HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/22/21 Permit Number:
L�IJI` M
I -Building-P-ermiL Application ---
Planning and Development Services
Building and code Regulation Di vision Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-7578
PERMITAPPLICATION FOR;
Address')949 n highway a1a 91
Property Tax ID #: 1414 602-0026-000-0 Lot No.
Site Plan Name: Block No,
Project Name: kjetil myrtvedt
LIKE FOR LIKE A/C CHANGE OUT 3 ton, 16 seer, 1U kw
New Electrical Meter Second Electrical Meter.
Additional warl<to be performed underthls permit —check all that apply:
XMechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors _ Pond
Electric _Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6923.00
_Sprinklers _Generator Roof Pitch
_
Sq, Ft, of First Floor:
Utilitles: _Sewer _Septic Pin ngHeight:
Name kjetil myrtvedt Name: Christopher Langel
Address:4949 n highway a1a 91 _ Company: Sea Coast A/C and Sheet Metal Inc.
city: fort pierce State: fl Address:3108 Industrial 31st Street
zip Code: 3� Fax: city: Ft Pierce state: FL
Phone No. 253-709-5206 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 corn
from the owner listed above) State or County License CMQ035421
If value of construction Is 2500 or more, a REconueu ivouce or uommenccrnem I� IrywICU.
If value of HAVG Is $7,500 or more, a RECORDED Notice of Commencement Is required.
If value of construction Is 2500 or more, a REconueu ivouce or uommenccrnem I� IrywICU.
If value of HAVG Is $7,500 or more, a RECORDED Notice of Commencement Is required.
Not
MORTGAGE COMPANY: _ Not Applicable
Name: Name:_
Address: Address:
City: Stater City:
FEE SIMPLE TITLE HOLDER:
Name:
City:
zip: -
Phone:
Not Applicable
BONDING COMPANY:
Name:_
Address:
City:_
Pho
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated.
[certify that no work or installation has commenced prior to the Issuance of a permit.
St, Lucie Coon tflyj makes noyyrepresentation that is granting a permit will authorize the permit holder to build the subject structure
structure, Pleasecconsult wlthpyourHome owners A sociation and review your deed focovenants
any restrictions which whichtmay applyhlbit such
-In-consideration of -the -granting of this requested.permit, Ldo hereby agree that (.will, It, a.11.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 nsut.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing,
lt
with lender or an attorne before commencin work or rec'orrdin our No ice of Commencement.
Signature of Owner) LesseeJcontractor as
STATE OF FL 1 A
NTY COUOF 1,...1 o e1—
S warn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 22 day of march 2021 by
('Sr(t) er L�Lc�P'l
Name of person m king statement.
Personally Known X. OR Produced Identification
Type of Identification
commission
JUSTINA L, HOPKINS
REVIEWS
TE
STATE OF FLOf31gA
COUNTY OF `�-'�1- LtC.t�
S onto (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 22 day of march— 2021 by
Ch n' slDph�r A n 9
�
Name of person maki
�ng / statement,
Personally Known —OR Produced Identification
Type of Identification
Notary Public -
NS VEGETATION
EW REVIEW
This combination
qualifies
for a Federal
Energy Efficiency Tax Credit when
placed in service
between
1/1/2015 and
12/31/2020,
ism"s in in 4 Mne I U •' • M% ViklFal Wiffei
qwU
AHRI Certified Reference Number : 202544188 Dale : 03-17-2021 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) : GSX160371A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : AVPTC37C14B*
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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.
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02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132604805497834770