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
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tut EXP ES:Oae9mbar17,20 S
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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.: