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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/27/21 Permit Number; uilding-P-ermitAppli Plonntng and Development Services Building and code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR; Address: 423 E Coconut ave Property Tax ID R: 3419-510-0024-000-5 Site Plan Name: Project Name: earolyn/fames trent Commercial Residential X LIKE FOR LIKE A/C CHANGE OUT 3.5 ton 14 seer 10 kw New Electrical Meter Second Electrical Meter Additional wari<to be performed under tltls permit— check all that apply: xMechanical _Gas Tank Electric _Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 5379.0C Lot No. Block No. _,Gas Piping _Shutters _Windows/Doors _Pond _Sprinklers ,_Generator _Roof Pitch Sq, Ft, of First Floor: Utilities: _Sewer _Septic Building Height; Name Carolyn/iamPc trPnt Address: 423 E Coconut ave city; PSI State: fl Zip Code: 34952 Fax: Phone No. 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 InfoaQ seacoastair com Sta to or County License CMC035491 value of construction is 2500 or more, a RECORDED Notice of Comm If encement is required. If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is requited. LI�U1 #L��QfZ[VIATC� $�11�pLI M'l`1T/�L CONS1�C7fON�(N t 'in DESIGNER/ENGINEER Applicable MORTGAGE COMPANY: — Not Applicable _Not Name: Name: Address: Address: City: State: City: State: — _.._. �. ._---ZipP-hone;---,—__ Zip:---- ._Phone----- — FEE SIMPLE TITLE HOLDER: ^ 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 Count yy makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure such withpyourHome Owners Associ ttion land review your deed or any restrictions whicht nay applyhlbit structure Pleasleconsult In consideration of thegrantingof this req uested.perm it, I.do hereby agree tha# Lwill, li-iiallrespects, per. fgrm,the work,,,,,,., in with the approved plans, the Florida Building Codes and St. Lucie County Amendments. accordance 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 St, improvements to your property. A Notice of Commencement must be recorded in the public recordsof Lucie County and posted on the jobsite before the first Inspection. If you intend to obtain financing, consult withlender or an attorney before commencin worl<or recording our No ice of Commencement. 1&d al Signature of Owner/ Lessee/Con tractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL I A STATE OF FLOfjIQ,A COUNTY OF � Lk(� {� COUNTY OF S rn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of T Physical Presence or _Online Notarization Physical Presence or_ Online Notarization by this 27 dayof aprll 202( by this 2/day of anril 202E Name of person moaking statement. Name of person madhgng statement, Personally Known X. OR Produced Identification Personally Known __ OR Produced Identification Type of Identification Type of Identification Produced Produced - f Notary Public- Mate of Florida) 4(Sigture of Notary Public- State�ignature oof Flforida Commission No. - a (Seal ommission No, L JUBiiNAL,HCPKINSCONNELL 1 yf.,;JU3Tl ML, 8SPKINSou940 1¢".,, *� • A iut O(P ES; Decembei 17,20 t2l s, , PIRE ; S LANS VEGETATION (�Sndad MNtltUfi itWde I FRON Ili ' I' REVIEWS 0 kt, ImNNo anntt m REVIEW Ep - COUNT .VIEW DATE RECEIVED DATE COMPLETED ev. Eligible for Federal Tax Credit LOMil •is• AHRI Certified Reference Number : 201152966 Date : 04-27-2021 Model Status :Active Old AHRI Reference Number : 7428124 AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC14421141 E` 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, NO, 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 ali regions until June 30, 2016. Beginning July 11 2016 central air conditioners can only be installed in regions) for which they meet the regional efficiency requirement. f"Active" Model Status are those that an AHRI Cedihcation Program Participant is currently producing AND selling or offering (or 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 Padicipanl is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied 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 produc[(s) Ilstetl 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 alteratlon 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, 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 vve 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.: azsasse4zs3s4o141