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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: _ IL Building Permit Application 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 APPLICATION FOR: Commercial J PROPOSED IMPROVEMENT LOCATION: Address: 311 ?J -7 l r I -fY7 /Ail. Property Tax ID Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: vVROAVx New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Residential Lot No.1-3 Block No. 1,'� 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: $ —5* 9V Utilities: -Sewer —septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: f% Address: Company: e City: Di S , i State: Zip Code: .3l{4, 2— Fax: Phone No. r777 A a l (+. Address: / City:le— . �e7Yt S'1 •, l L /� o State:-17t— Zip Code: q 2 Fax: Phone No 0 E-Mail: Rif in fee simple Title Holder on next page ( If different from the Owner listed above) E-Mail c2 State or County License 6o _, _..___.... —,.,,,,nwuw,nena .a requ:rea. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. �.:ti �1nr., •w,.x7--..�,�+rl Ge�,'a}�VK-��.�.,w.+.._c;*�{y��:�'s.•`rYBXn"la'«fiu,;F,x��4'?'Y2�#�' ` e3 v�C_; DESIGNER/ENGINEER: Name- _ Not Applicable MORTGAGE COMPANY: _ Name: Not Applicable Address: Address: City: Zip: Phone State:_ City: Zip: Phone: State:_ FEE SIMPLE TITLEHOLDER: Name: _Not Applicable BONDING COMPANY: _Not Name: Applicable 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 thedpermit holder to build the subject structure which Is in co ilict with any applicable Home Owners Association rules, bylaws or an 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, 1 do hereby agree that 1 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 commencine work or recordine vour Notice of Commencement. S)WdM of Owner/ Lessee/Contractor as Agent for Owner Contractor/License Holder STATE OF FLORID 1VI1tWLf&f STATE OF FLORIDA COUNTY OF UGI(�.C�1rYliV COUNTY OF S-t IU[le CdUn 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 LG Online Notarization this,�dayof ALILIJSJ- .2026 by this.? of At In(LS:'r _,2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known --v1—OR Produced Identification Type of Identification Type of Identification P(�yr eedd Produced (Signature of Notary Public- State of Florida) ( (Signature of Notary Public- State of Florida ) Commissio Commission NDRA A) SH �,a,-"'KA�!�RA of-SH '=,State of Florida Public A. s_State of Florida-Nore:y Public _ rr REVIEWS LL,.;, - om „ �T My isslon 20 2'�ti�ER OR h yymmission SEAAyIdffft 20 xpires AdANGR VE RPLANS EVIEW DATE RECEIVED DATE COMPLETED Itev. bib/2u 1578 Niemeyer Circle Port St. Lucie, FL 34952 Clean ,fir Techncic9les PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lie # CA-0058660 CUSTOMER NAME _7��\C e�."o r ADDRESS I CITY, STATE, ZIP r (772) 335-2061 Fax 335-1802 PHONE�2 A3/ A�2T3ai4 DATE-1t JOB ADDRESS WORK PHONE 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 GI: ^tDNlef Model Number(s) P7RCc61d- SEER Ll EER BTUH Cooling BTUH Heating CFM Installation shall include: kxkJ.N L -' bra `q 2, g Vr 1L3VVS VXQ_ c PN i f lA1 eh�Q. R A t'L Crnr�er a-nr�, ism AV. '� 5''4O030 C New _Amp disconnect —paw low voltage wiring s t/_f 10 reinforced equipment pa ✓New vibration isolation pads New properly sized refrigerant lines N`ew t/rgclean, dry ACR copper tubing Chae to manufacturer's specs _Insulate refrigerant suction lines _install refrigerant drier(s) ✓ E uate refrigerant system move existing equipment from premises —Aelnstall new 20 1 thermostat New copper wire fromto ✓Complete system start up 10 Option (below) _ Alternative (below) / X = Yes Make air tight plenum transition New dehumidistat TNew supply diffuser _New duct run from to New return air filter grill I,PKe 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 eet all code requirements t()year parts warranty _ year labor warranty year compressor _year service agreement Is ( _ Is not) included in price Installed Price Taxes Total Amount Dnwn Pnvment ie $!:�y9cr- - Terms and Conditions 1. All orders not paid in full in advance are subject to approval by the Company's credit department. 2. This proposal may be withdrawn by the Company if not accepted within 30 days. 3. The Company shall provide only trained and qualified technicians employed or supervised by us. 4. All labor is to be performed during Company's regular working hours, unless noted in -this proposal. 5. Warranty work is performed during Company's normal business hours, but can be performed after normal hours if Customer pays the difference between standard labor rate and overtime labor rate. 6. Until final payment is made, the Company will retain the title to all materials and equipment it installs. 7. Unless noted in this proposal, payment is due in full upon completion of work. A monthly finance charge, equal to the highest allowable interest rate, may be levied on Customer's account if delinquent over 30 days. 6. In the event Customer's account must be referred to attorneys for collection, Customer agrees to pay reasonable attorney fees. 9. Customer will carry fire, extended coverage and other necessary insurance. 10. Customer shall assume risk of loss or damage to equipment after it is set in place on the job. it. Every attempt will be made to complete the work on the date(s) specified, but because the Company may have no control over equipment availability and delivery, all completion dates are estimates only. 12. The Company shall not be liable for damage, loss or delays resulting from fire, explosion, flooding, the elements, labor troubles, or any other cause beyond our control. 13. The Company shall use ordinary care in performing all work, but shall not be liable for incidental or consequential damages, or shall it be liable for injuries to persons or damage to property except those directly caused by negligent acts of the' Company's employees. 14. The Company shall not be responsible for any damages incurred due to inability of the building structure to properly support the installed equipment, or for expense incurred in removing, replacing or, refinishing part of the building structure necessary, for the performance of any service or installation, unless otherwise noted in this proposal. \%� 15. The Company shall not be liable for any present and future taxes, charges or other government fees, or any items of equipment, labor or special tests required or recommended by insurance companies, equipment vendors or governmental authorities. 16. The Company shall not be liable for the identification, detection, abatement, encapsulation, storage, remdval-or transportation of any regulated or hazardous substances. Regulated or hazardous substances may include, but are not limited to asbestos, certain refrigerants and refrigerant oils. If any such products or material are encountered during the course of work, the Company can discontinue work until regulated or hazardous materials have been removed or hazard or liability eliminated. The Company shall receive and extension equal to the time of delay to complete the work an reserves the right to be compensated for any loss due to a delay. 17. This agreement contains the entire understanding between the Company and the Customer, any modifications, amendments or changes must be in writing and signed by both parties. Certificate of Product Ratinqs AHRI Certified Reference Number: 7615303 Date: 08-01-2021 Model Status: Discontinued 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-048K 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 AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air-Condifioning & 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 : 47000 SEER: 14.00 EER (A2) -Single or High Stage (95F) : 11.00 tModels with 'Discontinued' Model Status are Nose that an AHRI Certification Program Participant no longer Produces AND is no longer wiling or offering for sale. Ratinqs that are accompanied by WAS indicate an involuntary re -rate. The new Published ratina 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. AIRCONOITIONING. HEATING. CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ah,idirectory.org, click on'Verifv Cerrlficen•' link ua nwke lJe lx•ner^ 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. ©2021Alr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: az z3,essoeAnzaa