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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: s- , LLGLL ] J Permit Number: 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 PROPOSED IMPROVEMENT LOWM Address: 'Vii i %/a/1 c Property Tax lD ff: '!t Z r� "70b Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Residential l 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 Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ ��qo Utilities: —Sewer _Septic Lot No. k-7 Block No. /�,S-- Building Height: Pond Pitch OWNERAESSEE: CONTRACTOR: Name Name: Address: GI��Z/� Company: City:_4jgf-41 State: u— Zip Code: Fax: Phone No. love Address: $ City:._l J Zip Code: Fax: Phone No O E-Mail: Fill in fee simple Title Holder on next page( If different from the Owner listed above) E-Mail State or County License ••--•---•--••-••--••...• v .•.......nv.e, a ncwnucu nonce or c.ommencemenc is regwrea. If value of HAVC Is $7,s00 or more, a RECORDED Notice of Commencement is required. 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 conWict with any applicable Home Owners Association bylaws rules, 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. Inconsideration 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 attorneybefore commencingwork or recordingour Notice of Commencement Adam 4W ev. DESIGNER/ENGINEER: Not Applicable Name: ��a+fK� y'ty'w 'A.1�#�..1.,'�'�.• �'v & MORTGAGE COMPANY: _Not Applicable Name• Address: Address: City: State:_ Zip: Phone City: Zip: Phone: State: _ FEE SIMPLE TITLE HOLDER: _Not Applicable Name: BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: SIg' f Owner/ Lessee/Contractor as Agent for Owner Sig f antra or icense Holder STATE OF FLORIDA r S ATE OF FLORIDA� � aCuC.l Pi COUNTY OF_ `fj�/Qa'I� COUNTY OF_'j,$( CDLLil7 t/ Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Ph sical Presence or Online Notarization Physical Presence or Online Notarization thisdayof 202¢ by this --& day of 2020 by Name of person making statement. Name of person making statement. Personally Known --AZ OR Produced Identification Personally Known � OR Produced Identification Type of Identification Type of Identification Produwd Produced (Sf� Notary Public- State of Florida) (Signature of Nota u61c-State ofFlori Commissio . r I7RA Woi.SH Commission NDRA �5H 'moo, AState at Florida•IVuta:y Public �9sState of Floritle-Notary Public REVIEWS E,,, - om Isswn OR PLANS - Yy SEPA'b6.iRTQE20 Expires VE REVIEW DATE RECEIVED DATE COMPLETED 1576 Niemeyer Circle Port St. Lucie, FL 34952 Clean ,fir Techncicuies PROPOSAL AND AGREEMENT A/C Sales Service Installation By Jeffrey Almeida - Lie # CA-CO56660 OUS70MERNMAE ADDRESS 7/ 7 �;W-7,-ADcdi t./-' CITY, STATE, ZIP ��', Q' C , vt , P /-% i 4 4 (772) 335-2061 Fax 335-1802 PHONE 'Ili iST.�Yr�� SATE JOB ADDRESS_ WORK PHON We will furnish, install and serv,ce the equipment listed below at the price, terms and condki s outlined on all pages of this proposal. EQUIPMENT SPECIFICATIONS Make RSA l.1 Model Number(s) 4,4) SEER / EER BTUH Cooling BTUH Heating IC 4W CFM InMallnflnn shell _New _Amp disconnect _New low voltage wiring _New reinforced equipment pad _VNew 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 driers) _Evacuate refrigerant system Remove existing equipment from premises Install new ' f thermostat New copper wire from _to_ Complete system start u � H(_,A. T'i r Ucp , Option (below) —*Atxlttpbrloa by: Alternative (below) Dab St . b, r 2 z 1 by; X=Yes _]rMake air tight plenum transition _New dehumidistat _New supply diffuser _New duct run from_t0 _New return air filter grill '�QJoise 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 �Meel all code requirements __1L / r: year parts warranty N _&_year labor warranty Zl Jo year compressor "I year service agreement Is ( _ Is not) included in price Installed Price $ SM -f;. --"(- $—So Taxes t r't G Total Amount S Sr 44e Down Payment $ Balance Due a 5 9vc Uric- L-CInArT'• � Date: - _�C,41 Certificate of Product Ratin AHRI Certified Reference Number: 8215497 Date: 08-D6-2021 Model Status : Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: R41 CA AC SPP Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) : PA4ZNAO42000—" Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL. GA, HI, ID, L. 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, SO, 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 BRYANT HEATING AND COOLING SYSTEMS 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 parry testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 41000 SEER: 14.50 EER (A2) - Single or High Stage (95F) : 11.50 V Acbve" 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 Certiric ton Program Participant is no longer producing BUT is still selling or offering for sale. Retinas 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 products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for. the product(s) listed an this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance at the product(s). or the unauthorized aheration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.akrldlractory.org. TERMS AND CONDITIONS AMEM 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 It INSTRUTE The Information for the model cited on thiscertificate can beverified at www.ahridirectory.org, click on `Verify Certificate- link we 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. 02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13rrz74esa,aToo4gz