option (below) Alternative (below) Terms: Acceptance by: Date X = Yes - Make air tight plenum transition New dehumidistat New supply diffuser New duct run from to New return air filter grill Noise reducing flexible duct connector Clean work area to customer's satisfaction New condensate drain system Install aux. condensate drain pan New high efficiency air filter Meet all code requirements i/ year parts warranty year labor warranty year compressor year service agreement Is (_ Is not) included in price Installed Price $ 'Z V'"'— Taxes $ Total Amount $ Z i, Down Payment $ Balance Due $ am W. Emil, MINE 10 0, mor I Date: / 9. 1 � `2V2y Certificate of Product Ratings AHRI Certified Reference Number: 7615294 Date : 09-22-2020 Model Status : Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: FRIGIDAIRE P7RE SERIES Outdoor Unit Brand Name: FRIGIDAIRE 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 FRIGIDAIRE 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 (95F) : 11.00 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 bv WAS indicate an involunta re -rate. The new published,rating is shown along with the previous i.e. WAS ratio . 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; am.. `' 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 tiff, betivi— 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.: 132452688488624306