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PERMIT
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/26/2 I LI Mdn Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMITAPPLICAT[ON FOR; Permit Number: Commercial Residential X II Address: 4200 n highway a1a 315 1423-501-0119-000-7 Lot N o. Property, Tax ID it; _ _._..._. Block No.l Site Plan Name: elena rego LIKE FOR LIKE A/C CHANGC UU I Zion i4 seei a Additional worl<to he performed under this permit —check all that apply: Mechanical _Gas Tank Gas Piping _Shutters _windows/Pitch Doors _Pond Electric _Plumbing _Sprinklers ^Generator _Roof _ Total Sq. Ft of Construction: Buildin cost of Construction: $ 5000600 utilities: _Sewer Septic g Height: Sq. Ft, of First Floor: Name elena re o Address: 10744vsw 110th ter City: miami State: }L Zip Code: 33176 Fax:_ Phone No. 305-951-2114 E-Mail: 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 31 st Street city: Ft Pierce State: FL Zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail info@seacoastair som State or County License CMC035421 If value of construction Is 2500 or more, a RECORQED Notice of Commencement is required. If value of HAVG is $7,500 or more, a WORDED Notice of Commencement is required. — Name: Address: City: State: _ Zip, ---Phone... FEE SIMPLE TITLE HOLDER: _Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: — Not Applicable Name: Address: y: State: Cit— BONDING COMPANY: _Not Applicable Name: Address: P 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 County makes no yyrepresentation that is granting a permlC will authorize the ermit holder to build the subject structure structurenPleasecconsult wlthpyolur Home Owners Assoc a4on a drreview your deed for any estrietfous which may or prohibit such In -consideration of-the-grantingof this requested.pennit, Ldohereby agree that.l_wiU, In ,perform the work,,,_. .... .... in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building pet'mit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen roams 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 co f St. Lucie County and posted on the jobsite before the first inspection, if you intend to obtain financing, wult ith lender or an attorne before commencin work or recordin o-uurr, No ice of Commencement, as Agent for Owner STATE OF FLO,�IpA��� COUNTY OF Sw rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 26 dayof.apriliiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii�202f by r (� l� e r- L 6 vio e Name of person Making statement. tt. 0 Personally Known � OR Produced identification„ Type of Identification �ignatbre of Notary P Commission No.�.' REVIEWS FRC COu JUBTINAL, STATE OF FLO A ' , COUNTY OF�� S onto (or affirmed) and subscribed before me of Physical Presence or,.Online Notarization this 26 day of april 2&t by ChgNs Rher G �g� I Name of person making statement. Personally Known X OR Produced Identification Type of Identification of Notary NS I VEGETATION �W REVIEW HOPKINS AHRI Certified Reference Number: 201407616 Date : 04-26-2021 Model Status :Active Old AHRI Reference Number : 8631966 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241L* Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF25XX16A* Region : Southeast and North Al AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, 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 t"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 Thal an AHRI Cediflcation Program Participant is no longer producing BUT Is still selling or offfor sale. R t a ih tering mp n' d by WASindicate an invohint ry re -rate. The w published red na' hown alone with the previous (' e WAS) ration. DISCLAIMER AHRI does not endorse the products) 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 directory at www.ahrid lrectory.arg. 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 for the model cited on this certificate can be verified at www.aliridlrectory.org, click on "Verify Certificate" link we make life beuer^ 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. 132639089373256192 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: