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Building permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/3/21 U IE f 4e�o-:as:�i® Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: Address: 8523 gallberry cir Permit Number: ding Permit APPlicati Commercial Residential X Property Fax ID #: 3425 703-0143-000-6 Lot No. Block No. Site Plan Name: Project Name: francis moore LIKE FOR LIKE A/C CHANGE OUT New Electrical Meter Second Electrical Meter Additional workto be performed under this permit —check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors on Electric Plumbing _Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft, of First Floor: Utilities: Sewer Septic Building hleight: Name tranClS m00re Address: 8523 gallberry cir city: psi State: fl Zip Code: 34952 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 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 seacoastair om 35 Sta value of construction is 2500 or more, a RECORDED Notice of Comm GINEER: _Not Applica Address: City: State: FEE SIMPLE TITLE MOLDER: MORTGAGE COMPANY: Name: Address: City: Not Applicable NotApplicable BONDING COMPANY: _Not Applicable Name:_ Address: City:_ Zip: Phone: p — 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. Lucle 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 thegrantingof this requested.permit, I.do hereby agree that.l.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, 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 consult Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, with lender or an attorne before commencin work or recordin our No ice of C�jommencement. r t A � al ` 0 as Agent STATE OF FLO,,�IPP` �� COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Presence or _Online Notarization this�dayof June 2021 by 0firi Sbigp.h21 r, v,a P f Name of person m king statement. Personally Known X. OR Produced Identification_, Type of Identification Commission ContractorPI A STATE OF FLO COUNTY OF � _ L1C.t 2. S onto (or affirmed) and subscribed before me of physical Presence or_Online Notarization this r day of june ,202( by Name of person making statement, Personally Known X OR Produced Identification Type of Identification of Notary Public - Eligible for Federal Tax Credit AHRI Certified Reference Number: 201152973 Date : 06-01-2021 Model Status :Active Old AHRI Reference Number : 7428126 AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1448H41E* 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 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. t"Active" Model Status are those that an AHRI Cedi9calion 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 Cedifica[lon Program Participant is no longer producing BUT Is still setting or ottering fr sale. R t e that ocomo d by WAS Indicate I volunt ry re -rate. The now published rating ih along with the arevious (i.e. WAS) retina. 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 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 fertile user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verifletl at www.ahridlrectory.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. 132670302581695368 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: