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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date; 6/4/21 Permit Number: �LWJUL� P-er-mit Application_--. Planning and Development services X Building and Code Regulation Di vision Commercial Residential_ 2300 Virginia Avenue, fort Pierre FL 34982 Phone: (772)462-1SS3 Fax: 1772) 462-1578 PERMIT APPLICATION FOR; Address:4250 nhighway a1a 902 Project Name: LIKE FOR LIKE A/C CHANGE OUT 2 ton, 14 seer, 5 kw New Electrical Meter Second Electrical Meter_ Additional worl<to be performed under this permit —check all that apply: KMechanical _Gas Tank Gas Piping _Shutters Electric _Plumbing _Sprinklers Generator Total 5q. Ft of Construction: cost of Construction: $ 6308.00 Windows(Doors _Pond Roof Pitch Sq. Ft, of First Floor: Utilities: _Sewer _,Septic BuildingHeight; Name ramiro nobre Address: 4250 n highway a1a 902 city; fort pierce state: fl Zip Code: 34949 Fax: Phone No. 772-359-2793 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 Ph code: 34946 Fax: 772-448-4416 one No 772-466-2400 E-Mail info�seacoastair cam State of County License CMCQ35491 ono nen nb,hi.n Af rnmmenrement is reauired. If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: _ Name: Address: Address: City: State: _ City: State: _ Zip,—T Phone------- -- --Zip—_... _P-— 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 noyi epresentation that is granting a permitwill authorize the permit holder to build the subject structure such landrreview Consult wlthpyourHome owners Association your deed for any restrictions whichtmay applyhlbit structure, Please --ln-consideration of the -granting of this requested permit, I.do hereby agree that I will, In all. respects, perforno the work, in with the approved plans, the Florida Building Codes and St. Lucie County Amendments. accordance 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 St, improvements to your property. A Notice of Commencement must be recorded in the public records of t Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult withlender or an attorney before commencing work or recording our No ice of Commencement. vie Jff�� Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FLO 1 P STATE OF FLORI A COUNTCOUNTY OF � t a S rn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of Physical Presence or _ Online Notarization Physical Presence or`Online Notarization by this 4 day of JUn@ 202( by this 4 day of_Un2 20ZI l a n'5 phe.r ff0�- C'hri 5 ft»h� rLaq e Name of person m king statement. psi 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 eignatuLretoAfNotary Public- late of Florida) (Sigroture of Notary Public- State of Florida ) Commission No, Seal lommisslon No. L ,�� dUSTINAL,HCPKINSCONNE °��.,,GG940 Wit, dUSTiNAL,HOPKINSCONNEL � SSI =.ut, _ EV ESIOecembert7,2o 3 �i " de FRON ;�j' IAPimryNg@44Lh@ ��3 LANS VEGETATION t�°T�6nded Nokipfa t REVIEWS REVIEW COUNT _VIEW DATE RECEIVED DATE COMPLETED ev. AHRI Certified Reference Number : 201407615 Date : 06-04-2021 Model Status :Active Old AHRI Reference Number : 8631966 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L* Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF25XX16A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NO, 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 1, 2016 central air conditioners can only be installed in regions) for t"Active" Model Status are those that an AHRI Cedificallon Program Participant is currently producing AND selling or offering for sale; OR new modals that are being marketed but are not yef being produced "Production Stopped" Model Status are those that an AHRI Cedifcation Program Participant Is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate as lnvoluntary re rate. The new published 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 protluct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the prod uct(s), or the unauthorized alteration of data Ilsted on this Certificate. CeHifietl 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; 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, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information far the model cited on this certificate can be verified at www.ahridivoctory.org, click on "Verify Certificate" [ink ive 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 Ni 3zs7zs4zss7szzszs