HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: TIOZ'2" Permit Number:
Building Permit -Application—.--.-----_----.-----
Planning and Development Services
Commercial Residential X
Building and Code Regulation DlviSion
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462,1578
PERMIT APPLICATION FOR:
PRR05ED IT;RQ1/ENT,1 OCATC01�1, ? _ rt
.>
402 dakata cir
Address;
1433-210-0003-000-9 Lot No.
Property Tax ID q;
Block No.
Site Plan Name:
Project Name: many duke
�MW"��
DE FI(1DDE5CR1pTION pOR1(5 h y:
LIKE FOR LIKE A/C CHANGE OUT 4 ton 14 seer, 0 kw
New Electrical Meter Second Electrical Meter
Additional work to be performed underthis 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:
Construction:$ 6153,00 Utilities: Building Height:
Cost of _Sewer _Septic
O:uERIt,�Ess�
I< and D affiliates inc Name: Christopher Langel
Name
Sea Coast A/C and Sheet Metal Inc.
Address: 314 s erie dr Company:
state: Fl Address: 3108 Industrial 31st Street
city: Jort fierce
zip code: 34946 Fax: city: Ft Pierce State: FL
501-296-0471 Zip Code: 34946 Fax: 772-448-4416
Phone No.
Phone No 772-466-2400
E-Mail:
Fill in fee simple Title Holder on next page (if different E-Mail info _ seac0a8tair com
from the Owner listed above) State or County License CMC035AZL.
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.
Name:
City:
FEE SIMPLE TITLE HOLDER:
Address:____
(itv:
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name: _
Address:
City:
BONDING COMPANY;
Address;
Phone: I Zip:
_ Not Applicable
_Not Applicable
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 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.
n-consideration of -the granting of this requested permit, Ldo hereby agree that.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: 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
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee Contractor as
STATE OF FLO 1 A
COUNTY
Sworn
to (or affirmed) and subscribed before me of
Physical Presence or_ Online Notarization
thIse- dayof august 202( by
Mini 5b e r LC�La L
Name of person m king statement. J
Personally Known X. OR Produced Identification
Type of Identification
Produced
Commission
JU371NAL, HOPKINS
STATE OFFLOfifRA' L1C.t� COUNTY OFF_
S onto (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
thi=.3. dayof august 2021 by�� I h C)�dher ►�r� �ge I
Name of person makihn//g statement.
Personally Known X. OR Produced identification
Type of Identification
re of Notary Pubilc-
AHRI Certified Reference Number : 201186604 Date : 07-30-2021 Model Status :Active
Old AHRI Reference Number: 7513341
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) : GPC1446M41A'
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, AlIIN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S.
Territories)
Region Nole : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
until June 30, 2016. Beginning July 11 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
}"Active" Model Status ara those that an AHRI Cedifcation 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 ANRI Certification Program Participant is no longer producing BUT is still
Iling o ffor sale.
R t' a that
am re acc mo d by WAS indicate an involuntary re -rate The new published rating is shown along with the Previous (i.e. WAS) rating.
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which is listed above, and the Certificate No., which Is listed at bottom right.
02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 32721zaz3aslsssoo