Loading...
HomeMy WebLinkAboutkeiecinski building permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/16/21 Permit Number: LUCHN ng-P-er-mi�Ap Planning and Development Services 6uildingand code Regulation DIVisloft Commercial 2300 Virginia Avenue, fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR: Residential X Address; 7504 brookline ave Property Tax ID u: 1301-607-0257-000-5 Lot No. Site Plan Name: Block No. Project Name:tracey keiecinski LIKE FOR LIKE A/C CHANGE OUT 3.5 ton, 14 seer, 10 kw New Electrical Meter Second Electrical Meter. Additional workto be performed underthls permit—checl<all that apply: KMechanical _Gas Tank —Gas Piping _Shutters _Windows/ Doors on _Electric Plumbing _Sprinklers —Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft, of First Floor: 6495.00 Utilities: Sewer Septic Building Height: Cost of Construction: $ — — Name nar.cy nccwi Address: 35 cypress In City: shlrley State: M Zip Code: 1196.7 _ Fax: Phone No. 631-741-0315 Fill in fee simple Title Holder on next page (if different 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 info6E�seacoastair r om State or County License CO3 CM5421 value of cmistruction is 2500 or more, a RECORDED Notice of Com If mencement Is required. If value of HAVC is 0,500 or more, a RECORDED Notice of Commencement is requited. DESIGNER 11 /ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: _ Name:_.. — Address: Address: City: State: — City: State: — ot,nn FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _NotApplicable 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. Lucle Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlictwith any applicable Home Owners Association rules, bylaws or and covenants that may iestrict or prohibit such structure. Please consult with your Hot e Owners Association and review your deed for any restrictions which may apply. Inn consideration of the accordance with the approlved plans, the Flong of this rida da Building Codes and St. Luciree e County Amendmeents�erform the work,,,..,, 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, t Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, with lender or an attorne before commencin work or rec+orrdin our N o ice of Commencement. r t h A of Owner/ Lessee%Contractor as Agent for Owner STATE OF FLOIpP��� COUNTY OF S orn to (or affirmed) and subscribed before me of Physical Presence or_ Online Notarization this 7 day of, S pt , 202( by Ohr(�iqbhfr p igP c Name of person m king statement. J Personally Known X.OR Produced Identification Type of identification yl5ignature of No��tar//yttP Commission JU3TINAL, HDPKINS REVIEWS I FRC COU STATE OFFLOfjip,A' I tr�t� COUNTY OF S o n to (or affirmed) and subscribed before me of physical Presence or __.Online Notarization this1_dayof S p 202,4 by c rid � h��- Ict— Name of person making statement Personally Known X OR Produced Identification Type of Identification Notary Public- State9of Florida NS I VEGETATION EW REVIEW • •t • rF • IMIZ AHRI Certified Reference Number : 9507413 Date : 09-17-2021 Model Status ;Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER W SERIES R41 OA AC Outdoor Unit Brand Name : GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WCA4424GKA" Indoor Unii Model Number (Evaporator and/or Air Handler) : WAPL424A`+TXV 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" Model Status are those that an AHRI Cenification Program Padicipant 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 RIling or offering for sale. tljtos that areai2jm.panied by WASindicate an involuntary re -rate. The new o bl' hed range Is mwwn amrm with, the previous Re. 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; disseminated; 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. AIREFRIGE ATION INSTITUTE CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at warmahrldirectory.org, click on "Verify Certificate" link we sake 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. "' 132763642459760736 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: