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All APPLICABLE �' INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �'" Irk ) Permit Number: ° Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential o 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: At � `© PROPOSED IMPROVEMENT LOCATION: Address: �JUJ6— S Property Tax ID --7o)--: ou�.— o0o— (Q Site Plan Name Project Name: Lot No. LI M`i �A�, \c\ s,o k k'. `g�►�2-- U� t . M< - HMO Wn-U'a New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Addition I work to be performed under this permit —check all that apply: v echanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: C. o Cost of Construction: $ �5; coo - Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Name: Address: 10(— CompanyF le-04or (A1'IA ICI r City: +' State: Zip Code: Fax: Phone No — v Address: I I s ) 56 lJlin [ �� WICe-,-i[� NI City: - Zip Codeti w� Phone No _ State:—B-- E-Mail: iy ' i Cono Fill in fee simple Title Holder on n from the Owner listed above) t page ( if different E-Mail P i 1-_ State or County License 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 Name: MORTGAGE COMPANY: Not Applicable Name: Address: _ Address: City: State: Zip: Phone City: _State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable 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 your Notice of Commencement. Signature gf Owner/ Lessee/Contractor as Agent for Owner STATE Of FLORIDA. F 1 5 * lr Sworn t (or firmed) and subscriibe_before me of ✓physical Presence or Online Notarization this day of `y'P_�'a�lfl�t0.` , 2091 by `awn pah- Name of person making statement. Personal) ✓ OR Produced Identification of Identifica on Produced (Signature of Notary Public- State of Florida ) Commission No. (Seal) REVIEWS FRONT COUNTER DATE RECEIVED DATE COMPLETED ZONING REVIEW KONNI LENAE DEW17 Notary Public - State of Florida ��• Commission # HH 165134 My Comm. Expires Dec 10, 2025 Bonded through National Notary Assn. SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW AHRI Certified Reference Number: 201754436 Date : 02-27-2019 Model Status : Active AHRI Type: HRCU-A-CB-O Series Name: M-Series Outdoor Unit Brand Name : Mitsubishi Electric Outdoor Unit Model Number: MUZ-HM18NA-U1 Indoor Type : Mini -Splits Indoor Model Number(s) : MSZ-HM18NA-U1 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 (95F) : 17200 EER (95F) : 10.50 SEER: 18.00 High Heat (47F) ; 18000 Low Heat (17F) : 11500 HSPF : 10.00 Sold in?: USA, Canada f"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 ratino 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.ahridirect.ory.org. TERMS AND CONDITIONS This Certificate and itss 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, OWN 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 "Verity Certificate" link 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 131957602752847746 g, g, g CERTIFICATE NO.: kW' Indoor Unit: MSZ.HM18NA-U1 Wireless Remote Controller Outdoor Unit: MUZ-HM18NA2-U1 ACCESSORIES: Indoor Unit ❑ Condensate Pump (BlueDiamond X87-711/721; 115/23OV) ❑ Condensate Pump (Sauermann S130-115/230; 115/23OV) • Anti -Allergy Enzyme Filter (MAC-408FT-E) ❑ Drain Pan Level Sensor (DPLS2) Outdoor Unit ❑ Outdoor Mounting Pad (ULTRILITEI) ❑ Drain Pan Heater (MAC-640BH-U) ❑ 3-1/4" Mounting Base [Pair] (DSD-400P) • Drain Pan Socket (MAC-860DS) ❑ Air Outlet Guide (MAC-8898G) ❑ Wall Mounting Bracket (QSWB2000M-1) SPECIFICATIONS: (CapacityRated Conditions Cooling' Btu/h/W 17,200 / 1,640 Heating at 47e F2 Btu/h / W 18,000 / 1,590 Capacity Cooling' Btulh 5,800 18,000 Heating at47o Fz Btulh 5,400 20,900 Heating at 170 F3 Btulh - 15,000 Heating at 5' F4 Btu/h - 12,700 Cooling i Indoor: 800 F(270 C)DB / 67o F(190 C)WB; Outdoor: 950 F(350 C)DB / 750 F(240 C)WB' 2 Heating at 47OF I Indoor: 700 F (210 C)DB / 60o F (16o C)WB; Outdoor: 470 F (80 C)DB 1430 F (61 C)WB' J Heating at 171 F I Indoor: 70' F(211 C)DB / 60of(161 C)WB; Outdoor: 170 F(.81 C)DB / 15o F(-9° C)WB' 4 Heating at 50 F I Indoor: 700 F (210 C)DB / 600 F(16o C)WB; Outdoor: 50 F(-15o C) IDS / F F(-15o C)WB Rating Conditions per AHRI Standard: P"�atjng Conditons (Indoor Intake Air Temp) (Max,/ Min.) Cooling 900 F (320 C) DB / 67e F (190 C) DB Heating 80e F (27e C) DB / 70e F (21e C) DB Operating "ns (Outdoortntake Cooling 115 F (46e C) DB / 14e F (A0e C) DB Heating 75e F (24e C) DB / 5e F (-15e C) DB- Applications should be restricted to comfort cooling only; equipment cooling applications are not recommended for low ambient temperature conditions. System cuts out at .91 F (-27° C) to avoid thermistor error and automatically restarts at -4o F (-20° C). Ratings'AHRI Efficiency . SEER / HSPF 18.0 / 8.5 COP at 47e F / 170 F 3.32 / 2.59 RequirementsElectrical w" - 208 / 230V, 1-Phase, 60 Hz Minimum Circuit Ampacity (MCA) Indoor / Outdoor A 1 / 10 Outdoor Compressor DC INVERTER -driven Twin Rotary Fan Motor (ECM) F.L.A. 0.5 DimensionsExternal Indoor (H x W x D) 12 x 36-5/16 x 9-13/16 (305 x 923 x 250) In.(mm) Outdoor (H x W x D) 21-5/8 x 31-1/2 x 11-1/4 (550 x 500 x 285) Net Weight Indoor 28 (13) Lbs,(kg) Outdoor 81 (37) External Finish Indoor Munsell 1.0Y 9.2 / 0.2 Outdoor Munsell No. 3Y 7.8 / 1.1 R410A; 2 Ib. 10 oz. Refrigerant Liquid (High Pressure) In.(mm) 1/4 (6.35) Gas (Low Pressure) 1/2 (12.7) Max. Total Refrigerant 40 (12) Pipe Length (Height Diff.) Ft. (m) Max. Total Refrigerant 65 (20) Pipe Length (Length.) Specifications are subject to change without notice. 0 2016 Mitsubishi Electric US, Inc. MSZ-H M 18 NA-U 1 22-114 11/16 � ffll�Il__ MSZ-HM18NA rn Insulation 02 O,D a Li uid line 05/1615-3/8 Flared connection 01/4 o-1 Gas line 015/32 13.3/8 Flared connection 01/2 Drain hose I Insulation 01-1/8 Connected oart 05/8 0 D MUZ-HM18NA2-U1 REQUIRED SPACE '1 fr In. (900 the more when front and sidesesof the unit are clear � ^2 When any 2 sides of left, right and rear of the unit are clear FORM# MSZ-HM18NA-U1 — MUZ-HM18NA2-U1 - 201603 MSZ-HM24NA rn Insulation OJ2 O,D 'a Liquid Ilne 05/16 15-3/8 (Flared connection 03/8) a Gas line 15/3 1 - 8 Flared connection 05/8 Drain hose Insulation 01-1/8 Connected part 05/8 O,D Unit: in. (mm) Unit: in. (mm) MITSUBISHI Vk ELECTRIC COOLING & HEATING 1340 Satellite Boulevard. Suwanee, GA 30024 Toll Free: 800-433-4822 www.mehvac.com ETA us Intertek Specifications are subject to change without notice. © 2016 Mitsubishi Electric US, Inc. Michelle Franklin, CFA -- Saint Lucie County Property Appraiser - All rights reserved. Property Identification Site Address: 10305 INDIAN Parcel ID:3529-701-0003- Account#:116292 Sec/Town/Range:29/36S/41E RIVER DR 000-6 Map ID: 35/29S Zoning: Residentia Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description Katherine M Rich HEERMAN' S S/D BEG INT N LI LOT 2AND E R/W FEC RR, 10305 S Indian River DR RUN E ON N LI SD LOT 783.95 FT M/L TO IND RIV, TH SLY Fort Pierce, FL 34982 ALG RIV 101 FT, TH W // TO N LI LOT 2,788 FT M/L, TH NWLY ALGRR 99.13 FT TO POB (OR 3582-448) Current Values Historical Values 3-year Just/Market: $643,800 Assessed: $615,857 Year Just/Market Assessed Exemptions Taxable Exemptions: $50,000 Taxable: $565,857 2021 $643,800 $615,857 $50,000 $565,857 2020 $615,400 $607,355 $50,000 $557,355 2019 $593,700 $593,700 $50,000 $543,700 Date 11-25-2013 08-23-2002 11-03-2000 View: Year Built: 2003 Primary Wall: CB Stucco Bedrooms: 3 Full Baths: 3 Half Baths: 1 Sale History Book/Page Sale Code Deed Grantor 3582 / 0448 0001 WD Camarda Frank 1572 / 1076 XX00 WD Vanmeter Steven G 1342 / 2929 XX00 WD Meyer Jack L Primary Building Information Finished Area of this building: 3,734 SF Gross Sketched Area:. 9,010 SF Roof Cover: Cone Tile Frame: Story Height: 2 Story A/C %: 100% Heated %: 100% Sprinkled %: 0% Exterior Data Roof Structure: Hip Grade: A+ No. Units: 1 Interior Data Electric: MAXIMUM Heat Type: FrcdHotAir Heat Fuel: ELEC Total Areas Price $750,000 $215,000 $77,900 Building Type: HA+ Effective Year: 2003 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Hardwood Finished/UnderAir 3,734 (SF): Gross Sketched Area 9,010 (SF): Land Size (acres): 1.53 Land Size (SF): 66,767 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt Drive-BrkPav 1 2525 2003 POOL ENC-AVG 1 1996 2014 POOL DK-AVG 1 1468 2014 RES POOLAVG 1 528 2014 WOOD DOCK 1 1744 2016