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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/16/21 L WiM Permit Number: ng P-er-mIL App Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR; Address: �R1 marina dr Residential X II_ Property Tax ID q: 1425-701-0131-000 7 Lot No._ Site Plan Name: Project Name: barbara/riehard Allen LIKE FOR LIKE A/C CHANGE OUT 2.5 ton, 14 seer, 10 kw New Electrical Meter Second Electrical M Additional wori<to be performed underthls permit—checkall that apply: Mechanical _Gas Tank Electric _ Plumbing Tota(Sq. Ft of Construction: Cost of Construction. $ 4788.00 ... Gas Piping _Sprinklers Block No. Shutters Windows/Doors _ Pond Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: Name barbara/richard Allen Address:281 marina dr city:hutchinson island state: fl Zip Code: 34949.Fax: Phone No. 772-519-1504 Fill in fee simple Title Holder on next page (if different from the Owner listed above) I� company: Sea Coast A/C and Sheet Metal Inc. Addl'ess; 3108 Industrial 31st Street city: Ft Pierce state: FL Zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail iCa� nfoseacoastai>: com StateorCounty License CMC035421 If value I� company: Sea Coast A/C and Sheet Metal Inc. Addl'ess; 3108 Industrial 31st Street city: Ft Pierce state: FL Zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail iCa� nfoseacoastai>: com StateorCounty License CMC035421 If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required. If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required. SibPPLF:M�I�TPLCONS�RIICTjON L��N LAINJL�FQRMATIO.N,1 DESIGNER/ENGINEER; _ Not`Applicable � �,_, MORTGAGE COMPANY: _Not Applicable Name: ___ Name: Address: Address: City: _—__...__P-hone:.-- Stater 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 msrauanon as mmceieu. certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Court makes noyi epresentation that is granting a permit will authorize the permit holder to build the subject structure structure, Please consult with yoiur Home Owners Owners drreview your deed ocovenants any restrictions which awhichtmaor applyhlbit such n-consideration oftheof.this requested permit, Ldo hereby agree that.[ wjJlJ 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 as Agent fm' Owner STATE OF FLO I P COUNTY OF��L4t;1 Sworn to (or affirmed) and subscribed before me of Physical Presence or _ Online Notarization thisj&�dayof July .2021 by Qhr;5blr c lamer rj LQe I Name of person Waking statement. Personally Known X. OR Produced identification Type of Identification _/� commission JUSTINAL. STATE OF FLOf3lRA � � COUNTY OF � nto (or affirmed) and subscribed before me of Na Per S o Physical Presence or Online Notarization this_'ydayof JUIy 20ZI• by Cat phs he 1 q I me of person maklhgg statement. sonally Known V OR Produced Identification Type of Identification of Notary Public- State9of Florida AHRI Certified Reference Number : 9473235 Date : 07-16-2021 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) : WCA4304GKA** Indoor Unit Model Number (Evaporator and/or Air Handler) : WAPL304A* 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 ali 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. f"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 Slopped" Model Status are those Thai an AHRI Certification Program Participant is no longer producing eUT is still Iling or R oNeria forsale. t' a that ar Danied by WASindicate an involuntary re -rate. The w published rating Is shown along with the previous (' 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.ahrldlrectory.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; MAIM entered into a computer database; or otherwise utilized, in any form or manner or by any means, except far 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,atiridlrectory.org, click on "Verify Certificate" link we make life beuer^ 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.: az7oszzossz73sssT