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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 4/16/21 Permit Number: Date: IT dM�QI ... =°--_-". BuildingRermit-Application_ .--------- --- — Planning and Development Services X Commercial Residential building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1SS3 Fax: (772) 462-1578 PERMIT APPLICATION FOR: mp sum Ll�SF RRDQO�EDIrJ!PR{1E1�1.0�Cx�O(ram //V Address.2821 jefferson pkwy 1428-702-1332-000-5 Lot No. Property Tax ID 4: Block No. Site Plan Name: ahmad Williams Name: Project Q M�me MOM - _.r 6Ef1'LD�ER�'TiOh7-0� ._r=U 2 ton, 14 seer, 5 kw LIKE FOR LIKE A/C CHANGE OUT New Electrical Meter Second Electrical Meter. AdditlonaI work to be performed under this permit — check all that apply: X.Mechanical _Gas Tank Gas Piping _Shutters _Windows/Doors _Pond _ Electric _,Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: See Ft, of First Floor: $ 5293.00 Utilities: -Sewer Septic Building Height: Cost of construction: Christopher Langel Name ahmad Williams Name: 2821 jefferson pkwy Company: Sea Coast A/C and Sheet Metal Inc. Address: State:fl Address; 3108Industrial 31stStreet City: IDS Zip Code:34946 Fax: city: Ft Pierce State: FL 772-380-2413 7Ip Code: 34946.Fax: 772-448-4416 Phone No. Phone No 772-466-2400 E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail info& lacoastair com from the Owner listed above) State or County License CM0035421 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. SUPPL M�NTRLGOfI%I M, GTIOIV 2K L1�UlII��QRjJ1RTION _ _ DESIGNER/ENGINEER _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: V Name: Address: Address: City: State: _ City: State: ---Phone--- — - - -- p_.—. Zip:--- FEE SIMPLE TITLE HOLDER: ^ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: a OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do me work an❑ insiauauU11 a� JJJu1,.0.=U. I certify that no work or installation has commenced prior to the Issuance of apermtt. St. Lucie County makes noyrepresentation that is granting a permit will authorize the permit holder to bull the subject structure structure. please eonsult with your Hiotne Home Owners A sociat on iaridrueview bylawsor for any estrlctions whichtinay or prohibit such . In -consideration of -the -grunting of this requested.permit, Ldo hereby agree that I,will, In.a.l(.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, Lucie County and posted on the fobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording ou N o ice of C mmencement& as Aeent for Owner STATE OF FL y m, COUNTY OF LL Sworn to (or affirmed) and subscribed before me of Physical Presence or _Online Notarization this 16 day of april 2021 by ohri t) Per L aqo P Name of person m king statement. J Personally Known X. OR Produced Identification Type of Identification Commission REVIEWS TE STATE OF FLO COUNTY OF i aC,t� S onto (or affirmed) and subscribed before the of Physical Pi'esenc� or_Online Notarization thin16 day of aPrl 202,E by Name of person makingng sment. max Personally Known X OR Produced Identification Type of Identification of Notary Publio- NS I VEGETATION EW REVIEW Certificate of Product Ratinas AHRI Certified Reference Number : 201417943 Date : 04-16-2021 Model Status :Active Old AHRI Reference Number: 8655532 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coll with Blower) Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L* Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A* 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, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Nole : 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 }"Active" Model Status era those that an AHRI Certification Program Participant Is currently producing AND selling or offering far sale; OR new models that are being marketed but are not yet being produced "Production Stopped" Model Status are those that an AHRI Cerifcation Program Participant is no longer producing BUT Is still selling or offer ng for sale. Ratinas that are accomoanled by WAS indicate an involuntary re rate. The new published rating is 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 protluct(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 an 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, personal and confidential reference. AIR�CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information far the model cited on this certificate can be verified at www.ahrld rectory.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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132630528053466817