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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 9/9/21 Permit Number; Mo s ---Building- Permit Application_— .-_ —_-- 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 PRfJ�05EDJiU1' RQENIEN � LOCCOIti a , ter Address : 12 lake vista trl 102 Property Tax ID 9 : 3422-500-0156-000-8 Lot No Site Plan Name: Block No. Project Name patricla couret _ LIKE FOR LIKE A/C CHANGE OUT 2 ton , 14 seer, 5 kw I New Electrical Meter . Second Electrical Meter_.__ i Additional work to be performed under this permit — check all that apply : Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond Electric Plumbing _ Sprinklers _ Generator ^ Roof Pitch Total Sq . Ft of Construction : _ Sq . Ft. of First Floor: Cost of Construction : $ 5822 . 00 Utilities : Sewer Septic Building Fleight: I OWN;Etj`4ES� EE Name Patricia couret Name: Christopher Langel Address 12 lake vista trl 102 Company: Sea Coast A/C and Sheet Metal Inc. city : psl State : fl Address ; 3108 Industrial 31stStl zipcode : 34952 Fax: city: Ft Pierce _ State : FL o. 65 Zip Code : 34946 Fax: 772-448-4416 Phone N E-Mail : Phone No 772-466-2400 Fill in fee simple Title Holder on next page ( if different E-Mail infoigseacoaaaEoirn. State or Count License CMC03 z_4_21 from the owner listed above) Y — I 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 . '� t7PFl�M >tI�TALGONSTI�UCTIOtU ����iLP�WJ,J��Q�_MAT1011� �DESIGNER/ ENGINEER : Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name ; Address: Address : City: _ State : City State dip : --- --Phone-- -..,—� FEES(MPLETITLEHOLDER: 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 county makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict m prohibit such structure . Please consult with your Home Owners Association and review your deed for any restrictions which may apply. - - --In consideration of the granting of this requested.permit, I .& hereby agree kha# Lwjll, 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 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 we or recoorrrdddiin your No, ice of Commencement , Signature of Owner/4Lesseentractor as Agent for Owner Signature of Contractor/License Helder '. STATE OF FL II At STATE OF FLO A f — COUNTY OF LA A ' COUNTY OF Sydprn to (or affirmed) and subscribed before me of Sv�o� n to (or affirmed) and subscribed before me of Physical Presence or -, Online Notarization � Physical Presence or . Online Notarization thisg_ day of sep{ 202 by this _ day of -l%erlt , 2021 by Name of person m king statement. J Name of person making statement, Personally Known X�, OR Produced Identification Personally Known -LOR Produced Identification Type of Identification Type of Identification Produced Produced ( )AA17 no ignature of Notary Public- tat (Sigi tune of Notary Public- State of Florida ) Commission No. `{�� CQ �, (Seal) ommisslon No.1Cr,) b, tell •,, JUSTINAL. HOPKINSCONNEIIJUSTINAL, HOPKINSCONNE l SSIONi s*, • : _ td SSI $ G0040 EV ES: OeCember17, 20 3 82 REVIEWS FRON �' go� LA VEGETATION Th6ndea 6@814Ti11�4da t COUNT TAN No ewHre _VIEW REVIEW j DATE RECEIVED DATE COMPLETED ev, (i I �I 1 I CERTIFIEDO Certificate i AHRI Certified Reference Number : 202286355 Date : 09-09-2021 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) : WCA4244GKA** Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P24**AL* p LA Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NO, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI , MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI , SD, UT, VT, WA, WV, WI, WY, U.S. Territories) I Region Note : Central air conditioners manufactured prior to January 1 , 2015 are eligible to be installed in all regions ,I 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. The manufacturer of this GRANDAIRE product is responsible for:the rating of this system combination. I Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1 , Performance Rating of Unitary Air Conditioning:: & Air Source Heal Pump Equipment and subject to rating accuracy by AHRI sponsored independent, third party testing: Cooling Capacity (A2) .Single or High Stage (95F)I btuh 22800. SEER : 14.00 EER (A2) .- Single or High Stage (95F) : 11 ,50 1"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 i, marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still (ling or offering for sale. He t' a that aide p ni d by WAS indict Iunt ry re-rate. Then o bI' hed regime ' shown Ina with the:ad us (' e WAS) rating DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantee , and assumes no responsibility for, the product(s) listed an this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of theperformance of the products), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations the directory at www.ahrldlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products at AHRI. This Certificate shall only be used for Individual, pernd confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; dated; Aim entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user'sual,personal and cOnfidentlal Y¢finence. AIR-CONDITIONING, HEATING,CERTIFICATE VERIFICATION & REFRIGERATION INGTITUTEThe information for the model cited on this certificate can be verified atwww.ahridirectory.org, click on "Verify Cert " link we make life better^antl enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, antl the Certificate No., which Is listed at bottom right. 132756758662256476©2021Atr-Conditioning, Heating, and Refrigeration Institute CERTIFICNO . :