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HomeMy WebLinkAboutpermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/18/21 t Permit Number: ding-r rmitApp 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: anrcena ct Property Fax IDtt: 1306-111-0001-000 0 Site Plan Name: Project Name: ben Crupe Residential X LIKE FOR LIKE A/C CHANGE OUT 4 ton 15�etY10 kt�� New Electrical Meter Second Electrical Additional worl<to be performed under this permit —check all that apply: Mechanical _ Gas Tank _ Gas Piping _Shutters Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: cost of construction: $ 5593.00 Generator Sq. Ft. of First Floor: Windows/Doors _Pond Roof Pitch Utilities: Sewer _Septic Building Height: Name vvynn ouuwuy ��iN Address: 12804 sw 122nd ave city: miami state: fl Zip Code: 33186 Fax: Phone No. 518-424-1039 E-Mail: Fill in fee simple Title Holder on next page ( if different from the owner listed above)Tvinuoui Name: Christopher Langel 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 A1035— State of County License CMC0421 — ancamPnt Is required. If value of HAVC 1s $7,500 or more, a RECORDED Notice of Commencement is required. Name Addre City:, FEE SIMPLE TITLE HOLDER: Name: Addre! City:_ Zip: Slate: _ Not Applicable MORTGAGE COMPANY: Name; Address: City: BONDING COMPANY: Name;_ Address: City:_ Not Applicable Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 permitwiil authorize the permit holder to build the subject structure which is in conflict with anyy applicable Home Owners Assocation rules, bylaws or and covenants that may restrict or prohibit such structure. Please conitultwlth your Home Owners Association and review yow deed for any restrictions which may apply. -In-consideration ofthe-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 pennit 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 consuLucie lt with lender or an attorr aosted ttorney befohe re bsite commen� n the work oI recordininspection, IourNo ice of Commencemenu intend to obtain t as Agent fm' Owner STATE OF FL 1 P COUNTY OF�t,_,.ik(�,( S rn to (or affirmed) and subscribed before me of physical Presence or Online Notarization this 188 day of _ nay_ 2021 by (I hr(t) IC*1e L, V)QP I Name of person making statement. Personally Known X� OR Produced Identification _, Type of Identification ,ll5ignature of Notary P CUUommission No-1 — JU3TINAL. STATE OF FLO(j1Q,A � ��� � CDUNTY OF S onto (or affirmed) and subscribed before the of physical Presence or_.Online Notarization this 18 day of ITIaY 2021 by Chr).5h�� Name of person makimakingstatement. Personally Known X OR Produced Identification Type of Identification of Notary Public- Statelof Florida Eligible for Federal Tax Credit AHRI Certified Reference Number: 201300148 Dale : OS-17-2021 Model Status :Active Old AHRI Reference Number: 8004958 AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: GPC15 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1548H41A` Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, Al IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, 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 Nole : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 11 20% 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 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 selling or offering for sale. R f n that r mp n' d by WASindicate aninvoluntary re -rate. The w publi h d 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 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 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 whale or In part, be reproduced; copied; disseminated; PJM 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, N (HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information forthe model cited on this certificate can bevenfled at www.ahridirectory.org, click on"Verlfy Certificate" link wernakelife beuer' 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. ' 132657510574775417 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: