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6107 Seagrape Dr
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/28/2021 Permit Number: L Ll1LLL °' 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: A/C Change Out PROPOSED IMPROVEMENT LOCATION: Address: 6107 SEAGRAPE DR X Property Tax ID #: 3402-609-0017-000-4 Lot No. 39 Site Plan Name: INDIAN RIVER ESTATES -UNIT 08- BLK 19 LOT 39 (MAP 34/11S) (OR 817-103) Block No. 19 Project Name: DETAILED DESCRIPTION OF WORK: A/C like for like change out of a 3 Ton 16 Seer System with 9 Kw Heat New Electrical Meter Second Electrical CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: (Affidavit required) X Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond Electric _ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 7100.00 _ Sprinklers _Generator _Roof Pitch Sq. Ft. of First Floor: _ Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Melissa A Rusignuolo Name: Donald Myers Address: PO Box 12116 Company: A/C Care LLC City: Fort Pierce State: FI Zip Code: 34979 Fax: Phone No. 772-777-5653 Address: 3324 Se Gran Park Way City: Stuart State: FI Zip Code: 34997 Fax: Phone No 772-266-2665 E-Mail: flahoneybee(Dyahoo.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail office@accare.biz State or County License CAC1820029 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 attornev before commencing work or recording vour Notice of Commencement. Signature of OwnVfLessee/Contractor as Agent for Owner STATE OFAORI COUNTY OF 710b 11 Sworn to (or affir e) and subscribed befo a me of Physical Presence or Online Notarization this � day of 20by Name of person making tement. ��k��N�COIEp��//�y� ���� Q��; IONS'• ,O Personally Known OR Produced Identification • Type of Identification Produced ? e s y (Signature of Notary Public- State of Florida ) Commission No. (Seal) REVIEWS I FRONT COUNTER DATE RECEIVED DATE COMPLETED ZONING REVIEW . dyponded %ti���`�•' 0 ;IIC. ST"Ma SUPERVISREVIEWOR I REVIEW PLANS I VEGETATIEV EWON I SEATURTEV EWLE I M EVIEWVE !aj.�Jit►tlltti��� Eligible for Federal Tax Credit Certificate of Product Rati AHRI Certified Reference Number: 202540569 Date: 07-28-2021 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: MERIT 16ACX SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : 16ACX-036-23OA" Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA25UHV-042-230 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 LENNOX 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), bluh : 36000 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. Ratinas that are accpmoanied by WAS indicate an involuntary re -rate. The new published ratina is shown alona with the Drevious (i.e. WASI retina. 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 and enter the AHRI Certified Reference Number and the date an which the certificate was issued, which Is listed above, and the Certificate No., which Is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132719757408282801