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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/5/21 __ o LU Q(�IjIi� Li Planning and 6evelopment Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34.OB2 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR; Address: 405 GREGORY ST Permit Number: Commercial Residential X Property Tax ID fit: 3402-605-0107 000-0 Lot No. Block No. Site Plan Name: Project Name: Jeffrey jacobs LIKE FOR LIKE A/C CHANGE OUT New Electrical Meter _Second Electrical Meter. Additional work to be performed under this permit —check all that apply: KMechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors __Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: _ Cn�t of construction: $ 746 1.00 Sq, Ft, of First Floor: lJtilities: Sewer _„ Septic Building Height: Nameieffrey iacobs Address: 40�i C'RFC'l�R�_ --- city: fort nie mP State: fl Zip Code: 34982—_. Fax: Phone No. 772-971-7449 Fill in fee simple Title Holder on next page (if different from the OwneY listed above) hc company: Sea Coast A/C and Sheet Metal IncT Address:3108 Industrial 31st Street city: Ft Pierce state: FL zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail infol7a seacoastajr oom _ State or County License CMC035421 — rnor.rr` ni.,riro of commencement Is If value o4 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SU�'PLMNTALGONS�RIICTfgN LIEN 1AWINFO�RMrAT1ON� .._.� DESIGNER/ENGINEER:—NotApplicable � all MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: Address: _ City;_ State: — — State City: — .__Ph— Zip: one: — .. _ — FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name; Name: Address: Address: City:_ City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby mace to oocam a penniL LU uv UM VVVI N ai�u �"Otut'""w" �- ••- ____. I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucle Coun{{ffyylI makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure structure. Pleasecconsult with yourHloue Owners AssAssociation ciat o i land review your deed for any aesu Ictlons which Itr ay apply Ibli such - - In -consideration of the granting of this requested. permit, Ldo hereby agree that 1 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records nsuof tt Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, with lender or an attorne i before commencin work o - recordingour No -ice of Commencement. of Owner/ LesseejContractor as Agent for Owner STATE OF FLO I P COUNTY OF.�^j Ail S rn to (or affirmed) and subscribed before me of Physical Presence or_Online Notarization this 5 day of jebruary,202( by Name of person making statement. Personally Known � OR Produced identification Type of Identification Commission Jl1STINAL, REVIEWS STATE OF FLORIp,A COUNTY OF `'�l— S onto (or affirmed) and subscribed before me of Physical Presence or _.Online Notarization this 9 day of f hrua 20Zi by Name of person making statement. Personally Known /�, OR Produced Identification Type of Identification of Notary Publio- VEGETATION REVIEW 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 : 20 it 85242 Dale : 02-05-2021 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) : GSX16S481A* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D74A* 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, 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 Nate : 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. f"Active" Model Status are those that an AHRI Cedifcation 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 elling or offering for sale. &Ln2,s that mpriled by WAS indicate an 'nvoluntary re -rate The new published rating Is shown along with the previous (i.e. WAS) ration. 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 producusk 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 for the model cited on this certificate can be verified at www.aliridlrectory.org, click on "Verify Certificate" link Ave 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.: azsT0000usalsolz