HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/5/21 Permit Number;
LUCQL
1.1-- Building -Permit -A. pplicauo.n .
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;
Address: 6217 SANTA MARGARITO DR
Property Tax ID f!: ,
1312-501-0043-000-2 Lot No._
Site Plan Name: Block No.
Project Name: florida gelb properties LLC
LIKE FOR LIKE A/C CHANGE OUT 3 ton 16 seer 10 kw
New Electrical Meter Second Electrical Meter
Additlanal workto be performed under this permit —check all that apply:
XMechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
Electric _Plumbing —Sprinklers ^Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction;? 5438.00
Sq. Ft, of First Floor:
Name florida gelb �ro�ertiPc I I (:
Address: 180 office park way ste 2000
city: pittsford State: -ny-
Zip Code: 14534 Fax:_
Phone No. 772-882-6300
Fill in fee simple Title Holder on next page (if different
Name: `'niisru�nCi �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
Phone No 772-466-2400
E-Mail info r c �seacoastaiom
State or County License CMQ035421
value
of
construction is
2500 or more, a RECORDED Notice of Comm
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: _ Name:
Address: Address:
City: State: City: ^L State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: _
Address:
City: City:,
Zip: Phone: Zip:
Ph
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 Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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.
--In-consideration of thegrantingof this requested permit, I.do hereby agree that wiU, In all respects, perfor,m,the work,,,,,,,,
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building pennit 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 commencin work or recordin our No ice of Commencement.
h al a
as Agent
STATE OF FLO,�IpP���
COUNTY OF.
S orn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 5 day of auqust 2021 by
Name of peson rstatement._
Personally Known X. OR Produced Identification
Type of Identification
Commission
JUBTINAL,
REVIEWS I FRO
COUI
STATE OF FLORtgA
COUNTY OF i -- L.lL'.l�
5 onto (or affirmed) and subscribed before me of
Physical Presence or _Online Notarization
this day of august 2021 by
Cain' her
Name of person making
statement.
Personally Known X OR Produced Identification.
Type of Identification
of Notary Public- Statelof Florida
VEGETATION
REVIEW
NOPKINS
Eligible for Federal Tax Credit
AHRI Certified Reference Number : 201860080 Date : 08-03-2021 Model Status :Active
AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: 16 SEER HIGH EER W SERIES R410A AC
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Outdoor Unit Model Number (Condenser or Single Package) : WCA6364GKA**
Indoor Unit Model Number (Evaporator and/or Air Handler) : WAHL424B*
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02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132724823726608507