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All APF Date: INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: -S'U,' ,; j f '' Building Permit Application Planning of d Development Services Building an I Code Regulation Division Commercial Residential x 2300 Virgin b Avenue, Fort Pierce FL 34982 Phone: (7 2) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: f PROPO*D IMPROVEMENT LOCATION:_ l Address: Property T Site Plan N Project Na r— EMERSON AVE FORT PIERCE ID #: 13u7 buy uuai uuu s DASTOUS SYLVAIN DASTOUS DETAILED DESCRIPTION OF WORK; CHANGE OUT A/C SYS 4 TON 14 SEER 10 KW A/C SYS New Electrical Meter Second Electrical Meter (Affidavit required) CONS CTION INFORMATION. Lot No. 7 Block No. 5 Additional rk to be performed under this permit — check all that apply: )Mechanical i Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond _ Electric _ Plumbing T Sprinklers _ Generator Roof Pitch Total Sq. Ft f Construction: Sq. Ft. of First Floor: Cost of Cons ruction: $ 5566 Utilities: —Sewer _ Septic Building Height: OWNER/ EE: CONTRACTOR; Name) Address: City: Zip Code: Phone No. Mail: d0io Fill in fee sin from the Ow VAlr� � Name: HOWARD PEARL 5• �IQ- Company: PRIDE A/C & APPL INC IL Cr, State: l Fax: 7 ' (t 3'C44v$ E- Address: 2150 NW 18TH ST City: POMPANO BEACH State: FL Zip Code: 33069 Fax: 954-977-7433 Phone No 9 -977-7433 tt f (430 2. C@ &WCA&W-A A/t-l— pie Title Holder on next page (if different rier listed above) E-Mail PERMITS@PRIDEAC.COM State or County License CAC057227 w"r a uLt V11 47W w rrrwe, d RMAJKu[v nonce OF Lommencement is required. If value of HAI fC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLE ENTAL CONSTRUCTION UEN LAW INFORMATION: DESIGNE Name: Address: City: Zip: /ENGINEER: _ Not Applicable MORTGAGE COMPANY: — Not Applicable Name: Address: City: State: Zip: Phone: State: Phone FEE SIMPLE Name: Address: City: Zip: TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: Phone: Zip: Phone: OWNER/ NTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that io work or installation has commenced prior to the issuance of a permit. St. Lucie Cou ity makes no representation that is granting a permit will authorize the permit holder to build the subject structure which conflic ts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. PI se consult with your Homeowners Association and review your deed for any restrictions which may apply. in considerat on 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 followinE building permit applications are exempt from undergoing a full concurrency review: room additions, accessory strictures, 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 improv ments to your property. A Notice of Commencement must be recorded in the public records of St. Lucie Ci iunty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with ler der or an attornev before commencine work or recordino vour Notice of Commencement Signa ure b Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY F BROWARD Sworn to (oi affirmed) and subscribed before me of X Physical Presence or Online Notarization this 2 day of 23 .20 22 by Name of peison making statement. Personally own _X_ OR Produced Identification •••••••••.. TERRI JACKSON '' kly COMMISSION ii HH iWill Type of Ide ifi rodu �= EXpIRES:August 18, 2025 Son4d Thru NobrY Pubk UNWN00 (Signature f Notary Pu i State of Florida) H # 1S % (I 1K Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETE Ceitificate of Product Ratings AHRI Certilied Reference Number: 8439411 Date: 03-14-2022 Model Status: Active AHRI T : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: U9 SERIES Outdoor Ui ift Brand Name: YORK Outdoor Unit Model Number (Condenser or Single Package) : YCE481321 Indoor Unit Model Number (Evaporator andfor Air Handler) : AP48CX21+TXV Regan : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Region N 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 YORK product is responsible for the rating of this system combination. Rated as in accordance with the latest edition of AHRI 210/240 - 2017 with Addendum 1, Performance Rating of Unitary Air & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: ing Capacity (A2) - Single or High Stage (95F), btuh : 48000 ER : 14.00 E R (A2) - Single or High Stage (95F) : 11.75 t"Adive' Moilel 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 bid are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sellinq or o ng for sale. AHRI does ndt endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product( 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 unauthori alteration of data listed on this Certificate. Certified ratings are vabd only for models and configurations listed in the directory at ww.ahridirectory.org. TERMS AN CONDITIONS This Ce and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confklential erence purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; ONSIFliff" entered irhW computer database, or otherwise utilized in any form or manner or by any means except for the user's individual, personal a Confidential reference. AIR-CONDITIONING, HEATING, CERTIFICA E VERIFICATION & REFRIGERATION INSTITUTE The inform for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we mak,. hh Ixgie.- and enter AHRI Certified Reference Number and the date on which the certificate was issued, which is above, and the Certificate No., which s listed at bottom right _ - ©2022Ai -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132917441234874014