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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 3/17/21 Permit Number: j i � t�� L� �!]Gp[ - - -- - --Budding-P-ermft Application-_ Planning and Development Services X Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone : ( 772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR z Pf3P05D ImP,Rg1fEl� OA„€ 0(�1 _ .k. � Address : 5303 hummingbird way PropertyTax ID #: 1301 -602-0042-000- 1 Lot No. _. . _ .. Site Plan Name: Block No, Project Name: diana shugrue WEI LIKE FOR LIKE A/C CHANGE OUT 2 . 5 ton , 15 seer, 5 kw I New Electrical Meter Second Electrical Meter Additional work to be performed under this permit — check all that apply : i XMechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors _ Pond 1 _ Electric Plumbing — Sprinklers — Generator _ Roof Pitch Total Sq. Ft of Construction : Sq . Ft, of First Floor: 5857 , 00 Utilities : Sewer Septic Building Height: Cost of Construction : $ — — �IU Eft LE i x r ,. 3 CC2 TR � zek __uh M WE Names diana shugrue Name. Christopher Langel Address : 5303 hummingbird way Company: Sea Coast A/C and Sheet Metal Inc. city : fort pierce State: tl Address ; 3108 Industrial 31st Street Zip Code : 34951 Fax: city: Ft Pierce State : FL Phone No. 772-473-0174 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(a)seaCoa5tair com from the Owner listed above) State or County License CM 035421 I If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. �i If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required . S �7PFL M f�TAIGO � LtCT1OyN I N L W1 G?RMAPW g4 _ DESIGNER/ ENGINEER : , Not Applicable MORTGAGE COMPANY: _ Not Applicable Name : _ Name : Address: Address: City : State : City : State : Ztp: Phone— _ Z-ip� Phone FEE SIMPLE TITLEHOLDER: NotApplicable BONDING COMPANY: Not Applicable Name : Name : Address : Address : City : City: Zip : Phone : Zip : Phone : 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structwe ' which is in conflict with any applicable Home OWnersAssociatlon 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 the granting"of this requested permit, Ldo hereby agree, that twill, In all respects.-perform the work _ f 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 Mender or an attorney before commencing work or recordin our No ice of Commencement. vNir ` Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL II A' STATE OF FLO COUNTY OF Lao t COUNTY OF Srvprn to (or affirmed) and subscribed before me of Sv¢orn to (or affirmed) and subscribed before me of Physical Presence or . Online Notarization & Physical Presence or Online Notarization this T 7 day of rllarCb � , 202( by this J day of march. 20ZI by � Name of person m skiing statement. Name of person making statement. Personally Known ,_Q__ OR Produced Identification � Personally Known .X. OR Produced Identification Type of Identification Type of Identification Produced Produced ignature of Notary Public- State of Florida ) (Sig Lure of Notary Public- State of Florida ) Commission No.. (seal ommission No. �4" •,, JUSTfNAt, HOPK(NSCONNECONNE tt t � '?Upop , JUSTINAL. HOPKINSGG940 L fej GG0405 EStDot 810 y� p� �„ EXP ES; Dacember17, 20 3 REVIEWS FRON %1 i FIRE "' 1 a LANS VEGETATION j Rrbfided IN ylpAfdfde ik COUNT ThmNo emtttro _VIEW REVIEW DATE RECEIVED DATE COMPLETED ev. i iiiiiiiiiiiiiiiiiiiiiil ■ o LJ onal CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number : 204295307 Date : 03-15-2021 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) : GSX16S301A' 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, 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 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 GOODMAN,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), blob : 28000 : '.. SEER : 15,00 EER (A2) - Single or High Stage (95F) : 12,20 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 Rat nus that acre acaomoanied bv WAS indicate an involuntary re-rate. The new Dubiished rating is shown alone with the Drevious (i.e. WAS) retire. 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 product(s), or the unauthorized alteration of data Ilsted 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 Certlflcate 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 farina user's Individual, personal and Confidential reference. AIR-CONDITIONING, HEATING, '.. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information farina model cited on this certificate can be verified at www.ahridlrectory.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 NCI 132603124444191916