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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/15/21 Permit Number: ��Ifo I VJCM , O iZ Building - Permit Application--. Application-_.-..,.... Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Site Plan Name: Pro)ect Name: richard boschen LIKE FOR LIKE A/C CHANGE OUT 3.5 ton, 14 seer, 5 kw New Electrical Meter Second Electrical Meter Additional work to be performed under this permit— check all that apply: xMechanical _Gas Tank Electric Plumbing Tota(Sq. Ft of Construction: Cost of Construction: _.,Gas Piping _Sprinklers Block No. Shutters Windows/Doors _Pond Generator Roof Pitch Sq, Ft, of First Floor: _ Utilities: _Sewer _Septic Building Height: Name richard boschen Address; 8315 muirfield w__�v City: _p§l State: _fl zip Code: 34986 Fax; Phone No.772-521-3535 Fill in fee simple Title Holder on next page (if different from the owner listed above) city: company: Sea Coast A/C and Sheet Metal Inc,,. Address: 3108 Industrial 31 st Street Ft Pierce _State: FL zip code; 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail Infoaseacoastair com State or County License C�35421 If value of construction is 2500 or more, a RECORDED Notice of Commencement Is required. If value of HAVC is 67,500 or more, a RECORDED Notice of Commencement is required. LAIN�NFO�RIV1AT10T� _ '� '' ���. Sl7PPLkM�1�TA1- CO���'R1rCTlON,Li�N �' _ y _ DESIGNERJENGINEER: Applicable MORTGAGE COMPANY: _ Not Applicable _Not Name: Name: Address: Address: City: State: _ City: State: —ZIP:—­—Phone, —._._. _.—.._..__Zip-.__....._P-hone-:.—.-._,_..-------- - 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 Coun��ttflfyyj makes norepresentationthat is granting a permitwill authorize the 44)ermit holder to build the subject structure such tructurenPlease eonsult wlthpyoiurHome Owners Associationtlaridrreview yowsdeed f r any restrlctlon which may applyhlbrt --In-consideration of -the -granting of this req Jestedperm it, I.do hereby agree that I.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: 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 withh lender or an attorney before commencin work or rec(oorrrddiin our No ice of Commencement. Signature of Owner/ Lessee Contractor as Agent for Owner signature of Contractor/Llcense Holder STATE OF FLO I A STATE OF FLO OF I rr� COUNTY OF L 4� t'e COUNTY rn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before the of Presence Online Notarization 1S Physical Presence or Online Notarization Physical or � by , 202( by this I fi) day of _jam 20Zt this'I 5 day of JUIy, 0ii I i ��r� n c, C� l ri 5�R h e r d Arx PO( — y S c r Name of person Waking statement.0 1 Name of person maki�ni; statement. Personally Known X. OR Produced Identification Personally Known /X. OR Produced Identification Type of Identification Type of Identification Produced Produced... ignature of Notary Public- late oftFlorida } (Sigi tune of Notary Public- State of Florida ) Commission No. (Seal ommisslonNo.y N JUSTINL, JUSTINA4,HOPKINSCONNEIY .ANISSIoGG9oi gj(p ESIOeeember17,20 3 .( A=.F,1 ll FRONT t. IIJPImNN�@?4fA@ �re TANS VEGETATION L; t�i��dedn I 7pde l REVIEWS REVIEW COUNT -VIEW DATE RECEIVED _ DATE COMPLETED ev. minumnAme AHRI Certified Reference Number : 201817159 Date : 07-12-2021 Model Status :Active AHRI Type : HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: GSZ14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSZ140421 K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47C14B* The manufacturer of this GOODMAN 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) -Single or High Stage (95F), btuh : 39500 SEER : 14.00 1"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new motleis that are being marketed but are not yet being produced "Production Stopped" Model Status are those Thal an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accomoanled by WAS indicate an involuntary re -rate. The new oubiished rating Is shown alone with the Drevious (i.e. WAS) 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,ahridirectory.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; Pin entered into a computer database; or otherwise utilized, In any farm 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 for the model cited on this certificate can be verified at www.ahrldlrectory.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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 32705733517186458