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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/31/21 Permit Number: �.. - - Building -Permit Application-_ --._._ Planning and Development Services X Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce Ft 349B2 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR; ARI�DPO Fp II? IgNPiiE ,! N, 4�CA CQ1�1 _. . r am . Address:5212 Indian bend In Property Tax ID 11:1312-800-0003-000-8 Lot No. Site Plan Name: Block No. Project Name: paul camber FDEfiA���DrD�;z �i1iPT10 �Q 1ri��R1�,"%'✓ `,� � �r��`�,�-� �M 1�=`�'� LIKE FOR LIKE A/C CHANGE OUT 5 ton, 16 seer, 10 kw New Electrical Meter Second Electrical Meter. 4 gymf a a �-.yx ..,�- - '-'= ICONS FRUCTION IN> OI�IS�JAT}QI� Additional work to be performed under this permit— check all that apply: XMechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond _Electric _,Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: 7178,00 Utilities: Sewer Septic Building Height: Cost of Construction: $ — — Z7WRv/zIV PRSEr = �r, s CCNfiRF: Name paul camber Name. Christopher Langel Address: 5212 indian bend In Company: Sea Coast A/C and Sheet Metal Inc. city: fort pierce State: fl Address:3108 Industrial 31st Street Zip Code: 34951 Fax: city: Ft Pierce State: FL Phone No. 772-465-5071 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 infoCa)seacoastair com from the Owner listed above) State or County License CMC035421 If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required. f��Q�R,�1AT�.Ofit, .r � `' � � �F7 -�� ��� "�DESIGNER/ENGINEE� CC77-rM �17P1'1 M�i�rT MORTGAGE COMPANY: � Not ApplicableName: Name:_,_Address: Address:City: City: State: _Zip: — Ph_.. — _Zip �__-_P--honk _. - — — 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 permitwill authorize the permit holder to build the subject structure may restrictsuch applyhlbrt wlthpyo�u Home OwOwners ers A sociationtland review your deed for any restrlctionrs structure, Please --In-consideration of the.granting of this requested.permit, Ldo hereby agree that (.will, In all.respects, perform_the work,.._ _, 11 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 in the records of St. improvements to your property. A Notice of Commencement must be recorded public If intend to obtain financing, consult Lucie County and posted on the Jobsite before the first inspection. you with lender or an attorney before commencing work or recordin our No ice of Commencement. Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FLO 1 A STATE OF FLORIRA ��1C COUOFm�,..,j,Q(�,�t P� COUNTY OF NTY SVprn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before tme of Physical Presence or Online Notarization PhyPresence or_Online Notarizationrization b by l7sical this 31day march 202( by this day of 0Zt fof j3Xh � ! hiy hi( ( 5cr I /lyiq e, Name of person m king statement. J Name of person making statement, Personally Known OR Produced identification Personally Known IX.OR Produced identification _X._ Type of Identification Type of Identification Produced Produced r ignature of Notary Public -State of Florida) 4(Sigiune of Notary Public- State of Florida ) Commission No, (seal (seal ommisslon No.� S L ykkGG 040 "' " JUBTINAL• HGPKINSCCNNELL kkJUSTCN ML, SSION .,, •lw (Gt30405 %y W ES: December17,20 3 { W LA NS VEGETATION 4�fhfdded N�RYfNR de I REVIEWS FRON •�' IQPIIREru Nod COUNT VIEW REVIEW DATE RECEIVED DATE COMPLETED ev. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. 0 4 W I is AHRI Certified Reference Number: 201299487 as: 03-30-2021 Model Status :Active Old AHRI Reference Number : 7984223 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) : GSX160601F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT61 D14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, Al IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NO, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 13 2016 central air conditioners can only be installed In region(s) for f"Active" Model Status are those that an AHRI Certifcallon Program Participant is currently producing AND selling or offering far sale; OR new models Ihat are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI CertlHcalion Program Participant Is no longer producing BUT Is still Relling or offering for sale. ating th t re cc mo d by WASindicate an involuntary re -rate. Then w p bl' hed rating Is shown alone 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 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 dlrectory at www,ahrldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidentlal reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; tam entered into a computer database; or otherwise utilized, In any farm or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION & The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ,ae 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. 132616101074485705 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: