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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 7/12/21 Permit Number: j I _ Building-Permit Applica.bon_— . . .._.__ _.. —. Planning and Development Services X '.. Building and code Regulation Division Commercial Residential 2300 Virginia Avenue, fort Pierce FL 34982 Phone : (772) 4G2-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR � '; Pf�0U05ED IjUJR (��IEJYIEtV 06gTION Address : 3809 fetterbush ct Property Tax ID f#: 3425-706-0097-000-7 Lot No. ........... Site Plan Name: Block No. Project Name: josephine schakenback Arm'^j" s;, .�""s r '_ DE e ILED � � ��)' i0N0Uy /ot1C7> 'y � LIKE FOR LIKE A/C CHANGE OUT 3 ton , 10 kw , 14 seer II New Electrical Meter Second Electrical Meter. i Additional work to be performed under this permit — check all 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: Cost of Construction: $ 5688 . 00 Utilities : _ Sewer Septic Building Height: law Name josephine schakenback Name: Christopher Lange( Address ., 3809 fetterbush ct Company: Sea Coast A/C and Sheet Metal Inc. City: gl State: fl Address ; 3108 Industrial 31 st Street zip code : 34952 Fax: city: Ft Pierce State : FL Phone No. 777 -485_871 Q zip Code: 34946 Fax: 772-448-4416 E-Mail : Phone No 772-466-2400 Fill in fee simple Title Holder on next page ( if different E- Mail info@Seacoastalr com from the Owner listed above) State or County License CI1035A21 If value of construction is 2500 or more, a RECORDED Notice of Commencement Is required . If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required. f1 I I URP'LMC �z �L �OzNST�UCT( Ot� L( �L/�W ( ] F00M WoTIONNIORMQ r DESIGNER/ENGINEER : _ Not Applicable MORTGAGE COMPANY: Not Applicable Name : Name ; Address : Address : City : State : City: State : — - -Zip:-- - -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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure . Please consult with your Home owners Association and review your deed for any restrictions which may apply. - _ --In-consideration of the granting of this requested . permit, I .do hereby agree Yhak. l..will, In all respects, 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: roan 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 attorney before commencin work or record1n our No ice of Commencement , t Signature of Owner/ lessee Contractor as Agent far Owner Signature of Contractor/License. Holder STATE OF FL I A STATE OF ROIP A COUNTY OF La Q COUNTY OF Syvprn to (or affirmed) and subscribed before me of Sv�orn to (or affirmed) and subscribed before me of I Physical Presence or .. Online Notarization & Physical Presence or Online Notarization this 12 day of (Uly , 202( by this � day of )Uiy 202t by Name of person miakina statement, J Name of person maki inn /g statement. Personally Known X. OR Produced Identification Personally Known /A, OR Produced Identification Type of Identification Type of Identification Produced Produced �. ignature of Notary 7�P((u��b//licr-// t��at��enf Florida j (Sig ture of Notary Public- State of Florida i Commission No.� . tiJcb4 � Seal ommission No. � +�'^ „ " 94"V.,, "ISTINAL, HOpKlNSCONNELL ?Y .; JUSTINAL, HOPKINSCONNE L iGG9lOb V' fdMSSi GG800 EXP ES: Decerober7T 20 3 REVIEWS FRON t�j �511PIRE : F�eodpha M3 LANS VEGETATION t t� f�� dea NafetfAd6d I I COUNT TAroNo env t ro _VIEW REVIEW j DATE RECEIVED DATE COMPLETED ev. i i Eligible for Federal Tax Credit CERTIFIED' rtific to f r duct atin FF AHRI Certified Reference Number : 200945843 Date : 07-09-2021 Model Status : Active Old AHRI Reference Number : 6892357 '. AHRI Type ; SP-A (Single-Package Air-Conditioner, Air-Cooled) Series : GPC14 '... Outdoor Unit Brand Name : GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1436H41D* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN , KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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. The manufacturer of thisiGOODMAN 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) -ISingle Or High Stage (95F), btuh 35600 SEER 14,00 EER (A2) ;Single or High Stage (95F) : 12.00 i 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 Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still Ping or offering for sale. Ratings that are accompanied by WAS indicate an Involuntary re-rate. The new published same Is shown along with the previous (i.e. WAS) ratinv DISCLAIMER AHRI does not endorse the products) listed all 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. Carload ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS Tills 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, personal and confidential reference. AIR�CONDITIONINO, 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 wemake 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. ©2021 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO , : 132703227349927695