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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 4/29/21 Permit Number: I DUCE 1 — ° =` = ° 4�1 —Bantling-P-ermit Appiication__ __�__ _._ Planning and Development Services BuildingXandCodeRegalot7onDivis(on Commercial Residential .. 2300 Virginia Avenue, Fart Pierce rL 34982 Phone : (772) 462-1553 Fax: (772) 4624578 i PERMIT APPLICATION FOR Rn'P BEp � %EI JE £OC A tON M, M Address : 202 Ieffrey lane 2434-803-0006-000-6 Pr - _ . I Site Plan Name: Block No, Project Name: pamela dalsgaard j LIKE FOR LIKE A/C CHANGE OUT 2 ton , 16 seer, 8 kw I New Electrical Meter Second Electrical Meter i I Additional work to be performed under this permit — check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors , Pond _ Electric _ Plumbing _ Sprinklers ^ Generator Roof Pitch I Total Sq . Ft of Construction : Sq , Ft, of First Floor: Cost of Construction : $ 5700 ,00 Utilities : _ Sewer Septic Building Height: IBM: ORR Name amela dalsgaard Name: Christopher Langel Address : 202 ieffrey lane company: Sea Coast A/C and Sheet Metal Inc. city: JOrt pierce state: fl Address : 3108 Industrial 31st Street Zip code : 34982 Fax: city: Ft Pierce State : FL Phone No. 854-297- 1504 Zip Code: 34946 Fax: 772-448-4416 E-Mail: Phone No 772-466-2400 Fill in fee simple Title Holder on next page ( if different E-Mail info (_ seacoastair tram from the Owner listed above) State or County License CMC035421 � I If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. I DESIGNER/ENGINEER: ` Not Applicable MORTGAGE COMPANY: _ Not Applicable Name : _ Name : Address : Address : City : State : City : Stater _Zip-_-._ -___P-hone;.-- FEE SIM PLE TITLE HOLD ER: 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 permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure , Please consult with your Home owners Association and review your deed for any restrictions which may apply. - --In-consideration of-the-granthri this requested.pennit, Wo hereby agree that. (will, In. a. l(. respects, perform the work ,_ f 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 attorney before commencing work or recording our No ice of Commencement. Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL I P STATE OF FLOI�1�A NTYOF COU �®) Q(� Q , COUNTY OF i31-Ii1C" 1 Swprn to (or affirmed) and subscribed before me of SAorn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization .,,A Physical Presence or Online Notarization this 29 day of aprll , 2021 by this LZ9 day of El� 202. 1• by 0,hr ( t4nn jer LKviQ P,1 _ n'tos D h e r & wg Name of person m kfng statement Name of person making statement, Personally Known X. OR Produced Identification Personally Known /\, OR Produced Identification Type of identification Type of Identification Produced Produced _ ignature of Notary Public- tote of Florida V (Sign ture of Notary Public- State of Florida ) Commission No, O Seal ommisslon No.G �w JUSTINAL• HOPKINSCONNE L " ., JUSTINAL• HOPKINSCONNELL k v'' '; M $I GG940 B fGa� v EXP ES: Decembor17, 203 REVIEWS FRON t , 1� IQPIRE : � 3 LANS VEGETATION 1 tlZ ibSoded pfppy l de t R . ? ry COUNT ThruNo anntm .VIEW REVIEW j DATE RECEIVED DATE COMPLETED ev. I I I i Eligible for Federal Tax Credit � o wag CERTIFIED i i tRatings AHRI Certified Reference Number : 201830189 Date : 04-26-2027 Model Status : Active 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) : GSX160241 F' Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT33C14B' Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hit ID, IL, AlI IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS) MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl , 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 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. The manufacturer of this GOODMAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition ofAHR12101240 with Addendum 1 , Performance .Rating of Unitary Air Conditioning:, & Air Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, .independent, third party testing: Cooling Capacity (A2) Single or High Stage (95F), btuh t 23600 SEER : 16.00 EER (A2) - Single or High Stage (95F) : 13,00 i 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:'Produclion Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still Ra(inos that are a=nied by WAS indicate an Involuntary re-rate. The w publihhed rating is shown Iona with the previous (' WAS) rating. 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 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 data Ilsted on this Certificate. Certified 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 confldentiaf reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; called; disseminated; 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 an this certificate can be verified at www,ahridirectory.org, click on "Verify Certificate" link make life beuer^' and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we which is listed above, and the Certificate No., which Is listed at bottom right- ©2021 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO. : 132639289606095652 :