HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/14/21 Permit Number:
T0 IE
O,l! N YLLL
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) 462-1578
PERMIT APPLICATION FOR;
Address: 6307 merry bee dr
Property Tax I #; 3409-703-0108-000-9 Lot No,
--..
,
Site Plan Name: Block No.
Project Name: hu ie Campbell
LIKE FOR LIKE A/C CHANGE OUT 4 ton, 18 seer, 9 kw
New Electrical Meter_ Second Electrical Meter
Additional work to be performed underthlspermlt—check all that apply:
Mechanical _Gas Tank Gas Piping _Shutters
Electric
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 14938.00
Name h
Windows/Doors _Pond
_Sprinlders Generator _Roof
Sq, Ft, of First Floor:
_ Height:
Utilities: _Sewer Septic Building
Address:6307 merry bee dr
city: for pierce State: fl
Zip Code: 34982 Fax:
Phone No.
F-Mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
Pitch
Name: �,nnawNiiai �ay�—
company: Sea Coast A/C and Sheet Metal Inc.
Address; 3108 Industrial 31 st Street
City: Ft Pierce _State: FL
Zip Code: 34946 Fax: 772-448-4416
Phone No 772-466-2400
Mail info seacoastair =
State or County License CMQ035491
n6rna nph rvnrira of commencement Is
If value of HAVG Is $7,500 or more, a RECORDED Notice of Commencement is required.
S�TFPLfMNTAL GDy�#UCT1aN J INN LPW I�1FQrRMAT1�N!
DESIGNER/ENGINEER: _Not Applicable
Name;
yVV
.. 4 f __.. ,•
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:
State: _
Gity: State:,_
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address;
City:
City:
_
Zip: Phone:
Zip: Phone:-
.. . ..._.,.. L- A...,.,..•.,..i,
.,,,a indicated.
OWNER/ CONTRACTOR AFFIDVIT: Application Is nereny mane co ooiam a penn1L LU uV Ul� VVW• •N "14- •• --- _- -
1 certify that no work of installation has commenced prior to the Issuance of a permit.
St. Lucie County makes norepresentationthat is granting a permitwiII authorize the permit holder to bull the subject structure
structurenPleasle eonsult wlthpyourHome Home Owners Association iandrreview your deed for covenants
ny estrictions wl ch mcay aprohibit such
In consideration of the -granting of this requested permit, Ldo hereby agree thatJ_will, in all.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 St.
writh lender or an and attorrd on ne 1 before oommensite � n the
work orrecpordjnn lour No ice of Commencemenou intend to obtain t' consult
I I al ` I A0 Q
as Agent for Owner
STATE OF FL I P
COUNTY OF���.LQCI
S rn to (or affirmed) and subscribed before me of
Physical Presence nr Online Notarization
this � day of aprll 202( by
Chr(Scr I &hcP i
Name of person m king statement.
Personally Known Y.OR Produced Identification_,._
Type of identification
Commission
JUBTINA
STATE OF FLOgI��„� �
COUNTY OF ``33
S o'n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
ehis � day of aprll � 20 by
Name of person making statement
Personally Known X OR Produced Identification_.
Type of identification
of Notary P
Eligible for Federal Tax Credit
Certificate rKatings
AHRI Certified Reference Number: 206821582 Date: 04-14-2021 Model Status: Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: DAVE LENNOX SIGNATURE XC21 SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : XC21-048-230A**
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-D48-230*+TDR
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, NC, 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 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 Cedifcation 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
R(ling or offering for sale.
tin that aremp d by WAS Indicate 1 lunt ry re rat Then published rating' shown along 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), ar the
unauthorized alteration of data listed 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 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;
AM
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.ahridlrectory.org, click on "Verify Certificate" link we make life better^
and enter the AHRI toured 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. ' 132628945385894897
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: