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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/8/21 _ ME Permit Number; ding P-ermiTAp Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce Fl. 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR; Address: 14900 Residential X Property Tax ID ri: 1306-111-0001 000-0 Lot No. Site Plan Name: Block No. Project Name: tom tomea LIKE FOR New Electrical Meter Second Electrical Meter Additional work to be performed under this permit— checl<alI that apply: XMechanical _Gas Tank _Gas Piping _Shutters Electric _Plumbing _Sprinklers Generator Total Sq. Ft of Construction: Cost of Construction: $ 5950.00 kw Windows/Doors _ Pond Roof Pitch Sq, Ft. of First Floor: Utilities: Sewer Septic Building Height: Name Wynn Building Corp Address: 12804 sw 122nd ave city: miami State: fJ_ Zip Code: 33186 Fax: Phone No. 772-242-1 740 E-Mail: Pill in fee simple Title Holder on next page (if different from the Owner listed above) Name: Christopher Langel company: Sea Coast A/C and Sheet Metal Inc. Address: 3108 Industrial 31 st Street city: Ft Pierce state: FL Zip code: 34946 Fax: 772-448-4416 Phone No 7721466-2400 E-Mail info�a stair CornStatoorCounty License CMC035421 It value of construcnon 1543uu ur MUIG,a�=����•-•-�-•---•--••_..__.___.. , If value of HAVG 1s $7,500 or more, a RECORDED Notice of Commencement is required. MORTGAGE COMPANY; — Not Applicable Address: Address: City: State: _ City: _ FEE SIMPLE TITLE HOLDER: _Not Applicable Name: Address: City: Zip; Phone: BONDING COMPANY: Name:_ Address: City:_ Pho Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a I'm 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of thegrantingof this requested permit, Ldo hereby agree that Lwitl, In.all respects, perform,the wort(.,_ 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, co nsult with lender or an attorney before commencin work oi- recordin our No ice of C�jommencement. t I A I W/ ` iiim I as Agent for Owner STATE OF FLO I A COUNTY OF�',�.L4C,t S it to (or affirmed) and subscribed before me of Physical Presence or Online Notarization thisl^8 day ,of _ march 202( by l� `r i mb )i i�I e r L n� Yl Q F Name of person making statement. J Personally Known X. OR Produced Identification_.._, Type of Identification hi Commission JU3TINAL, S7ATE OF FLO COUNTY OF r 1C.t'� this S onto (or affirmed) and subscribed before me ofm� Physical Presence or _.Online Notarization 8 dayofr�h 202�by n' hey 1 r� e Name of person making statement. Personally Known X OR Produced Identification Type of Identification of Notary Public - AHRI Certified Reference Number : 201498512 Date : 03-OS-2021 Model Slalus :Active Old AHRI Reference Number : 10206873 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) : GSX140421 K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49C14A* 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 Nole : 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 t"Active" Model Status are those that an AHRI CertiHcallon Program Padicipanl is currently producing AND salting 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 RUT is still Ming or offering for sale. R t' a that area222.mLanded by WAS indicate an Involuntary re -rate The new published rating Is shown along 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 khtd 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; PM entered Into a computer database; m 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 ve make lire 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.: azs9saozs3ss1s47D