No preview available
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/30/21 Permit Number; T. =.w4r& II4No ding-P-erm1L App Planning and Development Services fluilding and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone; (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR: Address KINGSWOOD LN (I Property Tax ID It: 3404-807-0004-000 4 Site Plan Name: Project Name: inq Residential X LIKE FOR LIKE A/C CHANGE OUT 5 ton 16 seer 10 kt� New Electrical Meter Second Electrical Meter Additlonalworktobeperfol•med underthlspermlt—check all that apply; Mechanical _Gas Tank Gas Piping _Shutters Electric Plumbing —Sprinklers Total Sq. Ft of Construction: _ Cost of Construction; $ 7493.00 Generator Sq. Ft. of First Floor: Lat No. Block No. Windows/Doors _ Pond Roof ..Pitch Utilities: _Sewer Septic Building Height: Name Jerry Manning Address: 1200 KINGSWOOD LN city: fort pierce —State; fl zip Code: 34982 Fax: Phone No. 305-304-0709 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 infoQseat-o- it com Stateorcounty Lice nse C0 CM35421 value of construction is 2500 or more, a RECORDED Notice of Com If mencement Is required. If value of HAVC is $7,500 or more a RECORDED Notice of Commencement is required. City: FEE SIMPLE TITLE MOLDER: Name: Zi p NotApplicable I MORTGAGE COMPANY; Address: State: City,,_ _Not Applicable BONDING COMPANY: Name:_ Address: City;_ Pho _ Not Applicable NoC Applicable 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 Counttyl makes noyrepresentation that is granting a permit will authorize the permit holder to build the subject structure SthuGturenPlease consalan wltlnpyour Home OwOwners ers A soeiatiGontiand review youi deed foi any restrl6tiou whic11 in ay applyhlbit such n-consideration of -the -granting of this requested permit, I do hereby agree that 1 will, bi all 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: roan 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 attorney before commencin work or recordin our No ice of CCjommencement, I r - 1 /I a0 � . l/ Signature of Owner/LesseejContractor as Agent fa' Owner STATE OF FLO I A COUNTY OF 14ao �S rn to (or affirmed) and subscribed before me of , Physical Presence or _Online Notarization this 30 day of Sept 202( by O hr(5-k»hC I' i ri t)Q ' Nameofperson m kingstaterri t Personally Knowri x.0R Produced Identification Type of Identification ,(SSignature of Notary P Commission No.C1 JU3TINAL, STATE OF FLOgIgA I � .� COUNTY OF`'�— C� tt _ S onto (o' affirmed) and subscribed before me of Physical Presence or _`.Online Notarization this 30 day of s66 2026 by �t5 Cr Name of person maki��n/g statement. Personally Known x OR Produced Identification Type of Identification of Notary Public- Statelof Florida Eligible for Federal Tax Credit AHRI Certified Reference Number : 201299487 Date : 09-29-2021 Modei Status :Active Old AHRI Reference Number: 7984223 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) : GSX160601 F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT61 D14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, AlIIN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NO, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Ri, SC, SD, 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 f"Active" Model Status are those that an AHRI Cedifcation 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" Modei Status are those that an AHRI Certification Program Padicipant is no longer producing BUT Is still Relling or tweg for sale. ating inatt compmed by WAS ind' t invol nl ry r to Th published rating ih wn al ng 'th ih prevl u f WASI rating DISCLAIMER AHRI does not endorse the producl(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 needier 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 far the model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify Certificate" link vve make life berrer^ and enter the AHRI Certified Reference Number and the date an which the certificate was Issued, which Is listed above, and the Certificate No., which is listed at bottom right. 132773893538332230 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: