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Building Permit Application
All APPLICABLE IN MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Zo Permit Number: j 1 n1� O , ti 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: PROPOSED IMPROVEMENT LOCATION: Address: 6643 Alemendra Fort Pierce, FI 34951 Property Tax ID#: 1306-500-0171-000-6 Lot No.23 Site Plan Name: Block No. 50 Project Name: DETAILED DESCRIPTION OF WORK: 3.0 Ton 15 SEER Straight Cool SPlit System 5 KW Heater Like for Like 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: $ 6500 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Dewey Greger Name:Robert Marcelle Address:6643 Alemendra Company:Comfort Experts USA Inc. City: Fort Pierce State:f Address:664 NW Enterprise Dr. Unit 120 Zip Code: 34951 Fax: City: Port Saint Lucie State:FL Phone No.772-871-8244 Zip Code: 34986 Fax: 772-8733090 E-Mail: Phone N0772-873-3000 Fill in fee simple Title Holder on next page(if different E-Mailckongerl4@gmail.com from the Owner listed above) State or County License CAC1 814439 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 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. Signature of ner/Lessee/Contractor as Agent for Owner Signature of CO tr for/License Holder STATE OF F ORIDA SA ( I� STATE OF FLORIDA S // ,P COUNTY OF `1 COUNTY OF (J,Cl�, Sworn to(or affirmed)and subs5�abed before me of Sworn to(or affirmed)and su cribed before me of ysical Pre Me or_;Uline Notarization P ysical Presen or nline Notarization thi day of 2020 by this day of 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of I den tiAiV�tipp,,,i b � prod of Iddenty )i A 15 LA' U � Pr uced l/1ytV`�,1y5 `-tA' CJ`— O (Signature of NotaryPublic-Sta CATHERINE MI LE re of Notary Public-Sta `OSpPYVV¢^-- ` �pPY " THERINE -State oT Florida-Nota ublic -14 1 �I 5fIRt MI L Commission No eabofi mission sion No. 1751 ;� JR of Florida-Notar, My CommissionE pires d Commission#GG27ovember 01 -,o""W November Ut 2p 2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW E DETED � CERTIFIED' Certificate of Product Ratings AHRI Certified Reference Number:7599223 Date:05-22-2020 Model Status:Active AHRI Type:RCU-A-CB Series:SILVER 14 Outdoor Unit Brand Name:AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package):4A7A4036L7 Indoor Unit Model Number(Evaporator and/or Air Handier):TEM6AOB3OH21+TDR 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,MI,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 region(s)for which they meet the regional efficiency requirement. The manufacturer of this AMERICAN STANDARD 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:33600 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 sale;OR new models that are being marketed but are not yet being producedPProduction 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 ralino Is shown along 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.ahridirectury.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, MAIM personal and confidential reference. AIR.CONDRIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldirectory.org,click on"Verify Certificate"link we make fife 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 Institutef323afisssoz3stn74 CERTIFICATE NO.: