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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 912/21 Permit Number: 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: 1101 fleetwood In PropertyTax ID H: 3404-04-806-0009-000-6 Lot No. I. Site Plan Name: Block No. Project Name: thomas wilson LIKE FOR LIKE A/C CHANGE OUT 5 ton 14 seer, 10 kw New Electrical Meter Second Electrical Addit(onal work to be performed underthls permit— check ail that apply: Mechanical _Gas Tank _Gas Piping _Shutters Electric _Plumbing _Sprinklers Total Sq. Ft of Construction _ Cost of construction: $ 7388.00 Generator Sq, Ft, of First Floor: _Windows/Doors _Pond Roof Pitch Utilities: _Sewer _Septic Building Height: Name thomac tnrilcnn Address: 1101 fleetwood In city: fort pierce State: fl zip Code: 34982 Fax: Phone No. 912-436-8805 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: t,rulstopnei �miyei company: Sea Coast A/C and Sheet Metal Inc. Address; 3108 Industrial 31st Street city: Ft Pierce state: FL zip code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 _ E-Mail info �seacoastair com Sta te or County License C�35421 value of construction Is 2500 or more, a RECORDED Notice of Comm If encement is regi If value of HAVC is 0,500 or more, a RECORDED Notice of Commencement is required. R�GY�?'��`��� ��,.� � � y-ORTGAGE �,�. �-� � COMPANY: _Not AppName: ame:Address: 7�7= dress:City: ity: State: _Zip: --Phone----p._ —Phone:--- -- — 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 land applyhlhit such structurenPleaslecconsultwlth your Home Ow�ers Association review your deed for any restrlctio sawhid,tmay --In-consideration of thegroutingof this requested permit, I.do hereby agree that I 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 roams 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 in the records f St, improvements to your property. A Notice of Commencement must be recorded public to financing, co ult Lucie County and posted on the jobsite before the first inspection. If you intend obtain with lender or an attorne before commencin work or recordin our No ice of Commencement. Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FLA I A STATE OF FLO lPAA COUNTY OF LU�Cj P COUNTY OF r SWprn to (or affinned) and subscribed before me of S o n to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or _ Online Notarization by this 2 day of Sept 2021 by this 2.day of Sep 202) (�� 1 C�'.n` pher l c lrol C ri5 �hf? v,Q Name of person mlaking statement. 0 Name of person making statement. Personally Known X. OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced ignature of Notary Public-/ t�ot�e"off FFlorida) (Sig ture of Notary Public- State of Florida ) Commission No.,�jy�-�t,/r,.rie oL (seal ommission No. JUSTINAL,HOPKINSCONNE 1. ?4"'•,, JUSTINAL,HOPKINSCONNELL VtP%T%Mt m 3S1 RGG940 PJ(P eS:December 17,20 a IN REVIEWS FRON %j y�?IAPIrnNNa�@44 � LANS VEGETATION 4�fiWiled NuDiflid de I � COUNT VIEW REVIEW DATE RECEIVED DATE COMPLETED eV. Certificate of Product Ratings AHRI Certified Reference Number : 9548892 Date : 09-02-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER W SERIES R410A AC Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WCA4604GKA** Indoor Unit Model Number (Evaporator and/or Air Handier): WAHL604B* 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, NO, 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. f"Active" Modei Status are those that an AHRI Certifcation 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 Progam Participant is no longer producing BUT is still citing or R offering for sale. linos that r nied by WASindicate an involuntary rate The new Published retina is shownlong with the previousDrevious (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 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; c lsseminated; Pin 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.ahridIrectory.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.: az7soso31 s3R4yzsT