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lasenby building permit application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date; 5/6/21 Permit Number: CQ0MW _=0 r o` t"u A Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR; Address: 5206 EAGLE DR Property Tax ID It: 1312-801-0015-000-8_ Site Plan Name: Project Name: francis lasenby Residential X LIKE FOR LIKE A/C CHANGE OUT 4 ton 16 seer 10 kw New Electrical Meter Second Electrical Meter Additional workto be performed under this permit—checkall that apply: Mechanical _Gas Tank Gas Piping _Shutters Electric _Plumbing _Sprinklers •_Generator Total Sq. Ft of Construction: Cost of Construction: $ 6998,00 Sq. Ft. of First Floor: Lot No. Block No. _Windows/Doors _Pond _ Roof Pitch Utilities: _Sewer _Septic Building Height: N Name francis lasenby �fR�TsOR Name: Christopher Langel Company: Sea Coast A/C and Sheet Metal Inc. Address: 5206 EAGLE DR city:fort pierce State: fl Zip Code: 34951 _ Fax: Phone No. 772-466-5295 Address:3108 Industrial 31st Street city: Ft Pierce State: FL 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 seacoa,5talr Mm from the Owner listed above) State or County License CMQQ35421 If value of construction is 2500 or more, a RECOItUeu Notice or commencement is requiruu. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. U�'PIEM�TPLGONRUCTfO{�Js�ENLP�/1(INFQRMATI�N DESIGNER/ENGINEER _ Not Applicable MORTGAGE COMPANY: ^ Not Applicable Name: Name: Address: Address: City: State; _ City: State: _ 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 Coun makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure Ibit such consUlt wlthpyolu Home Owners Associationtand review your deed or any restrictions which inay apply structure, Please - --In-consideration of the -goanting of this requested. permit, I.do hereby agree that I will, In a.11respects, 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: roan 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 recordsof StL Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencingwork or rec(o�r�/d"in our Notice oaff CC/}ommencement• Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO I A STATE OF FLOI1 lRA �h COUNTY OFLLQC (P COUNTY OF t !� Sworn to (or affirmed) and subscribed before me of s o n to (or affirmed) and subscribed before the of Physical Presence or.. online Notarization Physical Presence or Online Notarization by May , 202( by this 6 day of May 2&1 nr this Ft day of _ hr Lr� l G l r�'� i� bc�he r o P Name of person mlaking statement. 0- Name of person making statement. X. OR Produced Identification Personally Known X� OR Produced Identification Personally Known Type of Identification Type of Identification Produced Produced ignature of Notary Puhlic- late. of Florida) (Sign ture of Notary Public -State of Florida ) Commission No. (Seat (Seal ommission No. ALL P "",INAL,HOPKINSCONNEL JUSTINAL.HOPKINSCONNELL ; 0 JUSTtd Be GGW ,°' LULL, 06 ras p ES:D800MID rf7,20 3 REVIEWS FRON D f�!IQPIIRE Nov "i 'ewd3 LANS VEGETATION 4�fik�naea NM a143td ae t a COUNT VIEW REVIEW DATE RECEIVED DATE COMPLETED Rev, Eligible for Federal Tax Credit AHRI Certified Reference Number : 201785242 Date : 05-06-2021 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) : GSX16S481A` 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, 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 11 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. f"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 that an AHRI Certification Program Participant is no longer producing BUT is still RIiing or offering for sale. ling lh t22 mpanl d by WAS Indicate an involuntaw re -rate. The published rating Is shownt o with the previous !' WAS 1 rat na 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 product(s) listed at 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,alirldirectory.org. TERMS AND CONDITIONS This Certiicate 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 forthe 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 verifled 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.: 3zs4TaTs4asas,zs