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Building Permit App
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/28/21 Permit Number: a 4: 0 ° --Building-P-ermit-Application—. __...._ -. Planning and Development Services X Building and Code Regulation Division Commercial Residential_ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR: Address: 5902 KILLARNEY AVF Property Tax ID ff: 1301-613-0027-000-4 Lot No. Site Plan Name: Block No. Project Name: 3 ton, 16 seer, 10 kw New Electrical Meter Second Electrical Additional workto be performed underthls permit—checkall that apply: Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond Electric _,Plumbing _Sprinlders ^Generator _Roof - Pitch Total Sq. Ft of Construction: Cost of Construction: $ 7033.00 Sq. Ft. of First Floor: Utilities: Sewer _Septic BuildingHeight: Name iamaG raival Address: 5�—KII I ARNFY A\/F city: fort pierce State: fl Zip Code:34951 Fax: Phone No, 856-305-2407 Fill in fee simple Title Holder on next page( if different from the Owner listed above) Name: t;nnstopner I_angel company: Sea Coast A/C and Sheet Metal Inc. Address: 3108 Industrial 31 st Street city: Ft Pierce State: FL Code: 34946 Fax: 772-448-4416 Zip Ph one No 772-466-2400 E-Mail infoCcr)seacoastai State or County License Cl` encement Is requ If value of construction is 2500 or more, a RECORDED Notice of Comm If value of WAVC is $7,500 or more, a RECORDED Notice of Commencement is required. $t7�P11Y1i�TAI G�1UClCON MIN LA1/ IC�RMATId`N _M. DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City; State: City: State: — Zip:----- 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 County makes no representation that is granting a permitwill authorize the permit holder to build the subject structure that may restrict or bit such which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants prohl deed for any restrictions which may apply. structure, Please cow nsult ith your Home Owners Association and review your In consideration of the -grantingof.this requested permit, Ldo hereby agree that ].will, In all.respects, perform 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 jobsite before the first Inspection. If you intend to obtain financing, consult with lender or an attorne before commencin wort<ot'recordin our No ice of Commencement. Owner Signature ofoff Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for STATE OF FL I A STATE OF FLOR IgA COUNTY OF Ljk.Cj•P_L_... COUNTY OF III S rn to (or affirmed) and subscribed before me of n t S o'o (or affirmed) and subscribed before me of Physical Presence or, Online Notarization Physical Presence or. Online Notarization, � by this28 day of aoril 2021 by this 28 day of apdI 202)' l_ I � t 15� (-I' Air- xqi ri IIb e,I r! J,Q P Name of person mIaking statement. Name of person makihng statement, Personally Known X� OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced ignature of Notary Public- State off^Florida ) (Sig ture of Notary Public- State of Florida) Commission No.(seal ommission No. CONN " �¢' JUSTINAL,HOPKINSCONNELLMR(e.,.JUSTI �L.HOPKINSGG040 62L )A 05 ES:Decamber17,20 3 REVIEWS FRON �jj IAFIRE LANS VEGETATION y 3�fb�ndad �fN4 /AN3NN1 7 de t ` Na3v Thuero I w3 COUNT -VIEW REVIEW DATE RECEIVED DATE COMPLETED ev. Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number : 202544186 Date : 04-27-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unil, Coil with Blower) Series : GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160371A* Indoor Unit Model Number (Evaporator and/or Air Handier): AVPTC37C14B* 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, SO, 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 until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. 1"Active" Model Status are those that an AHRI Cediflcallon 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 that an AHRI Certifcatlon Program Participant is no longer producing BUT is still selling or offering for sale. Ratings 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, tIte products) listed on this Certificate. AHRI expressly disclaims all (lability 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 Cetificate. CerliRed ratings are valid only for models and configurations listed in the directory at www.alirldirectory.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 vedfied at www.ahrldirectoryarg, click on "Verify Certiflcate" link "e 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 132640266130855290 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: