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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/23/21 Permit Number: L� l 1('(A L� Planning and DevelopmentSen+ices Building and code Regulation Division Commercial Residential 2300 Virginia Avenue, fort Pierce FL 34982 Phone; (772) 462-1553 Fax: (772)462-1578 PERMITAPPCICATION FOR: Address: 3404 red tailed hawk dr Property _Tax ID.it: 3424-800-0077-000-7 Site Plan Name: Project Name: herman schmidt LIKE FOR LIKE A/C GHHNCit Uu I � run 19 JCCI � ��� New Electrical Meter Second Electrical Meter Additional worl<to be performed under this permit— check all that apply: xMechanical Electric Gas Tank _Gas Piping _Shutters Plumbing Total Sq. Ft of Construction: cost of construction; $ 5657.00 Windows/Doors _Sprinklers ^Generator _Roof Sq, Ft. of First Floor: Utilities: Sewer _Septic Building Name herman schmidt Address: 3404 red tailed hawk dr City: psi State: fl Zip Code: 34952 Fax: Phone No. 571-352-0460 Fill in fee simple Title Holder on next page( if different from the owner listed above) Pond Pitch Name: �.niiawNiici �uy.. 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 on, No 772-466-2400 E-Mail info Cp)Seacoastalr com State or County License CMQ035421 If value of construction is 2500 or more, a RECORDED Noticeof Com mencement is regti If value of HAVG 1s $7,500 or more, a RECORDED Notice of Commencement Is required. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY; _Not Applicable Name: Name: Address: Address: City: State: _ City: State: _Zjp ._., __P-hone-:--..-- 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 Countfly makes norepresentationthat is granting a permitwill authorize the permit holder to bulld the subject structure such ich i ay apppryhibit Iandrreview your deed for any restrictions wrestrict A soC Association wl your Home Ownowners structure, Pleasenconsult th rs --In-consideration of the-grantingof this requested permit, Ldo hereby agree that I.will, In alLrespects, 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 in the records of St. improvements to your property: A Notice of Commencement must be recorded public intend to financing, consult Lucie County and posted on the jobsite before the first inspection. If you obtain withlender or an attorneybefore commencingwork or recori our No ice of Commencement. CL�z Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FLO I A STATE OF FLO[fl 'A�� COUNTY OF l 'Jko'Pd COUNTY OF r S orn to (or affirmed) and subscribed before me of Swo n to (or affirmed) and subscribed before me of Physical Presence or. Online Notarization Physical Presence or, Online Notarization by this day of cant_, 202( by this � day of � 202) l_2 (t fix i } t�C7t Name of person m kiing statement. J Name of person making statement. X. OR Produced Identification Personally Known X OR Produced Identification _/� Personally Known Type of Identification Type of Identification Produced Produced ignature of Notary Public —State of Florida) 4,liglure of Notary Public- State of Florida ) Commission No. jy�-�t u� Seal) ommissi in No. Iis L n,,. JUSTINAL�HOPKINSCONNE $y' JUSTINAL,HOPKINSCONNELL Z3 ' NIMSSIONI{00040 0 -,, tut EXP ES:Oae9mbar17,20 S +I " PIRE ; de I @ LANS VEGETATION Y�fi$6ndea CloRtlRjd I REVIEWS FRON T; 7emNo� o ra =VIEW REVIEW COUNT DATE RECEIVED DATE COMPLETED evil III Certificate of Product Ratings AHRI Certified Reference Number : 202717367 Dale : 09-23-2021 Model Status :Active AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name :GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WJA436***K***B* Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, Al IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, BE, TN, TX, UT, VA, 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. The manufacturer of this GRANDAIRE product Is responsible for the rating of this system combination. f"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 marketed but are not yet heing produced."Production Stopped" Model Status are those that an AHRI Certifcation Program Participant is no longer producing BUT is still selling o liffering for sale. Rene Ih tare acc o I d by WASindicate n involuntery re -rate. The published rating Is shown along with the previous (Le. 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 producl(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the dlrectory at www.ahridirectory.arg. 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. AIREFRIGERATIN (HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrldlrectory.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. 132768767850049082 02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: