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HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
LLUCHN
Permit Number:
luilding-vermii-App
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 4624578
PERMIT APPLICATION FOR;
Site Plan Name:
Project Name:
LIKE FOR LIKE A(C CHANGE
2.5 TON 16 SEER 5KW
Commercial
New Electrical Meter Second Electrical
Residential X
Block Na.
Additional workto be performed under this permit—checkall that apply;
Mechanical _ Gas Tank f 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:$ 54 800 Utilities: _Sewer Septic Building Height:
Na
Address:
City:1104 IBIS AVE FT PIERCE FL 3&t98�—
zip Code: 34982 Fax;
Phone No. 772-777-5271
E-Mail: � n t
Fill in fee simple Title Holder on next page( if different
from the owner listed above)
Name: �,nnswNiiei �anyCi
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
pdhcTe (Ylo 772-466-2400
E-Mail info(a seacoastair eom
Sta
te or County License CMC035421
Is
value
of construction Is
zsau or more, a rccwnv�u ��o���c �� �� � �
UPI'LAM' i�TAL DONS ��317G �fON I N LA �NFOR.I
DESIGNER/ENGINEER: _ Not Applicable
IA J�Nf
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:.
Address:
-
Address:
City:
-
_----Phone:—_.._
State:
. -
City: State:
FEESIMPLETITLEHOLDER:
�NotApplicable
BONDING
COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip:
Phone:
Zip; Phone:
nAI rod
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby matle to obtain a perma m uo uie worn 011u 1213.a11a,I.,,. UO ,,,.,..._.....
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie Countfly makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure
structu in Please consulan
wlthpyoiurHome Owners Association landrreview yours deed for any restrictions whichtmay applyhlbit such
In consideration of-the-granthig of this requested permit, Ldo hereby agree that Lwill, 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 record o 1
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 record! n our No ice of Commencement.
as Agent for Owner
STATE OF FLO,I�IPPf ��
COUNTY OF P_
SyS rn to (or affirmed) and subscribed before me of
. Physical Presence or Online Notarization
this —day of 2021 by
0 hr
i t>-Innhel' I
Name of person m king statement. J
Personally Known X. OR Produced Identification �^
Type of Identification
yl5ignature of Notary
(CUJommission No.
JUSTINAL,
REVIEWS Ff
CO
DATE
RECEIVED
Holder
STATE OF FLOf�IgA � f j�� �
COUNTY OFF
S a n to (or affirmed) and subscribed before me of
Physical Presence or_ Online Notarization
this day of 2021' by
�
Catn'� �he� Ang
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
of Notary Public- Statefof Florida
VEGETATION
REVIEW
Eligible for Federal Tax Credit
AHRI Certified Reference Number : 9198746 Date: 07-26-2021 Model Status :Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series : 16 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA16NA030*0**A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L
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, 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 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 Stopped" Model Status are those that an AHRI Certifcatlon Program Participant is no longer productng BUT is still
Rcling o ffering for sale.
tin lh t r mpan' d by WASindicate InvoluntaU re -rate. The published rating ishown long with the previous (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 products) 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;
AM
entered into a computer database; or otherwise utilized, in any form Or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ,ve make lire 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. 132717887645010293
©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: