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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:9/7/21 Permit Number: kLQ�WLI V - u- _ _ _-Building-P-ermit Application-_-_ Planning and Development Services X Building and Code Regulation Division Commercial Residential_ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:(772) 462-1SS3 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: 1001 Saeger ave Pty ax : TID #3416-112-0001 roper000-7 Site Plan Name: Project Name: nicole tiptoe LIKE FOR LIKE A/C CHANGE OUT 2.5 ton, 16 seer, 8 kw New Electrical Meter _Second Electrical Additional worl<to be performed under this permit —check all that apply: Mechanical _Gas Tank _Gas Piping _Shutters Electric _,Plumbing _Sprinlders Total Sq. Ft of Construction: Cost of Construction: $ 5820.00 _Generator Sq. Ft. of First Floor: Lot No. Block No, Windows/Doors _ Pond Roof Pitch Utilities: Sewer _Septic Building Height: Name nicole tiptoe _ Address: 1001 Saeger ave city, fort pierce state: fl Zip Code: 34982 Fax: Phone No. 772-215-2004 _ E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Christopher Langel 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 infoCa)seacoastair com State or County License CMC035421 value of construction Is 2500 or more, a RECORDED Notice of Com If mencement Is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. $t-a LLL lee7PPLEM�NIA'CONS(RUCTIONJII=NLAU1/r#NFORI�/IA[IDN Not Applicable DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ _ Name: _ Name; Address: Address: State: City: State: _ City: _.-_Z — Phone—...— ---Zj---Phone-; --Zip:---- p 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 Countyy makes no representation that is granting a permltwilI authorize the permit holder to build the subject structure that may restrict or pro Ill bits uch which is in conflict with any applicable Home Owners Assoaatjoil rules, bylaws or and covenants deed for any restrictions which may apply. structure. Please consult with your Home Owners Association and review your --In-consideration of thegrantingof this requested.permit, I.do hereby agree that.[ will, in..all .respects, perform, the -work in with the approved plans, the Florida Building Codes and St. Lucie County Amendments. accordance The following building permit applications are exempt from undergoing a full concurrency review: room additions, structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use accessory WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for in the records of St. improvements to your property. A Notice of Commencement must be recorded public County and on the jobsite before the first inspection. If you intend to obtain financing, consult Lucie posted lender or an attorney before commencing work or recorelin our No .ice of Commencement. with Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FL I A &STATE OF FLO COUNTY OF In AO' COUNTY OFT Se to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of o Physical Presence orNotarization Physical Presence or. online Notarization _online by 7 this / day of Sept 20�� by this dayof Sept 202# Ch s� nghe� I L�riq� 0hr �b+nl--� f�I �� �Q o Name of person m king statement. Name of person making statement, � OR Produced Identification Personally Known /�, OR Produced Identification _ Personally Known Type of Identification Type of Identification Produced Produced - ignature of Notary P�u}bllic-taatt�e of I orida ) (Sigi ture of Notary Public- State of Florida ) Commission No, (Seal ommission No'CoGg 4 JUSTINAL,HOPKINSCONNEL I<¢",,,JUSTINAL,HOWNSCONNELL in .. SSI GGO40 Id ' 03"015 =�a EXP E8:Oedembei 17.20 3 FRON IMPIRETiN LANS VEGETATION ed R6NuAtffidtllM de I REVIEWS } IThru i I envdt ro REVIEW COUNT -VIEW DATE RECEIVED DATE COMPLETED ev. Eligible for Federal Tax Credit AHRI Certified Reference Number: 201830193 as: 09-07-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX76 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160301 F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47C14B* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, 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 Nate : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in ail 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 Certifdation 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" Motlei Status are those that an AHRI Cedifcalion Program Participant Is no longer producing BUT is still R Iiing or offering for sale. tl as lh t omoan' d by WAS indicate an Involuntary re -rate. The new published rating ih wn along with the orev'ous (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 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 farm or manner or by any means, except for the user's individual, personal and confidential reference. AIREFRIG RATI MISSTAGI TING 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. " 132754981936322824 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: