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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 3/5/21 Permit Number: j o Building-Permit Application_ ------- Planning _._ ------- -- � Planning and Development Services Building and Code Regulation Division Commercial Residential X '..., 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone : (772) 462-15S3 Fax: (772) 462-1578 PERMIT APPLICATION FOR Address : 6005 pinetree_drive -- Property Tax ID tt: 3402-603-0153-000- 1 Lot No._ Site Plan Name: _ Block No. Project Name: robert bryan _ LIKE FOR LIKE A/C CHANGE OUT (2) systems 3 ton , 24 . 5 seer, 9 kw 5 ton , 21 seer, 9 kw New Electrical Meter ` _, Second Electrical Meter i CON�STItU`CTION 1NFOR'tytJATION � � f ' � � _„ � Additional work to be performed underthis permit — check all that apply: Mechanical _ Gas Tank — Gas Piping _ Shutters — Windows/Doors _ Pond _ Electric — Plumbing _ Sprinklers — Generator _- Roof Pitch Total Sq . Ft of Construction : Sq , Ft, of first Floor: Cost of Construction : $ 34 , 200 . 00 Utilities : _ Sewer _„ Septic Building Height: '� Name robert man Name: Christopher Lange [ Address : 6005 pinetree drive company: Sea Coast A/C and Sheet Metal Inc . City : fort pierce _ State: fL Address : 3108 Industrial 31st Street Zip Code : 34982 Fax: city, Ft Pierce state : FL Phone No. 772-971 -8899 Zip code: 34946 Fax: 772-448-4416 E-Mail : _ Phone No 772-466-2400 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 . If value of HAVC is $7,500 OIL more, a RECORDED Notice of Commencement is required. I '' SUPA,LEM �NTPL CONSTRUGTIO,1\I �(GN LF W INFORMATION DESIGNER/ ENGINEER : Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: _. Name : Address : Address : _ City : State : City: State : — — Zip : Phone-_—__ FEESIMPLETITLE HOLDER: Not Applicable BONDING COMPANY; Not Applicable Name: _ Name : Address : ., _ Address : City: Zip: _ Phone: Zip: Phone: z OWNER/ CONTRACTOR AFFIDWT: 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. i St. Lucle County makes no representation that is granting a permit will authorize the permit holder to build the subject structure j which is in conflict with any applicable Home owners Association rules, bylaws or and covenants that may Iestilct or prohibit such 1` structure. Please consult with your Home owners Association and review your deed for any restrictions which may apply. - " --In-consideration of the-gi anting of this requested . permit, I . do hereby agree tltat. 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 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 commencin work or recordin our No ice of Commencement, _ _ � ` i Signature of Owner/ Lessee Contractor as Agent for Owner Sign atwe of Contractor/LicensXo der STATE OF FLO I A STATE OF PLOtjI �A COUNTY OF � ( .( , COUNTY OF S orn to (or affirmed) and subscribed before me of S p Into (or affirmed) and subscribed before me of Physical Presence or Online Notarization aPhysical Presence or Online Notarization '.. this 5_ day of March 2021 by Hnis _5_, day of � 20ZI 1l1aLCf]_.__._�� by f 151r7n1 C�1 rl " her ( � Name of person m king statement. Name of person maki�n/g statement, Personally Known X. OR Produced Identification . Personally Known /\ OR Produced Identification Type of Identification Type of identification Produced_ Produced 4iItureof Notary Public- 9tote of Florida ) 000 (Sigi tune of Notary Public- State of Florida ) ' I I Commission No. Q (Seat) ommission No. + %I " R( ' ., JUSTINAL, HOPKINSCONNEhL anti ¢ JUSTINAL. HOPKINSCONNE L i MY-0 M SSiON GOO40 sal " v EXP ES; DecemberIl, 20 3 REVIEWS FRON z;� I PIRE ; 9�gerpg9 wa LANS VEGETATION SE ', 4�'flifdamd >R(NppFf3fd Ill d°ry I cDUNT ^ t mmN° ubbl` l e'wrKre _VIEW REVIEW I' DATE RECEIVED COMPLETED I i Pf This combination qualifies for a Federal Energy Efficiency Tax Credit when IIII o placed in service between 1 /1 /2015 and 1213112020. FFCertificate AHRI Certified Reference Number : 206401045 Date : 02-24-2021 Model Status : Active '.. AHRI Type : RCU-A-CB (Split System: Air-Cooled Condensing Unit, Coil with Blower) Series : DAVE LENNOX SIGNATURE SL28XCV SERIES Outdoor Unit Brand Name : LENNOX Outdoor Unit Model Number (Condenser or Single Package) : SL28XCV-036-230A** Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-036-230*+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI , ID, IL, AlI IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH , OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, Wl , 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 305 2016. Beginning July 1 , 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement, The manufacturer of this LENNOX product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1 , Performance Rating of Unitary Air Condensing:, & Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI sponsored, independent,lthird party testing Cooling Capacity (A2), Single or High Stage (95F) blob : 35400 SEER ' 24,50 EER (A2) - Single or High Stage (95F) 14.50 i }"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 i ding or offering for sale. Retinas that are accompanied by WAS indicate an Involuntary re-rate The new i bl' h d r tinii is shownwith th o (i.e. WASI al' 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, file pmduet(s) listed mr this Cerfificate, AHRI expressly disclaims all liability for damages of any kind arising out Of file use or performance of the product(s), or the j unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridlrectory.org, TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he used for individual, personal and confidential reference purposes. The contains 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 & REFRfGERATfON INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridlrectory.org, click an "Verify Certificate" link 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 . : 132586646771784000 ® o Certificate of Product Ratings AHRI Certified Reference Number : 206401343 Date : 02-24-2021 Model Status : Active AHRI Type : RCU-A-CB (Split System: Air-Cooled Condensing Unit, Coil with Blower) Series : DAVE LENNOX SIGNATURE SL28XCV SERIES Outdoor Unit Brand Name : LENNOX Outdoor Unit Model Number (Condenser or Single Package) : SL28XCV-060-230A** Indoor Unit Model Number (Evaporator and/or Air Handier) : CBA38MV-060-230*+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI , ID , IL, AlI IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND , NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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. The manufacturer of this LENNOX product is responsible for the rating of this system combination Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air Conditioning:. & Air Source Heat Pump Equipment and subject to rating accuracy by AHRI sponsored, independent third party testing: Cooling Capacity (A2) Single or High Stage (95F), etuh . 55000 SEER : 2100 EER (A2) Single or High Stage (95F) 12.50 i 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" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering forsale. Ratings that are ac omosued by WAS indicate on involuntary re-rate Th oubli h d t' h wn ai 'th th or vi u (' WAS I r ti q 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 products) listed on this Certificate. AHRI expressly disclaims all liability tar damages of any hind arising out of the use or performance of ilia product(s), or [he unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www,aliridIrectory.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, AM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information fertile model cited on this certificate can be verified at www.ahridirectory,org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, we make life bi which is listed above, and the Certificate No,, which Is listed at bottom right. ©2021 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO, 132586647468348674