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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 8/6/21 Permit Number: Date: BuildingP-ermitApplicatio.n___,. ------. Planning and Development Services Commercial Residential X Building and code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 APPLICATION FOR; 1PERMIT r ,P�RDPc%5�D Address.767 lomas st — 3419-515-0132-000-0 Lot No. Property lD tt: Tax Block No. Site Plan Name: lames gift Project Name: LIKE FOR LIKE A/C CHANGE OUT New Electrical Meter Second Electrical Meter. Additional work to be performed under this 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: $ 6543.00 Utilities: Sewer Septic Building Height: Cost of Construction: _ _. OW EJjw�EF$CONT�7OR_ Christopher Langel Name James gift Name: 767 lomas st Company: Sea Coast A/C and Sheet Metal Inc. Address: psi state: JL Address: 3108 Industrial 31 st Street city: City: Ft Pierce State: FL Zip Code: 34952 Fax: 772-344-1305 Zip Code: 34946 Fax: 772-448-4416 Phone No. Phone No 772-466-2400 E-Mail: Fill in fee simpkeTitle Holder on next page ( if different E-Mail infoaseacoastair corn from the Owner listed above) State or County License CMC035421 _ 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. N��RIJCTION���TU LA`W�1N�QRI�J�/�T10�1' s _Not Applicable 5 ��,�''� �`� MORTGAGE COMPANY: _Not Applicable Name: Address:State: 7777�= City: _Zip; _---P-hone: State:one------- _-.._ -- 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 as the work and uun as mui . I certify that no work or installation has commenced prior to the Issuance of apermit. St. Lucie County makes noyrepresentatioil that is granting a permit will authorize the permit holder to build the subject structure structure. Pleaseeconsult wlthpyour applicable Home Associationtandii rules, vlew your deed for any restrictions awhichtmay applyhihlt such --In-consideration ofthe -granting -of this requested.permit, I.do hereby agree -that ].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, t Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorne before commencin work or recording our Notice of Commencement. l A A 1 a/ Owner/ Lessee/Contractor as Agent STATE OF FL I P COUNTY OF��Lk(� S worn to (or affirmed) and subscribed before me of � Physical Presence or _Online Notarization this �day of a untlst ,2021 by Mir i��nn�e CJ�,0cl Name of person>�ng statement, Personally Known � OR Produced Identification Type of identification Notary Commission JUBTINAL, REVIEWS I FRO COUI LETED STATE OF FLO COUNTY OF r .('� nto (or affirmed) and subscribed before me of S o Physical Presence or Online Notarization tdayofAlIGUST-- 202E by Ch ri o wher I eq I Name of person making statement, Porsonally Known X OR Produced Identification Type of Identification of Notary Public- State9of Florida VEGETATION REVIEW AHRI Certified Reference Number : 202717657 Date : 08-06-2021 Model Status :Active AHRI Type : SP-A (Single -Package Alr-Conditioner, Air -Cooled) Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WJA436***K***B* Region : All (AK, At, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, 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 Note : 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. The manufacturer of this GRANDAIRE product is responsible for the rating of this system combination. }"Active" Model Status are those that an AHRI CadlFlcallon Program Participant Is currently producing AND setting 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 CediFlcation Program Participant is no longer producing BUT is still Iling or offering for sale. R t' ❑ ih t re a222.mLanied by WAS indicate an Involuntary re -rate The new published tattoo is shown along with the Previous (i.e. WAS) tattoo. 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; AM 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.ahridirectory.org, click on "Verify Certificate" link ive 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 05 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: 1 3272725550138031