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Building Permit Application
i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/30/2021 Permit Number: RECEIVED Building Permit Application APR 3 0 7471 Planning and Development Services Buildin and Code Regulation Division F4rS tttLu Daaa lt" 9 9 St. Lucy�t�unr 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address 5109 Myrtle Dr Fort Pierce, FL 34982„ Property Tax ID#: 3402-608-0284-000-3 Lot No. Site Plan Name: Block No. Project Name: DETAILED bESCRIPTION OF WORK: Replacement of a 4 ton split system with 10 kW'electric heat; like,for like; 16 SEER 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:$ 5820 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Kevin Busser Name:James J Wauters 5109,Myrtle Dr. Address: Compan i:Just�Chillin' HVAC LLC s, City Fort Pierce, FL ; State:_ Address:5422 N1IV C�omey Sfi; 34982 " " Port St.Lucie FL Zip Code: Fax: City: State: Phone No..772-216-1662:;,�,; Zip Code::34986_'; Fax: E-Mail:kkbusser6gmail.c6ni., Phone No 772-940-4.373 '! Fill in fee simpie Title Holder on next page(if different E-Mail justchillinair@hotmail.com from the Owner listed above) State or County License CAC1819351 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC 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 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Si ature of ner/Lessee/Contractor as Agent for Owner %VaKure of C ntractor icense Holder STATE OF STATE OF FLORIDA COUNTY OF FLORIDA�� • L4 &-i COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 1���; 1 ,20� by this Ro day of p r i ) 20,E by Name of person mak770RP. roduced ment. Name of person making statement. Personally Known Identification Personally Known / OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary P I' - U (Signature of Nota. AUDREY B.HUMP REY ;�s? 817 J,V , AUDREYB.HLEP1?HREy Commission .- a MISSION(# 1 � Commission N �''•. MlSSIOPt( g 308 Ir EXPIRES:March 6,ZUZO ..- •�; EXPIRESUlm :Marc h,202" !t REVIEWS �fRONT� ... 1ZONING SUPERVISOR PLANS VE ATION SEA TURTLEy MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 1 Certificate of Product Ratings AHRI Certified Reference Number:201294088 Date:04-29-2019 Model Status:Active Old AHRI Reference Number:7943535 AHRI Type:RCU-A-CB Outdoor Unit Brand Name:RUUD Outdoor Unit Model Number (Condenser or Single Package):RA1648AJ1 Indoor Unit Model Number(Evaporator and/or Air Handier):RH1T4821STAN 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 RUUD 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:45000 SEER:16.00 EER(A2)-Single or High Stage(95F) :13.00 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 by WAS indicate an involuntary re-rate. The new published rating 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.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.ahridlrectory.org,click on"Verify Certificate"link tie 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 ©2019Air-Conditioning,Heating,and Refrigeration Institute [CERTIFICATE NO.: 132010eaa717160867