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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/23/21 Permit Number: F �c0 ° - oT'� Building- Permit -Application-_ Planning and Development Services X Building and Code Regulation Division Commercial Residential_ 2300 Virginlo Avenue, FortVlerce FL 34982 Phone: (772) 4G2-1553 Fax: (772) 462 1578 PERMIT APPLICATION FOR Address: 413 se tranquilla ave Property Tax ID If 3419 530-0071-000-1 Site Plan Name: Project Name: doris harrl5 LIKE FOR LIKE A/C New Electrical Meter ,___Second Electrical Mete 14 seer, 5 kw Lot No _ Block No, .. Additional workto he performed under this permit —check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors on _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Pt of Construction: _._ ._ Sq, Ft. of First Floor: Cost of Construction: $ 5858.00 Utilities: _Sewer _ Septic Building Height: OW,,N�R�t,ESSEERX-_ Namedoris harris COJUTRACTOR Name. Christopher Langel Address: 201 crescent ct _ Company: Sea Coast A/C and Sheet Metal Inc.. Address;3108Industrial 31stStreet city: Louisville _._ zip code, 40206 Fax: Phone No. 502-612-9913 State: fl — city, Ft Pierce _state: FL Zip Code: 34946 Fax: 772-448-4416 Phone No__772-466-2400__ E-Mail: Pill in fee simple Title Holder on next page ( if different E-Mail Info seacoaStair from the owner listed above) State or County license CMC035421—__. If value of construction Is zsou or more, a neLurcu��IJ I JUJ,..U,,,�.,. ,J ,..4,.,....,. If value of HAVG is $7,500 or more, a RECORDED Notice of commencement is required. LION LAW4NFQRM'AT(ON SUPPLE,IM�NTAL=,CONSTRUCTION DESIGNER/ENGINEER Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: _ City:,__ : StateCity: -.State..-,. _ ___ -Phone_ ----- -- -Zip:---- Tip FEE SIMPLE TITLE HOLDER; _ Not Applicable BONDING COMPANY; Not Applicable Name; _ Name:—_ Address:.... Address: City: City:, Zip: _-Phone: -_ _ Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application Is her ehy 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 Count'yy� makes noyyi epresentation that is granting a permit will authorize the permit holder to build the subject structure Ibit such awhich yoiurHlome Owners AssAssociation maor Pleasle consilt W c Association and review youwsdeed for any rest action apply structure, th --I n-consideration of the granting of this requested. permit, [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 paying twice for Improvements to your property. A Notice of Commencement must be recorded in the public records o Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, suit with lender or an attorney before comm_encin work or recordin our No ice of Commencement. Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License. Holder STATE OF FLO I P STATE OF FLORIRA �C NTY COUOF�,_L2t".�'U COUNTY OF Sw rn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or.__ Online Notarization Physical Presence of Online Notarization this 23 day of fe y ZC�{ by this _3 , day of f .b v _-_.� 202,E by _l1Ug Name of person m king statement. Name of person makingstatement, Personally Known �, OR Produced identification Personally I(nown /\. OR Produced Identification Type of Identification Type of Identification Produced Produced 4(Slgiiure ignatur'e of Notary Public- late offFFlorida) of Notary Public- State of Florida J rnta� Commission No.�, (Seal) o misslon No. q.4 L :L2 c� JUSTINA L. HOPKINS CONNE ,. µjr'n,'('., o } y9QJUSTINAL,HOPKINSCONNELL ? �' �'-: MMLSSt 1 00949 )rt?0-9d95 .....— ul, tor; EXP ES:Oecambor17,20 3 REVIEWS FRON' S ' I SPIRE : UpAq 7yL 3 LANS VEGETATION dad de t COUNT mmNo ewdt s _VIEW REVIEW DATE. RECEIVED — — DATE COMPLETED ev. U/2 AHRI Certified Reference Number : 202349756 Dale : 02-22-2021 Model Status :Active AHRI Type(Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140361K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT35B14A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, Of, 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 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 which they meet the regional efficiency requirement. }"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering (or sale; OR new models Thal 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 R I Ior offering for sale. t'ng that p nl d by WASindicate aninvoluntary re -rate. The publi h d ratiinn Is h w along with the previousgrevious (' 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 disclahns all liability for damages of any kind arising out of the use or performance of the product(s), or the w lauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www,alirtdirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and - �.,w. confidential reference purposes. The contents of this Certificate may not, hr whole or in part, be reproduced; copied; disseminated; l 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.ateldirectory.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. 132584828900129111 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: