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Building permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED Date: 03/10/21 Permit Number: ding -Permit App Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax! (772)462-1578 PERMIT APPLICATION FOR: Address ROBERTS RD Property Tax ID ri: 1301-602-0096-000-4 Site Plan Name: Project Name: darlene sass) Residential X LIKE FOR LIKE A/C CHANGE OUT 4 ton, 16 seer, 10 kw New Electrical Meter Secatd Electrical Lot No. Block No. Additional work to be 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. Ft of Construction: _ Cost of Construction: $ 6868.00 Sq. Ft, of First Floor: Utilities: _Sewer Septic BuildingHeight: Name darlene wood Address: 7602 ROBERTS RD city: fort pierce State: Zip Code: 34952 Fax: Phone No.772-464-9191 E-Mail: Fill in fee simple Title Holder on next page ( if different from the owner listed above) Name: vivaiuNiioi �ay� company: Sea Coast A/C and Sheet Metal Inc. Address:3108 Industrial 31st Street city: Ft Pierce state; FL Zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail info seacoastair com Sta to or County License CMC035421 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. Name:_ Address: City: _ FEE SIMPLE TITLE HOLDER: MORTGAGE COMPANY: Name: Address: City: Not Applicable NotApplicable I BONDING COMPANY: _Not Applicable Name: Name:_ Address: Address: City: City:— Zip: Phone: Zip:_ 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 makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure structure, Pleaseeconsult with your HomeOwnersOwners Associat Association review your deed for any restrictions whicht rmaor applyhlblt such --In-consideration of the -granting -of this requested permit, I do hereby agree that l.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 commencing work or recording our No ice of Commencement. ture of Owner/ Lessee/Contractor as Agent STATE OF FLO,RIPPy COUNTY OF L_. Sworn to (or affirmed) and subscribed before me of Physical Presence nr_Online Notarization this 1Q day of march J 2021 by � tr( obi nt7�te r I /i VlQ L Name of person m king statement. Personally Known � OR Produced Identification Type of Identification Commission No.�' Jl18TINAL, REVIEWS FRC COU DATE RECEIVED DATE COMPLETED Holder STATE OF FLOg1Q,A COUNTY OF I, t tC�t �. S onto (or affirmed) and subscribed before me of Physical Presence or Online Notarization this Jja. day of march 20ZI by Ch n'-s pher ki Name of person mani; statement. hio Porsonally Known .OR Produced Identification Type of Identification of Notary Public- Statdlof Florida NS I VEGETATION �W REVIEW This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020, Iwo AHRI Certifed Reference Number : 201785242 Date : 03-OB-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unil, 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) : ASPT49D14A* 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, NO, 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 Certifcation 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 Certifcation Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied 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, tIe protluct(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.atirldirectery.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; AM 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.abridIrectory.org, click on Verify Certificate" link make life better' and enter the AHRI Certified Reference Number and the date an which the certificate was Issued, which is listed above, and the Certificate No., which is listed at bottom right. 132596948487012921 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: