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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 4/14/21 Permit Number: Date: —Building-P-ermitAppiication__T__.._ __ Planning and Development Services X Commercial Residential Ruildingand Code RegulationDivision 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4G2-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: _ . gffi r� i O O_D IQE�pt.aO�U 5012 HICKORY DR Address: 3402 608-0209-000-4 Lot No. Property Tax ID #: _ _. _... _.__. 1. Block No. Site Plan Name: douglas banks Project Name: go e _ �E rliLQxDEtTlpj�I D�U4R�gno 2.5 ton, 16 seer, 8 kw LIKE FOR LIKE A/C CHANGE OUT New Electrical Meter. Second Electrical Meter. Off RU 710`�I�1FpR' 1 T}Q�. g Iva _ Additional work to be performed underthls 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: $ 616100 Utilities: Septic Building Height: cost of construc{^tion:: —Sewer I�L�� Christopher Langel douglas banks Name; Name HICKORY DR company: Sea Coast A/C and Sheet Metal Inc. Address:5012 Address: 3108 Industrial 31 st Street city: fort pierce State:fF FL Zip code: 34982 Fax: city: Ft Pierce state: Zip Code: 34946 Fax: 772-448-4416 Phone N01772-475-7780 Phone No 772-466-2400 E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail info(Mseacoastair com from the Owner listed above) State or County License CMCQ35421 If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required. CgNi�j L�G17 C�7RQ 1/1`AT�OfiW SI�RpIC M} NTP� f�SU�af .� .._ Not Applicable DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: — Name: Name:__ Address: Address: City: State: City: _ State: _ Zip:— -Phone— — — — _Zip - FEE SIMPLE TITLE HOLDER: ^ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: Clty: 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 Courtmakesmakes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure Associationsuch wlthpyo�urHolne Owners Association drreviewyyour deed for any restrlctwns whidrtIncay appp'� ' structurenPleasecconsult In consideration of the -granting of this requested permit, Ldo hereby agree that ].will, In ..) 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 be in the records f St. improvements to your property. A Notice of Commencement must recorded public If intend to obtain financing, o ult Lucie County and posted on the jobsite before the first inspection. you with lender or an attorneybefore commencingworl< r No ice of Commencement. :T7 Signature of Contractor/License Holder Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FL 1 A STATE OF FLO1?1pA�� COUNTY OF�j -1 @��t COUNTY OF S orn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of Physical Presence or_ Online Notarization Physical Presence or. Online Notarization by this l4__-day ofaprll 12021 by this14dayof april 2021 *b+0 I l P h e'r 0J r i ,� P � Name of person re'� ing statement. Name of person makiil statement, // Personally Known X OR Produced Identification OR Produced Identification Personally Known _I�___ �...�, Type of Identification Type of Identification Produced Produced )gniturc of Notary Public -State at I-Iorida ) (Sig ture of Notary Public- State of Florida ) Commission No.00i {Seal ommisslon No. 111111111 LL to HoPKINSCONNEL JUSTINA JUSTINAL,HOPKINSCONNELL ;i?� �f'': m SSI GO 69 i-GO- `•a! °' ExP ES:Dedember17,20 l FRON t PIRE ;S LANS VEGETATION $��f¢¢ndedi MEfcldkfid 7 da I REVIEWS o%, ,���, IDWNo� e^tim re VIEW REVIEW COUNT , Mtirr + DATE RECEIVED DATE COMPLETED ev. Eligible for Federal Tax Credit AHRI Certified Reference Number: 9198746 as: 04-13-2021 Model Status :Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA030*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, Al 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, }"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 Certifcalion Program Participant is no longer producing BUT is still selling or offering for sale. th t re o nied by WAS Indi t n in I t ry r - t Th n aubli h d lino i h alone w'ih the orev'ous (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 products) 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 nauthorized alteration of data listed on this Certificate, Certified ratings are valid only far models and configurations listed in the dlrectory at www,ahridirectory,org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only he used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; Pin 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. AIREFRIG RATI N (HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information farina model cited on this certificate can be verified at www.ahridirectory,org, click on "Verify Certificate" link we 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 132627952152577550 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: