HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/6/21 Permit Number:
O
=. ---,..".....-...-Building Permit ApPlication------------
Planning and Development Services X
8uildingand Code Regulation Division
Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR
PROPC��D lly!l'RgEL_EN7 L_pCAFON % U ,w aF.
Address: 8108 alister pl —
3327-707-0029-000-2 Lot No.
Property -Tax ID p:_. _.. _ .
__...
Block No. _
Site Plan Name:
Project Name: lohn Wright
LIKE FOR LIKE A/C CHANGE OUT 5 ton, 15 seer, 10 kw
New Electrical Meter T Second Electrical Meter
Additional worl<Yo be performed under this permit —check all that apply:
Mechanical _Gas Tank Gas Piping —Shutters Windows/Doors _Pond
Sprinklers Generator _ Roof — Pitch
Electric —Plumbing _ p —
Total Sq. Ft of Construction:
Sq, Ft, of First Floor:
Name )onn wrignt
Address: 8108 alister DI
city: psi State: fl
Zip Code: 34986 Fax:
Phone No._978-987-7081
Fill
in
fee
simple
Title Holder on next page (if different
Name: �.uiia�Nioi �ay„
company: Sea Coast A/C and Sheet Metal Inc.
Address:3108 Industrial 31st Street
city: Ft Pierce State: FL
Zip Code: 34946 Fax: 772-448-4416
Phone No 772-466-2400 co
E-Mail info seaastair rom —
State or County License CMC035421
value of construction is 2500 or more, a RECORDED Notice of Com
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DESIGNER/ENGINEER: _ Not Applicable
y � ` �` ��_� ,,�
MORTGAGE COMPANY: — Not Applicable
Name:
_
Name:
—
Address:
—
Address:_
City:
-Zip
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:
dinstallation as indicated
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work an
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 permitwiil authorize the permit holder to build the subject structure
StructurenPieaslecconsultwltljpyourHlomeOwnersAsociationtandreviewyourdeedforany esuctionsawhichtmayapplyhlbitsuch
- --In-consideration of- the -gracting of this requested permit, I.do hereby agree that L.will, In a.lLrespects, 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 St,
Lucie County and posted on the jobsite before the first inspection, If you intend to obtain financing, consult
with lender or an attorne before commencin work or recordin our No ice of Commencement,
1-- i il /I I V/ ` �
as Agent for Owner
STATE OF FLO 1 P
COUNTY OF��LD.C,I
S rn to (or affirmed) and subscribed before me of
Physical Presence or -_Online Notarization
this -day of i U_V 2021 by
��! h��4r �, �,� P 1
Name of per statement.
Personally Known X.OR Produced Identification
Type of Identification
Produced _
commission
JUSTINAL.
Signature
STATE OF FLO
COUNTY OF � 1dr`.('�-
Swo n to (or affirmed) and subscribed before me of
,physical Presence or Online Notarizatioin
this ti dayof July 2021 by
_hr��
Name of person making statement.
Personally Known /� _ OR Produced Identification
Type of Identification
Notary Public- State'of Florida
r• •
AHRI Certified Reference Number: 201294140 Date: 07-06-2021 Model Status: Active
Old AHRI Reference Number: 7943546
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Outdoor Unit Brand Name : RUUD
Outdoor Unit Model Number (Condenser or Single Package) : RA1660AJ1
Indoor Unit Model Number (Evaporator and/or Air Handler) : RBHP-25
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID) IL, AlIIN, 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 Certifcatlon Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced:'Productlon Stopped" Model Status are those that an AHRI Cadifcation Program Paricipanl is no longer producing BUT is still
Rcling or offering for sale.
Un that c a ni d by WAS' dl t n lunl ry re -rate. Thew published rating is shown alone 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 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.
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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, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on "Verify Certificate" link we make life better^
and enter the AHRI Certified Reference Number and the date mt which the certificate was issued
which is listed above and the Certificate No., which is listed at bottom right. 132700434935784732
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: