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BUILDING PERMIT APPLICATION
All APPLICABLE MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /INFO Date:, l t - / Permit Number: nn r'Y i : a _. Building- Permit -Application 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) 4624578 PERMIT APPLICATION FOR: Address: 222 Smallwood ave 3403-805-0142-0004 Lot No Property Tax ID 4, Block No., Site Plan Name: Project Name: ian horridge LIKE FOR LIKE A/C CHANGE OUT 5 ton 16 seer, 10 kw New Electrical Meter Second Electrical Meter. CNSTRLICTIQN�N�O}�I�%t Additional work to be performed under this permit —check all that apply: KMechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond Electric ,_Plumbing _Sprinklers ,_Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: 7467,00 Utilities: Building Height: Cost of Construction:$ _Sewer _Septic I CO�j CqTRcz OR ESSEEON y_.. Christopher Langel Name ian horridge Name: Sea Coast A/C and Sheet Metal Inc. Address: 222 Smallwood ave Company: fort State: f� Address: 3108 Industrial 31 st Street City: pierce ZipCode:34982 Fax: city: Ft Pierce State: FL 772-206-6332 Zip Code: 34946 Pax: 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 �seacoastair com from the owner listed above) State or County License CMQ035421 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. Sl7PPL Ni}�1� 17 1 CQNSjI UCTirol, IARN ES NIaQJZ,(1!I`I�TIOi� DESIGNER/ENGINEER. _ Not Applicable Name: _ MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: _Zfp— --Rhone;---.. —._ City:State: -zip:---- -Phone------------ _ FEE SIMPLE TITLE Name: HOLDER: Not Applicable BONDING COMPANY: _Not Applicable 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 whucturenPleasecconsultwlthpyourHomeowinersAssociationtandievlewyowsdeed or anyrestrictanmwlichinayapplyhlbit such str- -In-consideration of thegrantingof this requested.permit, I.do hereby agree that Lwill, In all.resp.ects, perform,the work,,.., in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building perinit 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 worl<oi- recording our No ice of_Commencement. d 41 1 V/ � T711 as Agent STATE OF FL 1 P COUNTY OF��,._.LRGI S orn to (or affirmed) and subscribed before me of Physical Presence or _Online Notarization this_/ adayof august 2021 by Name of person m Icing statement. Personally Known X. OR Produced Identification Type of Identification ,(Nignature of Notary P Commission No.� REVIEWSTFRUC DATE JU3TINAL, ROPKINB Signature STATE OF FLO COUNTY OFF_ l i S onto (or affirmed) and subscribed before me of Physical Presence or Online Notarization this /,�dayof AUGUST— 20i( by Name of person making statement. Personally Known /�, OR Produced Identification Type of Identification Notary Publlc- VEGETATION REVIEW Eligible for Federal Tax Credit AHRI Cedifed Reference Number: 201299487 Date : 08-09-2021 Model Status :Active Old AHRI Reference Number: 7984223 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) : GSX160601 F" Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT6lD14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, Al 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 1, 2016 central air conditioners can only be installed in region(s) for t"Active" Model Status ara 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 Slopped" Modei Status are those that an AHRI Cedifcalion Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published 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, tIte products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producl(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only far 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 whale or in part, be reproduced; copied; disseminated; NMI entered into a computer database; or otherwise utilized, in any form or manner or by any means, except forthe user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information farina model cited on this certificate can be verifled at www.ahridirectory.org, click on "Verify Certificate" link we,nake life betteP 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.: 132730029642110578