HomeMy WebLinkAboutmiller building permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .r 7 I Permit Number:
uilding-P-ermitAppl.i
Planning and Development Se vices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)4G2-1SS3 Fax: (772) 462-1578
PERMIT APPLICATION FOR;
Address: 1202 KINGSWOOD LANE
Commercial
Residential X
Property lax ID N: 3404-807-0003-000-7 Lot No.
_..
Block No.
Site Plan Name:
Project Name: _
Llf\G rVR LIr\G /'1/V vl1/-�IVVL v
New Electrical Meter Second Electrical Meter.
Additional wori<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
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 7413600 Utilities: _Sewer _Septic Building Height:
Name terry miller
Address: 1202 KINGSWOOD LAB_
City: fort pierce State: fl
Zip Code: 34982 _ Fax:
Phone No. 772-370-9225
Fill in fee simple Titlo Holder on next page (if different
from the owner listed above)
Name: �.IUIsrvNncl Lanycl
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 info a�seacoastair Conn
State or County License CMC035421
If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required.
If value of HAVG is 0,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Applicable
MORTGAGE COMPANY: _Not Applicable
_Not
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 County makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure
such
consult wlthpyourHo,ne O �ers Association andrreview your deed for eny restritctlonts whichtmay aprohibit
$tructurenP(easle
--In-consideration of the granting of this requested.permit, I do hereby agree that.i will, In all 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, wails, 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 llender or an attorne before commencin work or recordin our No ice of Commencement.
Holder
Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License
STATE OF FL( 1 P STATE OF FL O P A
'at
NTY COUOF LU, Cj •eCOUNTY OF c rfi t
S rn to (or affirmed) and subscribed before me of S o it to (or affirmed) and subscribed before me of
Notarization Phvsical Presence or, Online Notarization
Physical Presence or Online
17 may by
this % Iday of may 2025 by this Iday of 20ZI
_
Mar LL,jaq h ri` Phea rlO( I
S I �c�hc r P,l —
Name of person making statement. J Name of person making statement.
Personally Known X. OR Produced identification Personally Known X OR Produced identification
Type of Identification Type of Identification
Produced Produced
4(Sigture
41gLnhaLture of Notary Public- State ofFlorida ) of Notary Public- State of Florida )
Commission No.��y--' a Seal ommisslon No.
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DATE
RECEIVED
DATE
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Eligible for Federal Tax Credit
Certificate of Product Katin
AHRI Certified Reference Number : 201299487 Date : 05-05-2021 Model Status :Active
Old AHRI Reference Number : 7984223
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) : GSX160601 F*
Indoor Unit Made[ Number (Evaporator and/or Air Handler) : ASPT61 D14A*
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS,
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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
}"Active" Modei Status are those that an AHRI Certifcatlon 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 Padicipant is no longer producing BUT Is still
selling or offering for sale.
Rating 122ompani d by WAS Indicate an involuntary re -rate. The new published Patera Is shown along with the Previous (' WAS) rating.
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which is listed above, and the Certificate No., which is listed at bottom right.
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: azsa7D687ostosags