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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/12/21 Permit Number: C9 io -=----_-- - F ,� Building-RermitApplication___-.-__ Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Site Plan Name: Project Name: anne CarIYOn LIKE FOR LIKE A/C C New Electrical Meter_ Second Electrical M 2.5 ton, 16 seer, 10 kw Additlonalworktobeperformed underthlspermlt—check all that apply: XMechanical _ Gas Tank .,Gas Piping _ Shutters Electric _,Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of construction: $ 6493.00 Generator Sq. Ft, of First Floor: Block No. ___ Windows/Doors _ Pond Roof Pitch Utilities: _Sewer _Septic Building Height: Name anne Carlton Address: 3782 mccarty rd city:fort pierce state: fl Zip Code: 34945 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the owner listed above) 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 �seacoaSY81r com 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. DESIGNER/ENGINEER: _Not Applicable � Name: MORTGAGE COMPANY: _Nat Applicable Name: Address:_ Address: — City: State: -Zip;-�. Phone_; _.-- City: State: 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 installation as indicated, I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Count yy makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure whichtmcaor ppp'l hlbit such drreview your deed for any covenants that Association Association structurenPleasie consult wlthpyou Hlotne Home Owners --In-consideration of thegroutingof this requested.permit, We hereby agree that I will, In a..11.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 ofSt, Lucie County and posted on the Iobsite before the first inspection. If you intend to obtain financing, consultsu with lender or an attorneybefore commencin work or recordin our No ice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OFF LI P STATE OF FLOI1gA COUNCOUNTY OF S pm to (or affirmed) and subscribed before me of In n to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this 12 day ofaUgUSf 202( by thisi_dayof AUGUR 20* 1I by Mir Lb f r LaKq, P l Ch r� 5 �he� 10I Name of person m1alking statement. Name of person making statement, Personally Known X_. OR Produced Identification Personally Known /\ OR Produced Identification Type of Identification Type of Identification Produced Produced .— ignature of Notary Public- State at Florida) (Sig tune of Notary Publlr.-State of Florida ) Commission No.Ga`�--.�tZcJLILa (Seal ommisslon No. 0y1L p, JUSTINAL•HOPKINSCONNE JUSTINAL.HOPKINSCONNE1, 4 <' y SSI OO949 •1e� �4 '» evi AmsDeeembe117120 t3 REVIEWS FRON •' 'It�SPImmN�@34Lq� LANS VEGETATION 4�iltSnded DN�EOR de 1 COUNT _VIEW REVIEW DATE RECEIVED _ DATE COMPLETED ev. Eligible for Federal Tax Credit Certificate of Product Ratings AHRI Certified Reference Number : 201830194 Date : 08-12-2021 Model Status :Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160311A` Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT39C14B' 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 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. t"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 Certifcation Program Paricpanl Is no longer producing BUT Is still ReIling or offering for sale. tinas that are accomoanled by WAS indicate an involuntary re -rate. The new aublished rating Is shown along 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 preduct(s), or the nauthorized alteration of data listed on this Certificate. CertiFled ratings are valid only far models and configurations listed in the directory at www.ahrldirectory.arg. 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, 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.ahrldirectory.org, click on "Verify Certificate" link we 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 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132732391079294025