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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/14/21 Permit Number; �)uo LLU!IGp� ° _Building -Permit Application-_ Planning and Development services X Building and Code Regulation Division Commercial Residential_ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: (I Address: 3200 n highway a1 a 105 Property Tax ID tl: 1425-600-0005-000-5 Lot No. Site Plan Name: Project Name: Philip du LIKE FOR LIKE A/C CHANGE OUT 2 ton, 14 seer, 5 kw New Electrical Meter Second Electrical Additlanal work to be performed under this permit— check all that apply: Block No. 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: 5921.00 Utilities: Sewer Septic Building Height: Cost of Construction: $ — — Name Philip dulany Address: 212 nw 12th ave city: baton State: fl Zip Code: 33486 Fax: Phone No. 561-239-0140 E-Mail: Fill in fee simple Title Holder on next page( if different from the Owner listed above) zip company: Sea Coast A/C and Sheet Metal Inc. Address:3108 Industrial 31st Street city: Ft Pierce state; FL Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail info com _ seacoastair -- State or County License CMC035421 encement Is required. If value of construction is 2500 or more, a RECORDED Notice of Comm If value of HAVG 1s $7,Soo or more, a RECORDED Notice of Commencement Is required. DESIGNER/ENGINEER: _Not Applicable �MORTGAGE Name: _ 1000 all, COMPANY: _Not Applicable Name: Address: Address: City: _Zi . p___-_ State: — City: State: -Zip:--------_..__.._ Phone — FEE SIMPLE TITLE MOLDER: Name: _ Not Applicable BONDING COMPANY; Name: _Not Applicable 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. certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie County makes norepresentationthat is granting a permltwill authorize the permit holder to build the subject structure su ucture, Please consult wl thpyour Home OwnOwners rs A soc Association andrreviebylaws y ur deed for any restrictions which maor applyhl bit such In -consideration of the-granting.of this requested permit, Ldo hereby agree that I.w.IIL r. 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 attorne before commencjn work or recording our No ice of Commencement. as Agent STATE OF FLO�IPF` �� COUNTY OF 4.... S rn to (or affirmed) and subscribed before me of Physical Presence or _Online Notarization this14I day UIy ,202c by C hrf � } c�r�k�e Ir �.Lq l Name of person making statement. Personally Known X. OR Produced Identification Type of Identification Fptgnawre or rvocary commission No.� REVIEWS FI CO DATE RECEIVED ATE D COMPLETED JUBTIfJAI, STATE OF FLORIgA � I `�� � COUNTY OF c S onto (or affirmed) and subscribed before me of Physical Presence or _Online Notarization thin 14 day ofpAyy,202) by l�k' n' Name of person makingstatement) Personally Known /�, OR Produced Identification Type of Identification Notary Publlc- VEGETATION REVIEW Certificate of Product Ratings AHRI Certified Reference Number : 202206355 Date 07-14-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER W SERIES R410A AC Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WCA4244GKA** Indoor Unit Model Number (Evaporator and/or Air Handier): FMA4P24**AL* 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 all regions until June 30, 2016. Beginning July i, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. }"Active" Model Status are those that an AHRI Certifcation Program Padicipanl 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 Iling or offering for sale. R tip & that c omoani d by WAS Indicate involuntary re -rate The new Published rating is shown along with the previous (i.e. WAS) rating, DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warrantles 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), ar the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www,aiiridtrectory.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; NM 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-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link Ave 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. 132707611847904395 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: