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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/9/21 T. UCIE •MM-r „ NT Y H 1;f11 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34992 Phone: (772) 462-1553 Fax: (772)462-1578 Parmit Number: Commercial Residential X PERMITAPPLICAT(ON FOR; 0_'E4 � ;RQ� I�1 NT t4GAICpt� $ _ Address: �1493 s brocksmith rd Property Tax ID #: 2317-241-0005-000/5 Lot No. _... _ _ _... _..... _. Block o. Site Plan Name: Project Name: LIKE FOR LIKE A/C CHANGE OUT 3 ton 14 seer 10 kw New Electrical Meter Second Electrical Meter, Additional worl<to be performed underthls permit —check all that apply: Mechanical _Gas Tank __Gas Piping _Shutters Windows/Doors On _Electric Plumbing —Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction: Sq, Ft. of First Floor: 6300,00 Utilities: Sewer Septic Building Height: Cost of Construction: $ — — _ Name Brian Beaty Address: 1493 s brocksmith rd city: fort pierce state: fl Zip Code: 34945 Fax: Phone No. 772-201-5371 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 info(a)seacoastair com State or County License 03 CMC5421 value of construction Is 2500 or more, a RECORDED Notice of Com If mencement Is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. Name: City FEE SIMPLE TITLE MOLDER: Name: Zi p one: Vot Appucagie State: Not Applicable MORTGAGE COMPANY: Name: Address: City: Not Applicable BONDINGCOMPANY: _NotApplicable Address: OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated. certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Count makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure structure, Please consult w thpyour Home OwnOwners rs A sociationt and review your deed for any resu Ict that ns wl which restrict applyhlbit such In -consideration of thegrantingof this requested.permit, Ldo hereby agree that (.will, jn all.resppcts, 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 consult Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. as Agent STATE OF FL 1 F COUNTY OFI,,,,L4� S on to (or affirmed) and subscribed before me of physical Presenco or _Online Notarization this 9 day of ijdy 202c by Qhr(it)+g 4I I Name of person Waking statement J Personally Known X. OR Produced Identification Type of Identification Vh --,(ISignature of Notary Commission No. REVIEWS Fl CO DATE RECEIVED DATE COMPLETED _ ev. of STATE OF FLO thi S onto (or affirmed) and subscribed before me of physical Presence or _Online Notarization s 9 day of IUIy 202.E by �hrn"5 phe� 1 �Gq I Name of person making statement. Personally Known x OR Produced Identification _ Type of Identification of Notary P VEGETATION REVIEW AHRI Certified Reference Number: 202349756 Date : 07-09-2021 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) : GSX140361 K" 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, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, ON, 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 region(s) for which they meet the regional efficiency requirement. 1"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 yat being produced."Production Stopped" Model Status are those that an AHRI Certlfcation Program Participant is no longer producing BUT is still selling o offering for sale. Rat' c th tar o pant d by WAS indicate an inv I t ry re -rate. Then Published rating I show along with the previous (i.e. WAS1 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 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,alirldlrectory.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. AIREFRIG RATININGs HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information fertile model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify 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. " 132703139747283761 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: