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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/25/21 Permit Number: Ofo 49; Building -Permit Application._—_ Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34.982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR; Address: 4913 paleo pines cir Property Tax ID #: 1312-801-0133-000-1 Lot No. Site Plan Name: Block No. Project NameJudlth blss LIKE FOR LIKE A!C CHANGE OUT 3.5 ton, 15 seer, lu I<w 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 Electric _Plumbing _Sprinklers ^Generator _Roof Tota[ Sq. Ft of Construction: Cost of construction: $ 7153.00 _ Pond Pitch Sq. Ft, of First Floor: Utilities: _Sewer _-Septic BuildingHeight: Name Judith biss Address: 4913 paleo es .ir City: fort pierce State: fl Zip Code: 34951 Fax: Phone No. 772-579-6881 Fill in fee simple Title Holder on next page (if different from the OwneY listed above) Name: C:nrlSiopner Lan9el 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 Ph If value of construction is 2500 or more, a RECORDED Notice of Commencement Is required. If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required. St7Pl'LEM�NTAI-CONST�2tJCT�ON LIEN LA� I�1f�Q�MrAT1,�JN�� DESIGNER/ENGINEER: _NotApplicable� Name: § F a r r 4 s MORTGAGE COMPANY: _Not Applicable Name: Address: _ Address: City: ZI P-hone-;--.----_�__ - p State: City: State: _ Z. ip--.._Phone- -- --- FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: _ OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instauanon as muicaieu. I certify that no work or installation has commenced prior to the Issuance of a permit, St. Lucie Coun{tyffyII makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure structure, Please consult wlthpyourHome Owners Associationtland review bylaws deed or any restricltionrs whichtmay apply Ibit such In considei ation of the granting of this reqUested.pen-rit, I do hereby agrje�e.thoat I will, In.ait.respects,perform.the_ar1. ,__,_ _ 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 o Lucie County and posted on the fobsite before the first inspection. If you intend to obtain financing, consult ,with lar,dar or an attorney before commencing work orrecording your Noice of Commencement. as STATE OF FLO I P S worn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 25 dayof auqusf— 202( by Name of person making statement, Personally Known X. OR Produced Identification Type of identification commission HopKINs STATE OF FLO tf�A i fi� � COUNTY OF -T_ S onto (or affirmed) and subscribed before me of Physical Presence or_ Online Notarization this�.day of atlgiSf ,202.(•by Ch.nS Pher Name of person making statement. Personally Known /\ OR Produced Identification Type of Identification Produced of Notary Public- Statelof Florida .; • R• •10 AHRI Certified Reference Number : 201765375 Date : OS-24-2021 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) : GSX16S421A* Indoor Unil Model Number (Evaporator and/or Air Handler) : ASPT59C14A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, Al IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, 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. 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