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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/4/21 Permit Number: rV I E wilding Permit App Planning and Development Services 6uildingand Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4G2-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR; Address: 8917 first Property Tax 1D i♦ Site Plan Name: ___ Project Name: 910r1a viano 3334-500-0040-000-2 Residential X LIKE FOR LIKE A/C CHANGE OUT 5 ton, 16 seer, 10 kw New Electrical Meter_, Second Electrical Meter_ 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: $ 7407.00 Name 9loria viano Address: 8917 first Generator Sq, Ft, of First Floor: Windows/Doors _ Pond Roof Pitch IJtilities: _Sewer _Septic Building Height: City: psi State: _fl Zip Code; 34986 Phone No. 772-429-1515 E-Mail; Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 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 infoseacoastair rom Sta te or County License CMC035421 _ value of construction is 2500 or more, a RECORDED Notice of Comm If encement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. Address: City: — FEESIMPLE TITLE HOLDER: ^Not Applicable Name: Address: City: Zip; Phone: MORTGAGE COMPANY: Name; Address: City: BONDING COMPANY: Name:_ Address: Zip: — Not Applicable _Not Applicable OWNER) CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a pet'mit to do the work and installation as indicated, 1 certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Count yy makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure structurenPleaslecconsultwlth applicable ome Ow�ers A soclatlontland review your deed for any restrits ction whichtmay or prohibit such In consideration of thegrantingof this requested. permit, Ldo hereby agree that Lwill, 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, 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 fobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing- ommencin work or recordin our No ice of C�jommencement. Signature of Owner) Lessee/Contractor as Agent for Owner STATE OF FL I P COUNTY OF�,,,L4rv„t S orn to (or affirmed) and subscribed before me of �hysical Presence or_Online Notarization this _day of Jqnp2021 by r� 5 ���,� C lea L Name of person m king statement. 0 Personally Known X. OR Produced identification Type of identification Notary Public- State of commission JUSTINAL, HOPKINS STATE OF FLO A COUNTY OF S onto (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 4 day of _ i ma 2021' by CktnS Phe>r Gar,9 I Name of person makihn/g statement. Personally Known (FOR Produced Identification_„_ Type of Identification of Notary Publlo- Eligible for Federal Tax Credit • . r AHRI Certified Reference Number : 201299487 Date : 06-02-2021 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 Model 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, 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 Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in ail regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for }"Active" Model Status are those that an AHRI Cedifcalion Program Participant is currently producing AND selling or offering for sale; OR new models That are being marketed but era not yet being produced."Production Stopped" Model Status are those that an AHRI Certlficalion Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an Involuntary re -rate. The new published odium 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) Ilsted 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. 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AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this Certificate can be verified at www.ahrldlrectory.org, click on "Verify Certificate" link we make life betceu and enterthe 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.: 3zsT13as�o4oalszs