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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/13/21 T Permit Number: FLO LL�Ic�Q1 •4 a °'� _-Building -Permit Application_--_. Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone; (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR; Address: 5410 EAGLE DR Project Name: LIKE FOR LIKE A/C CHANGE OUT s Lon, ro 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 _IGas Piping _Shutters —Windows/Doors _Pond Electric _„Plumbing _Spriniders _Generator _Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 6759.00 Sq. Ft, of First Floor: Utilities: _Sewer _Septic BuildingHeight: Name kathleen ladow Address: 5410 EAGLE DR _ city: fort pierce State: A_ Zip Code; 34951 Fax; Phone No. 772-595-5452 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: �.nnswNnei �anyer 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 to or County License C�35421 value of construction is 2500 or more, a RECORDED Notice of Com If mencement Is required. If value of HAVC 2s $7,500 or mare, a RECORDED Notice of Commencement is requited. Name: Address: City: Zip: ------ FEE SIMPLE TITLE HOLDER; Name: Zip Phone: Not Applicable — State:_` Not Applicable MORTGAGE COMPANY: Name: Address: City: — Not Applicable BONDING COMPANY: _Not Applicable Address: City: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated, certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Coun�tfly makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure structure, eonsilt wlthpyolurHlome Owner Association land review youisdeed for any estrlct%n whicli may or prohibit such in -consideration oftheof this requested permit, Ldo hereby agree that.l 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 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 attorne before commencing work or recordin lour No ice of Commencement. ( A 4 1 �Ri as Agent for Owner STATE OF FLO,�1pFyq�� COUNTY OF LL S ern to (or affirmed) and subscribed before me of Physical Presence or_Online Notarization this 3 day of Sept 2021 by Ohkri � I �l�he,r LCUgO PSI ~—Name of person m king statement. 0 Personally Known X. OR Produced Identification_, Type of Identification commission JUSTINAL, REVIEWS Contractor STATE OF FLOgLQ,.4 S onto (or affirmed) and subscribed before me of Physical Presence or _Online Notarization this � day of Sept 202. by Name of person making statement. Personally Known x OR Produced Identification Type of Identification of Notary Public- Stateiof Flarida VEGETATION REVIEW Eligible for Federal Tax Credit AHRI Certified Reference Number: 201765534 Date : 09-13-2021 Modei 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) : GSX16S361A* Indoor Unil Model Number (Evaporator and/or Air Handler) : ASPT47D14A* 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, SD, 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 Ihal 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 Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still ailing or th t R tinoffering for sale. e c mo ni d by WAS indicate an'nvoluntary re -rate The new Published rating Is shown alone with the orevicus (i.e. WAS) ratinv. 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 valld only for models and configurations listed in the directory at www.ahrldIrectory.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; 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 forthe model cited on this certificate can be verified at www.aliridIrectory.org, click on "Verify Certificate" link we make life hearer^ 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.: 132760311370121432