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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01 /25/21 Pormit Number o ; --Building Permit Application - planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERM IT APPLICATION FOR kin`f D IMGPROUEJEIVT.L®CAIION .., v_ ._z _, u_ Address: 9414 POINCIANA CT _ Property Tax ID d: 1334-503-0016-000-8 Lot No. Site Plan Name: Project Name: geraldine waltz Block No. : LIKE FOR LIKE A/C CHANGE OUT 4 ton, 4 seer, w New Electrical Meter Second Electrical Meter Additional work to be performed under this penult —check all that apply, Mechanical _Gas Tank Electric _ Plumbing Total Sq. Ft of Construction: cost _Gas Piping _Sprinlders afconstruction; $ 7453.00 _ Shutters Windows/Doors _Pond Generator Roof Pitch Sq. Ft. of First Floor: lJtilities: _Sewer _Septic Building Height: Name_geraldine waltz Address: 9414 POINCIANAST City:fort pierce State: If Zip Code: 34951 _ Fax: Phone No.772-252-4854 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) company: Sea Coast A/C and Sheet Metal Inc. Address: 31081ndustria131stStreet . city: Ft Pierce state: FL Zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 — E-Mail info seacoastair rom Sta to or County License CMC03542A.. value of construction is 2500 or more, a RECORDED Notice of Comm If encement is requ If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. RJCTION�IIKN=L/�1 I FORMAI(Oi� SUPI'L�M�NTAL -OtIt40114 0%12/s, � _ _ OrI DESIGNER/ENGINEER — Not Applicable MORTGAGE COMPANY; _ Not Applicable Name: Name: Address:_ Address: City: State _ Clty:, State: dip: _- Phone--- -._._ Zip: __ r. Phone-:—_— FEESIMPLETITLEHOLDER: _Not Applicable BONDING COMPANY: _Not Applicable Name: Name:—, Address: Address: Clty: 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 Coun�tfyl makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure such eonsult wlthyour Home OwnerstAssoci,tl ttandiuevlebylaws y uisdeed f r any aestilts ch onsawhich may aprohibit tructurenPlease --In-consideration of -the -granting of this requested.permit, Ldo hereby agree that I_will, In all.resppcts, perform_tlre work-, ' in with the approved plans the Plot Ida Building -Codes and St, County Amendments. -- -- accordance 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 recordin our No ice of Commencement, Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL I A STATE OF FLOR4RA COUNTY OF� �Q( P COUNTY OF r S ont to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before the of Physical Presence or Online Notarization Physical Presence or Online Notarization this 25_day of January 2021 by this 25 dayofJanuary 2021 by 01-reir(tdiphcr c,- jaq Name of person m king statement. JName of person maki�n/g statement, Identification Personally Known X.OR Produced Identification � Personally Known OR Produced Type of Identification Type of Identification Produced..--. Produced Ord 418bljzrlc�obfNctary Mentu-e of Notary Pub41tatcaotif Public- State of Florida )) i �Florida) Commission No.,Seal ommisslon No. L 5 kP ., JUSTINAL,HOPKIIGGiAu JUSTINAL•HOPKINSCONNELL ; re ssLrs ,,,��,v4y,,,,, -- ,h; {pp9nDb �u. � a Ej(p ES;Dacember17,20 3 f, REVIEWS FROMt*(• %IPPIRE ;9�g Ay2 3 LANS VEGETATION 4�F��ded NL19t43fdl4 Rda k ,Nr mmN° eiwd ro REVIEW COUNT -VIEW DATE RECEIVED DATE COMPLETED ----- ev. AHRI Certified Reference Number : 201384096 Date : 01-25-2021 Model Status :Active Old AHRI Reference Number: 8242072 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) : GSX140481 K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT59C14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, Al IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT. NC. ND. NF. NH. NJ. NM. NV. NY. OH. OK. OR. PA. RI. SC. SO. TN. TX. UT, VA, VT, WA, WV, WE WY, U.S. Territories) Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in ail 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 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 ReIliU or offering for sale. tinas that are accomoanied by WAS Indicate an involuntary re -rate. The new published ratino is shown alone with the previous (i.e. WAS) retina. DISCLAIMER AHRI does not endorse the product(s) Ilsted 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 - 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 fertile model cited on this certificate can be verified at www.ahvidirectory.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.: 32ss074o 775708s4