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HomeMy WebLinkAboutjacobs building permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date; 6/18/21 Permit Number; ,.--. , - Building-P-ermit-Applicatioi Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4621578 P�RMITAPPLICATION FOR: Address: 4402 areca palm dr Project Name: Residential X LIKE FOR LIKE A/C CHANGE OUT 2 ton, 14 seer, 5 kw New Electrical Meter Second Electrical Meter. Additional work to be performed under thls permit —check all that apply: Kmechanical _Gas Tank Gas Piping _Shutters _windows/Doors _Pond Electric Plumbing Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction; Cost of Construction: $ 4850.00 Natne jonn jacoos Address: 4701 oleander eve Sq. Ft, of First Floor: Utilities: _Sewer Septic BuildingHeight: p city: fort pierce state: fl ZiCode:34982 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 Infot70 seacoasfalr Com StatoorCounty 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 mare, a RECORDED Notice of Commencement is required. �t7RPl1 Ml NTPLtCOI�S�RI�C fON (RN LAW INFORMATION DESIGNER/ENGINEER: _Not Applicable L x, �` o , MORTGAGE COMPANY: — Not Applicable Name: Name; Address: Address: City: -Zip_._.. _-... P-hone:— State:_._ City: State: — — --Phone ---.—._— .�. -- Zip 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 Count yy makes norepresentationthat is granting a permitwill authorize the ppermit holder to build the subject structure structurenPleaslecconsult wlthpyolurHome Owowners ers A sociat outland revhew your deed for any est-Ictlonsawhichtmay appiYhlbit such - In consideration of- the -granting of this requested. permit, I.do hereby agree that I_will, Ipall .respects, perforrn,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 tt Lucie County and posted on the jobsite before the first Inspection. If you intend to obtain financing, consult with lender or an attorney before coinmencin work or recording our No ice of Commencement. i � 4 l �Irl � L as Agent for Owner STATE OF FL 1 P COUNTY OF��LQ� Sworn to (or affirmed) and subscribed before me of Physical Presence or __Online Notarization this 18 dayof lone ,202 by Ohr(�L) heir I rlgqC l Name of person m King statement, Personally Known X OR Produced identification Type of Identification Commission JUSTINA L, HOPKINS REVIEWS FRC COU STATE OF FLORIRA � I t��� COUNTY OF `�- �S n'n to (or affirmed) and subscribed before me of . Physical Presence or _Online Notarization this 18 day of Tune 202� by Ch n'Sifrl her I riq I Name of person maki�ngg statement. Personally Known /X_ OR Produced Identification_ Type of Identification of Notary Publlc- VEGETATION REVIEW AHRI Certified Reference Number: 201407615 Date : 06-18-2021 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, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO, 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 ail regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for T"Active" Model Status are those that an AHRI Certification 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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is stlil (ling or offering for sale. R tlg that r mpani d by WAS indicate Involuntary re -rate. The w gubli h d ratIn2Is shown along with the orevious li e WAS) rating DISCLAIMER AHRI does not endorse the producl(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,ahrldirectory.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 whale or in part, be reproduced; copied; disseminated; MAIM entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except forthe user's individual, personal and confidential reference. AIR�CONDITIONMG, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life beuee 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. 132665161743SI4664 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: