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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/26/21 Permit Number: llo .Building-P-err Planning and Development services sulldingand Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR: Residential X Address: 5909 BALSAM DR Property Tax ID tt: 3402-610-0517-000-3 Lot No. Site Plan Name: Projeame: ct N osteen roger LIKE FOR LIKE A/C CHANGE OUT on, seer, w New Electrical Meter Second Electrical Meter Additional worl<to be performed under this permit —check all that apply; Mechanical _Gas Tank TGas Piping Electric _,Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 7418.00 Block No. Shutters Windows/Doors _Pond Generator Roof Pitch Sq, Ft, of First Floor: Utilities: _Sewer _Septic Building Fleight: Name roger osteen Address:5909 BALSAM DR city:fort pierce _state: fl Zip Code: 34982 Fax: Phone No. 772-464-8818 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) her Lanael company: Sea Coast A/C and Sheet Metal Inc. Address:3108 Industrial 31st Street city: Ft Pierce state: FL Zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail info@seacoastair com Sta to or County License CMC035421 value of construction is 2500 or more, a RECORDED Notice of Comm If encement is regc If value of NAVC is $7,500 or mare, a RECORDED Notice of Commencement 1s required. �7PPLJUIJ�T�1' GQN7RIJCT�gN L(N L/1N 1NWQIVI`A2T- DESIGNER/ENGINEER: _ Not Applicable l©�L MORTGAGE COMPANY: ^ Not Applicable Name: Name: Address: _ Address: City: State: -ZIP!—- City: State: Zips ----Phone----- --- - FEESIMPLETITLEHOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name; Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Coonmakesmakes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure ers A sociat on and review your deed for any estrictlon$ whichtmay apply. such structurenPleasegions alt wlthpyoor Home Owowners --Inconsideration of thegrantingof this requested permit, Ldo hereby agree that twill, In a.11.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 o St, Lucie County and posted on the jobsite before the first Inspection. If you intend to obtain financing, with lender or an attornev before commencing work i or recordn our No .ice of Commencement. Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL I A, STATE OF FLORT COUNTY OF L Q.0 •P COUNTY OF L l a(".t•� S rn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of Physical Presence orI. Online Notarization nZ Physical Presence or Online Notarization this 26 day of prll 2021 by this 2 day of april , 2021, by a 0hr115l��)7her L 120 LI Ch nss s Sher Name of person mlaking statement. J I Name of person makistatement. �ng Personally Known � OR Produced Identification Personally Known /OR Produced Identification Type of Identification Type of Identification Produced Produced ignature of Notary Public- tate of Florida) (Sigi ture of Notary Public- State of Florida ) Commission No.{Seal ommisslon No'r-0,r5qy�„ „ JUSTINALIHOPKINSCONNE L 11 Ills ,, USTINAL,HOPKINSCONNELL i?SmtY00 4 , J IOiri! 8 M sSl No0940 A P.XP ES:Dacember17,20 3 �� •Yel PIRE ; de l REVIEWS FRON ., Ili mmN�@4i�eh@ �'eSre LANS VEGETATION t1ZT�6nped NnAfy3fd COUNT VIEW REVIEW DATE RECEIVED DATE COMPLETED Rev, Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number : 201785374 Date : 04-26-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unii, Coil with Blower) Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX16S421A* Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT49D14A* 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, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO, 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 11 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 yef being produced "Production Stopped" Model Status are those that an AHRI Certigcation Program Padicipant is no longer producing BUT is still selling or offering for sale. Rations that are accompanied by WAS indicate an Involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) ra6nc. 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 unauthorized alteration of tla listed on this Certlflcate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for indlvidual, personal and conFldential 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 farm 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,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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132635365753688597