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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/6/21 Permit Number: 11+ 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 Commercial Residential X PERMIT APPLICATION FOR Mechanical Address: 202 jeffrey lane Legal Description: Property Tax ID #: 2434-803-0006-000-6 tot No... Site Plan Name: Blocl(No. Project Name: Pamela dalsgaard Setbacks Front Back: Right Side: Left Side: DE FAlL1zD�fSGR1P710N O�WQRI4 F G LIKE FOR LIKE A/C CHANG EOUT 16 SEER, 2 TON, 5 KW r / r GONSTRU.01T J RNROHMA IONEP_ -- dcitiona wor<to e er ormed un er this permit— heckall a apply: OHVAC Shutters ❑ Windows/Doors Gas Tank Piping �Bas ❑ Electric Plumbing L_1Sprinklers 11 Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 5400,00 UtilitlestSewer Septic Building Height: Name: CHRIS LANGEL Name Pamela dalsgaard Address: 202 jeffrey lane Company: SEA COAST A/C city: fort Dierce State: FL Zip Code: 34982 Fax: Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Phone No. 954-294-1504 _ Zip Code: 34946 Fax: 772-448-4416 Phone No. 772-466-2400 E-Mail: Fill in fee simple Title Holder on next page (if different E-Mail: INFO@SEACOASTAIR,COM from the Owner listed above) State or County License: CMC035421 If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. �SUPI'L�t�1�N�Al. GO'N�TB11CTa0N1.1=N LAW INIFOR�UTATIOJ�I$ DESIGNER/ENGINEER _ Not Applicable 'F _, ._ � __ � MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: 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 the issuance of a permit. St. Lucie Countyy makes representation that is granting a permit will authorize the perm ait 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the firstrnspection iyoy Intend to obtain financing, consult with lender or an attorney fore commencine w6brk or reco din our Notice of Commencement. ,I as STATE OF FLORIDA COUNTY 0 F sr wcls Owner STATE OF FLORIDA COUNTY OF snucle The forgoing instrument was adaiowledga�+ �^fore me The forgoing instrument was acknowledged before me this6 day of January, 20 Sy this 6 day of Janurary _ Zo3 by CHRIS IAIJGEL 1. CHRIS LANGEL (Name of person acknowledging j (Name of person admowledging ) ignature of No ary Public -State of Florida) -- Q (Slkhature of Notar}Public-State of Florida ) Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. GG94os ,,+1+b;"-,, JUSTI(NBtialMOPKINSCONNELLY Commission No, oGe4o JUSTINA ,H (INSCONNELLi MY COMMISSION 900040602 t iJ ;;; MYCOMMISSIONOGG940662 .............. _ _ .. ,_ ... _ eye Revised 07/15/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW - DATE - — COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. • AHRI Certified Reference Number : 201830189 Date : 01-05-2021 Model Status :Active 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) : GSX160241 F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT33C14B* 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, ON, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Nole : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 15 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. t"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" Modei Status are those that an AHRI Certification Program Participant is no longer producing BUT is still Oing or offering for sale. R t' u that aranied by WASindicate n involuntaty 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 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 wnauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www,alirld[rectory.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 whale 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 wwwahridirectory.org, click on "Verify Certificate" link we make life better and enterthe AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above and the Certificate No., wh ch is listed at bottom right. 132543449780009742 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: