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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 01/21/21 Permit Number: Date; "° ----Building-P-er-mit-Application_— � - . Planning and Development Services X Commercial Residential Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 FOR: LPERMITAPPLICATiON �jtilEN ) Qo AxCQN PdSED IM ,R{) Address: 4880 river oak In Lot No. Property Tax ID f#:2430-502-0099-000 7 _ Block Nov Site Plan Name: Name: 9eorgiana polk Project LIKE FOR LIKE A/C CHANGE OUT 2 ton, 14 seer, 5 kw New Electrical Meter _Second Electrical Meter.. rvg, IN COiSfRIJTI0IUINFO}?MA�I`4 -. 11 Add itlanaIwerktobe. performed underthispermlt— checkaIIthatapply: Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond _Electric _Plumbing _Sprinklers ^Generator _Roof _Pitch Sq. Ft, of First Floor: Total Sq. Ft of Construction: ^ Cost of Construction: $ 4763.00 Utilities: _ Sewer ..Septic Building Height: r j CONT F r' 6R d ESEE,x , s . ��.., - Christopher Langel Name 9eorgiana polk Name. Sea Coast A/C and Sheet Metal Inc. Address: 4880 river oak In company. Address; 3108Industrial 31stStreet city: fort pierce _State:fl Ft Pierce State; FL Zip code: 34981 Fax:..city: _ _ 772-464-1478 Zip Code: 34946 Fax: 772448-4416 Phone No, Phone No 772-466-2400 E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail info l7a seaeoa it com — from the Owner listed above) State of County License CMC035421 _. 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. DESIGNER/ENGINEER: _NotAppbcable Name:_ Address: rrhlState: FEESIMPLE TITLE HOLUM _Not Applicable Name: Address: City: Zip: Phone: _ MORTGAGE COMPANY: Address: City: BONDING COMPANY: Name: Address: city:. Zip: _ phone Not Applicable Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated. certify that no worker installation has commenced prior to the Issuance of a permit. St. Lucle Coun,��tflfyyf makes noyyiepresentation that is granting a permit will authorize the permit holder to build the subject structure whlclqtt rrn enPleasecconrsult wltitpyoru rNlorne Owners As ociation andrreview your deed for any resUitctlons wl which may applyhlbit such Ldo hereby the work in accordance with the appt-oved plans, the nonaa uuuumg i.uuca oitu J%. �u��= ......r • •••�•••-•• •-••- The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, sa een 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 record consult withLucle County and posted on the jobsite before the first inspection. If you intend to obtain financing, with lender or an attorney before commencin work or -record our No ice of Commencement, Signatme of Owner/ Lessee%Contractor as Agent for Owner STATE OF FLO I A COUNTY OFUjicj Q S orn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this2__dayof January „J202� by Name of person m, king statement. J Personally Known � OR Produced Identification Type of Identification re of Notary Public-3tate of Commission Signature STATE OF FLO Swo'n to (or affirmed) and subscribed before me of �, Physical Presence or __Online Notarization this 2_day of_dan rs,rary ,2&t by Name of person making statement. Pot'sonally Known _X— OR Produced Identification Type of Identification Notary Public- Statelof Florida AHRI Certified Reference Number : 201417943 Date : 01-19-2021 Model Status :Active Old AHRI Reference Number : 6655532 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX14 Outdoor Unit Brand Name : GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L* Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A* Region : 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, 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 }"Active" Model Status are those that an AHRI Cedifcallon Program Participant Is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced:'Productien Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still Re(ling or offering for sale. t'ngs that are accompanied by WAS indicate an Involuntary re -rate. The new aubiished rating Is shown alone 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.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and ss 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.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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132555610561923734