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HomeMy WebLinkAboutbirk building permit app.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 6/15/21 Permit Number: Date; L [LLUCE , . IV ° _ - —Building P-ermit-Applica.tion—. .----.----- planning and Development services X Commercial Residential Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR; Nw PRIJPOSEDIT�R�UMN1OGAfON 13953 cancun ave Address: Lot No. Property Tax ID 41: __. Block No. Site Plan Name: frank birk Project Name NOR ���� 3 ton 15 seer 5 kw LIKE FOR LIKE A/C CHANGE OUT New Electrical Meter Second Electrical Meter.. E Additional work to be performed under this permit- check all that apply: Tank Piping _Windows/Doors _Pond KMechanical _Gas _Gas _Shutters Sprinklers Generator _Electric _Plumbing _ p � — Roof Pitch— - Sq. Ft. of First Floor: Total Sq. Ft of Construction: $ 7403.00 Utilities: —Septic Building Height: Cost of Construction: _Sewer Christopher Langel frank Birk Name Name Sea Coast A/C and Sheet Metal Inc._ 13953 cancun ave company: Address: 3108 Industrial 31 st Street City: fort pierce State: Address: 34951 city: Ft Pierce State: FL Zip Code: Fax: 772-464-4061 Zip Code: 34946 1 Fax: 772-448-4416 Phone No. Phone No 772466-2400 E-Mall: Fill in fee simple Title Holder on next page (if different E-Mail info@a seacoastair C_om listed above) State or County License CMC035421 from the Owner If value of construction Is 2500 or more, a RECORDED Notice of cammencement Is required. If value of HAVC is $7,500 or more, a RECORDED Notice of commencement is required. Name: Addre! City: FEE SIMPLE TITLE HOLDER: of Stater Not Applicable Name: Address: City:_ — Zip; Phone: MORTGAGE COMPANY: Name: Address: City: BONDING COMPANY: Name: Address: city: Zip: Phom _ Not Applicable _Nat Applicable OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made fa 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 Countfyl makes no rrepresentation that is granting a permiC will authorize the permit holder to build the subject structure StructurenP(ease eonsult wlthpyour Hlome Ow�ers Assoeiadon and review your deed For any restrltc[ionsawhich May applyhlbit such -In-consideration of-the-grantingof this requested permit, Ldo hereby agree that Lwili, In all.respects, perform_the work_,_. in accordance with the approvod 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 attorneybefore commencin work or recur n our o ice of Co mmencement. t f as Agent for owner STATE OF FL I A COUNTY OF1nLk�,.l S rn to (or affirmed) and subscribed before me of . Physical Presence or _Online Notarization this 15 dayof June 2021 by Name of person m king statement. Personally Known OR Produced Identification _._. Type of Identification Commission Signature STATE OF FLOf�IgA COUNTY OF r Pe S a n to (or affirmed) and subscribed before me of Physical Presence or _,Online Notarization this dayof June 202) by 5 _Ckt n'S the Name of person makihng statement. rV sonally Known OR Produced Identification,_ Type of Identification of Notary HOPKINS Eligible for Federal Tax Credit o Willital , Certificate of Product Ratings AHRI Certified Reference Number : 201667795 Date: 06-15-2021 Model Status: Active Old AHRI Reference Number: 8331283 AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: GSZ16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSZ160361 B` Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT37B14A' The manufacturer of this GOODMAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 33600 1"Active" Model Status are those that an AHRI Cerfifcation 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" Modef Status are those that an AHRI CeNficatlon Program Participant is no longer producing 6UT is still ' ling or offering for sale. R tini that ar come nied by WAS'ndi t an in loot ry re r t Th w o bit h d lino' shown along with the Previous (I e. WAS rating. DISCLAIMER AHRI does not endorse the products) 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; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except farina user's Individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information far the model cited on this certificate can be veri0ed at www.amidirectory.org, cllck on "Verlfy 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. 132682350672244731 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: