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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �t Permit Number: p ,moo d -- - ---_-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; Address: 260 BIMINI DR 1425-701-0055 000-0 Property Tax ID #: Site Plan Name:— Project Name: archibald hall LIKE FOR LIKE A/C CHANGE OUT 4 ton 16 seer 10 kw New Electrical Meter Second Electrical Lot No. Bloci<No, Additional worl<to be performed under this permit—checl<all that apply: Mechanical _Gas Tank Gas Piping _Shutters _Windows/Doors _Pond Electric —,Plumbing _Sprinklers _Generator _Roof pitch Total Sq. Ft of Construction. Cost of Construction: $ 7416.00 Sq, Ft, of First Floor: Utilities: _Sewer _ Septic BuildinE eight: Name archibald hall Address: 260 BIMINI DR City: fort pierce State: J Zip Code:34949 Fax: Phone No. 772-971-2208 . E-Mail:_ Fill in fee simple Title Holder on next page ( if different from the owner listed above) Name: vnia�Niioi �ay� 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 infoC@seacoastair com Sta te or County License CMC035421 value of construction is 2500 or more, a RECORDED Notice of Comm If encement Is requ If value of HAVC is 67,500 or more, a RECORDED Notice of Commencement is required. 1� IN�o�M_A�rIDN �__ �....... ��� m�,x � , .. �,.le MORTGAGE COMPANY: _Not Applicable Name; Address: _ r777= City: Stater-7_-ip; —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 0o me work and inaianduUu d> 11[uJ,..,.�..1 I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Court makes norepresentationthat is granting a permit will authorize the permit holder to build the subject structure st�huctis urenPlease consulall lthpyoorHlome OwOwners ers A soeiation aridrrevlew yowldeed for any restrictions which may applyhlbit such - In consideration of tilegrantingof this requested .perni t, Ldo hereby agree that.l.will, Illall respects, perform, the work, In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building pennit 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 suott Lucie County and posted on the fobsite before the first inspection. If you intend to obtain financing, with lender or an attorney before commencin work or recording your No ice of Commencement. n 4 of Owner/ Lessee/Contractor as Agent STATE OF FLO 1 F COUNTY OF�I S orn to (or affirmed) and subscribed before me of Physical Presence or online Notarization this ? % day of Sept 202( by �r(t>-I-nc)hL l' LG nO P ,I Name of person mlaking statement. Personally Known OR Produced Identfication __ Type of identification �ignature of Notary P Commission No.� REVIEWS FRC COu JUsiiNA L. HopKINS Signature STATE OF FLOf�pA L LI COUNTY OF � S onto (or affirmed) and subscribed before role of Physical Presence or _Online Notarization this_?day ofc_ent ,202(• by r-Ai Name of person making V statement. Personally Known OR Produced Identification Type of Identification Produced of Notary Publlc- NS (VEGETATION EW REVIEW Eligible for Federal Tax Credit AHRI Certified Reference Number : 201785242 Date : 09-27-2021 Model 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) : GSX16S481A` Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A' 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, 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) Region Nate : 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. t"Active" Modal Status are those that an AHRI Certifcation 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 Ceditication Program Participant is no longer producing BUT is still R(ling or offering for sale. ll a that c omoa ' d by WAS indicate involuntary re -rate The new published rating is shown alone with the arevlous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the products) 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 nauthorized 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 onfidential reference purposes. The contents of this Certificate may not, in whole arm part, be reproduced; copied; disseminated; pin emered into a computer database; or otherwise utilized, in any form or manner or by any means, except fertile 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.ahridiroctory.org, click on"Verify Certificate" link wemake lifebeuer^ 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. 132772313376229171 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: