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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 12/14/2020 Permit Number: Building Permit Application ... Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Plerce FL 94982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X _ I PERMIT APPLICATION FOR Mechanical L� PROPOS'EDJMP.l3 EUO MMENT � OCA7ON 4 .F. r . Address : 251bermuda beh_drive Legal Description : Property Tax to #: 1425-701 -0103-000-2 Lot No.__. Site Plan Name : Block No. Project Name : kathleen donovan Setbacks Front Back: Right Side : Left Side : DES(AII.�D `QESCR_JPT10N_O_f,�WORKr LIKE FOR LIKE A/C CHANGEOLIT 16 SEER , 5 TON , 10 KW CONSTRUCTION XNFORMAC[Cll IOCv _ � . , bona wor�to � e erorme un er is permit— ciec < a appy: � � 10FIVAC 11 Gas Tank F]Gas Piping F1 Shutters Windows/Doors Electric Q Plumbing ❑ Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction : Scll Pt. of First Floor: i Cost of Construction : $ 7386 . 00 Utilities : 0 Sewer Septic Building Height: rr O1NN �R/1.E8SfE . Name kahleen donovan Name : CHRIS LANOEL Address : po box 12532 Company: SEACOASTA/C City: fort pierce State : FL Address : 3108 INDUSTRIAL 31 st STREET Zip Code : 34979 Fax: City: FT PIERCE State : FL Phone No . 772-979-6252 Zip Code : 34946 _ Fax: 772-448-4416 E-Mail : Phone No. 772-466-2400 Fill in fee simple Title Holder on next page ( if different E-Mall : INFO@SEACOASTAIR, COM from the Owner listed above) State or County License: CMC036421 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. SUPi' FM�NTAI OON�TEti�CLT10 (U I ( E tAUU N INFO IUTA [(ON DESIGNER/ENGINEER : _ Not Applicable MORTGAGE COMPANY Not Applicable Name : Name : _ - - Address:` Address : City : . Stater 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: I certify That no work or installation has commenced prior to Cite issuance of a permit, j St, Lucie County makes no representation that Is granting a ppermit 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. bi 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, j 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first nspection . if yo -' ntend to obtain financing, consult with lender or an attorney fore commencin w rk or recor to our Notice of Commencement. s i Signature w erJtessee/Contractor as Agent for Owner Signature f , ntractor/Liter e Hotder ' STATE OF FLORIDA STATE OF FLORIDA CO U NTY O F ST wqE COUNTY OF ST Luas 'I The forgoing instrument was acknowledge "fore me The forgoing instrument was acknowledged before me j this ( 4 day of dec 20( oy this 14 day of . dec ZO Nby i CHRIS LANGEL -L CHRIS LANGEL (Name of person acknowledging I (Name of person acknowledging I i I , I 2� a ignature of Notary Public- State of Florida J (5 attire of Notal Public- State of Florida j Personally Known x OR Produced Identification Personally Known x OR Produced identification Type of Identification Produced Type of identification Produced Commission No. Gcsaos b`;"-,, JUSTI( iIMOPKINSCONNELLY Commission No, Grsgo� o € MYCOMMfftON 8 O0949692 • • `q :, JUSTIM MO SINSCONNELLY .�XPIRFS00nnrnmh9d7,2D7.d-_. fki MYCOMMISSION800940662 PJR" ,Pff;R`' Sanded 7hm NoteryPoblb llrw'eKni(ers `'' 2fFk Pa 'Bondad Thu eram lb Ur2_0wr3_Revised 07/ 15/201N Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE -- COMPLETE INITIALS I I (! ! This combination qualifies for a Federal Energy Efficiency Tax Credit when ® o placed in service between 1 /1 /2015 and 12/31 /2020. Certificate of Product Ratings AHRI Certified Reference Number : 201299487 Date : 12-14-2020 Model Status : Active li Old AHRI Reference Number : 7984223 AHRI Type : RCU-A-CB (Split System : Air-Cooled Condensing Unit, Coil with Blower) Series : GSX16 Outdoor Unit Brand Name : GOODMAN '... Outdoor Unit Model Number (Condenser or Single Package) : GSX160601F' Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT61 D14A' Region : All (AK, AL, AN, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN , KS, KY, LA, MA, MD, ME, fill, MN, MO, MS, __ . . . . __ MT, to 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 13 2016 central air conditioners can only be installed in region(s) for :which they meet the regional efficiency requirement. The manufacturer of this GOODMAN 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 Heal Pump Equipment and subject to rating accuracy by AHRI sponsored, Independent, third party testing Cooling Capacity (A2) ', Single or High Stage (9517), btuh : 54000 SEER : 16.00 ', EER (A2) Single or High Stage (95F) : 13.00 I i i 1"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 Relling o ffering for sale. at in lh t mpnledd by WAS Indicate an 'nvoluntaU 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the produchs), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at wenvoluld lrectory.arg. TERMS AND CONDITIONS im 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,ahridlrectory.org, click on "Verify Certificate" link I e make life berrerw 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. ©202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO . : Szsz441 ss44zzz1o3