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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/30/21 Permit Number: planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4621578 PERMIT APPLICATION FOR; Address: 3920 n highway a1a 304 II Property.Tax ID #:1423-505 0008 000 8 Site Plan Name: Project Name: herbert Residential X LIKE FOR LIKE A/C CHANGE OUT 3.5 ton 14 seer 10 kw New Electrical Meter Second Electrical M Lot No. Block No.. Additlanal worl<to he performed under this permit —check all that apply: KMechanical _Gas Tank _, Gas Piping _Shutters _Windows/Doors on Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 6879.00 Sq. Ft, of First Floor: Utilities: _Sewer _Septic Building Height: Name herbert richerson Address: 203 out fork dr city: lebanon State: TN Zip Code: 37087.FFax: Phone No 615-945-8490 E-Mail: Fill in fee simple Title Holder on next page( if different from the owner listed above) company: Sea Coast A/C and Sheet Metal Inc. Address: 3108 I ndustrial 31 st Street city: Ft Pierce state: FL zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail into seacoastair om 35 Sta te or County License CMC0421 value of construction Is 2500 or more, a RECORDED Notice of Comm If encement is regr If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. �t7PPLE1vi 1�TAl CQ S RUCTIQN PAN LAUD/ 1j)N1f0 1VAMp1�_N •> ^� ns r,. - z _ _ _ _ DESIGNER/ENGINEER Not Applicable M 0 RTGAG E CO M PANY: Not Applicable Name: Name:_ Address: Address:: City: Stater City: State Zip: —Phono -- -- --..__—_zip, -_.—.—.-_P-hone:..-T_--�— ----- - FEESIMPLETITLEHOLDER: Not Applicable 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 Count yy makes norepresentationthat is granting a pormitwill authorize the permit holder to build the subject structure such applvhlbit iationtlandrreview your deed or any restrictions wI ichtmaor Pleasleeconlsultwwlthpyour Home Owners owners structure, - --In-consideration of -the -granting. of this requested. permit, We hereby agree that I.wlll, In all..resppcts, Perform,the work,,.,., _.... _.. in with the approved plans, the Florida Building Codes and St. Lucie County Amendments. accordance 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 in the records tt public nsuof improvements to your property: A Notice of Commencement must be recorded If intend to obtain financing, Lucie County and posted on the fobsite before the first inspection. you with lender or an attorne before commencing worl(or recording your Nolice of Commencement. Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FLO I A STATE OF FLO A COUNTYOFML Q(JP COUNTY OFTLfCAqa� S orn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of Notarization Physical Presence or Online Notarization Physical Presence or_Onllne by this 0 day of'MarCh 202( by this 10_.day of march 2&t e l- aig L Name of person m k ni g statement. 0 Name of person snaking statement. X.OR Produced Identification Personally Known X OR Produced Identification Personally Known Type of Identification Type of Identification Produced Produced ignature of Notary Puubllic- State of Florida) (sigr ture of Notary Public- State! of Florida ) Commission NoQPM` Il Ia seal ommisslon No. JUSTINAL•HCPKINSCCNNE L 6¢^,,JUSTINAL•HCPKINSCCNNELL +'*ti' tE SSI GG940 ,e����''y°, • • =-01 •' EV ES:oecemberl7s29 3?01 • ° EV ES:oocemberl7s29 3 ** ��05 LANS VEGETATION 4�7��naea NaR 3td as t FRONT j(, ' I iPIRE 99}rt4 �'e�n REVIEWS m VIEW REVIEW COUNT DATE RECEIVED DATE COMPLETED eV. J/ •a 11 ,1111111, a • # 1 1 • AHRI Certified Reference Number: 9507413 Date: 03-26-2021 MGdel Status :Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : 14 SEER W SERIES R410A AC Outdoor Unit Brand Name : GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WCA4424GKA** Indoor Unit Model Number (Evaporator and/or Air Handier): WAPL424A*+TXV 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, SO, 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:'Produclion Stopped" Model Status are those that an AHRI Cedifcatlon Program Padicipanl is no longer producing BUT is still Iling or offering for sale. R tin Ih t ar cc mpani d by WAS Ind' le n'nvol t ry r rate Then publ' hed r tl q is shown alone with the previous (I a WAS radon. 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 or, 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 listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectury.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; or Otherwise utilized, In any form or manner Or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahridlrect y.org, click on "Verify Certificate" link we 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. CERTIFICATE NO.: 132612550243031208 ©2021 Air -Conditioning, Heating, and Refrigeration Institute