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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 70 BE ACCEPTED Permit Number: Date: 4/22/21 Svc LL Building-Riewmit-Appl.ication----------- Planning and development Services Residential X Building and Code Regulatlon Division Commercial — 2300 Virginia Avenue, Fort Fierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR R-P(SD JR9)N]aEN71GCbJ�I _- - Address: 5201 e echo pines cir 1312-801-0199-000-1 Lot No. Property Tax ID #:_„ —.._ _..... _..._ Block No. Site Plan Name: Project Name george walter a ��WIQ �' DEf1LEf��E��lf�01k)C€ _ - - LIKE FOR LIKE A/C CHANGE OUT 5 ton 16 seer 10 kw New Electrical Meter Second Electrical Meter Additional work to be performed under this permit —check all that apply: Mechanical _Gas Tank ,—Gas Piping _Shutters Windows/Doors _Pond Generator __Roof Pitch Electric _,Plumbing —Sprinklers — Total Sq. Ft of Construction: Cost of Construction: $ 7782.00 Sq, Ft, of First Floor: Utilities: _Sewer —Septic BuildingHeight: Name eOr a waiter Address: 5201 e echo pines cir city: fort pierce —State: fL Zip Code: 34951 _ Fax: Phone No. 772-595-3056 E-Mal I: 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 Industrial 31st Street city: Ft Pierce state: FL Zip Code:34946 Fax: 772-44_ 8_4416 one No 772-466-2400 E-Mail infa@seacoastalLmm State or County License CMC035421 If value of construction is 2500 or more, a RECORDED Notice of Commencement Is regr If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement Is required. City: Zip: -- State: _ FEE SIMPLE TITLE HOLDER: _Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: BONDING COMPANY: Address: city: Phone: Not Applicable Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to no the work and installation as indicated. I certify that no work or installation has commenced prior to the Issuance of a Pet milt. St. Lucie County makes noyrepresentation that is granting a permit will authorize the permit holder to build the subject structure sthucturenPlease con ult n, yolur Hlome Home owners Associat ontand review your deed for any restrictions which may applyhlbit such in consideration of the-grantingof this requested permit, Ldo hereby agree that I Will, Inallrespects, perform the wor<„_,_ ...... 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 failure to Record a Not WARNING TO OWNER: Your ice of commencement may result in paying twice forornmconsult improvements to your prop rt j A Notice Of the fist inspectionnt you intend to obtain e recorded In the financing, of St. Lucie County and p _r___ ^, nnrina iA,nrk or recording Vour Notice of Commencement. i as Agent for Owner STATE OF FLO,RIpP��� COUNTY OF n to (or affirmed) and subscribed S orbefore me of Physical Presence nr _Online Notarization this_aday of aDrll ,202` by hr i 5 k�)�h Name of person making statement. Personally Known � OR Produced Identification �.._, Type of Identification �ignature of Notary Pi Commission No. REVIEWS FRC COU JUSTINAL. STATE OF FLO'G�.C-- � COUNTY OF_yd,_�� S o n to (or affirmed) and subscribed before me of Physical Presence or. Online Notarization this 22 day of aprll 20ZI by Name of person snaking statement. Personally Known x OR Produced Identification_. Type of Identification Notary Public- Statelof Florida LANS (VEGETATION VIEW REVIEW HOPKINS Eligible for Federal Tax Credit ti ■naI CERTIFIED® www.aliridirectory.org AHRI Certified Reference Number: 201299487 Date: 04-20-2021 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, IA, 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 .._..I ,....^ zn vn4A Raninnino July 1. 2016 central air conditioners can only be installed In region(s) for T"Acfive" Model Slalus are those that an AHRI Certification Program Padicipanl Is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced:'Productlon Stopped" Modei Status are those that an AHRI Certification Program Padicipanl Is no longer producing BUT is still selling or offering for sale. Ratio s that are accom anted b WAS Indicate an involunta re -rate. The new published ratio is shown anon with the revlous i.e. WAS cars . DISCLAIMER AHRI does not endorse the product(s) Its 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.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; 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 VERIFICATIONake life better^' The information for the model cited on this certificate can be verified at www.ahridirect ry.org click on "Verify Certificate" m Nyewe and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, 132634121297950355 which is listed above, and the Certificate No., which is listed at bottom nght CiERT�F�CrQ1TE N�.: ©2021 Air -Conditioning, Heating, and Refrigeration Institute