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HomeMy WebLinkAboutBbuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:6/7/21 Permit Number: L (!LII��011?� Punning all Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)4624578 PERMIT APPLICATION FOR: Address 5020 SUNSET BLVD Property Tax ID tt: 3402-608-0254-000-4 Site Plan Name: or�ler+Name: William street dingP-ermit-App ommercial C New Electrical Meter Second Electrical Mete Residential X k No. Lot No. Bloc Additional wori<to be performed under this permit—checkall 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: — rn+nFennstructiom5 6173.00 Utilities: —Sewer _Septic Building Height: Name william street — Address: 5020 SUNSET BLVD — city: fort pierce state: fl Zip Code: 34982 Fax: Phone No. 772-466-0033 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 Ph Code: 34946.Fax! 772-448-4416 one No 772-466-2400 E-Mail info@seacoastair rom State or County License CMQ035421 onrn nlnfiro n4 rnmmenC.P.ment is If value of HAVC Is 0,500 or more, a RECORDED Notice of Commencement Is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name:_ Name: Address: Address: State: _ City: State: — City: __..._71n ...._----P-hone-:----- -- --- FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: Cit City: — Y' 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 Countfyhmakes noyrepresentation that is granting a permit will authorize the permit holder to build the subject structure structure,Pleasecconsultwlth your Nome Owners Association land review your deed for any restriicts tions whichtmay apply Ibit such In consideration of thegrantingof this requested.pennit, I do hereby agree that l_will, In al.re5pects, perfor n the work,_ .l. 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 record 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 Commencement. t A /7 V/` Signature of Owner/ LesseejContractor as Agent STATE OF FI.O,RIPPy COUNTY S rn to (or affirmed) and subscribed before me of physical Presence or�Online Notarization this 7. day of_Wne ii 2021 by + �(/� nP>/ 1 rra Vl(�P.1 Name of person m king statement. Personally Known X. OR Produced identification_, Type of Identification Commission JUBTIIU,L, STATE OF FLOf3lpA �—� COUNTY OF r S onto (or affirmed) and subscribed before the of Physical Presence or _.Online Notarization tdayof June 20ZI by VA � Name of person making statement. Personally Known X� OR Produced Identification Type of Identification of Notary Publio- Statelof Florida • :RM MR • loE AHRI Certified Reference Number: 202349756 Date : 06-07-2021 Model Status :Active 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) : GSX140361K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT35B14A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, 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, RL SD, UT, VT, WA, WV, Wl, 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. }"Active" Model Status are those that an AHRI Cedifcallon 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 RIling or g offerinfor sale. tl as th t ccomo d by WASindicate ninvoluntary re-rate.re-rate. The published rating Is shownIona with the previous (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 product(s) 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 for the user's Individual, personal and confidential reference. AIR-CONDITIONING, N CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on AVerify Certificate" link we ,Hake 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. 132675712810386665 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: