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HomeMy WebLinkAbout20211007132321501.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/7/21 Permit Number: M4 LU(Ed[ Buiiding-Permit Application_—_- Planning and Development Services X Building and Code Regulation Division Commercial Residential_ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1S53 Fax: (772) 462-1578 PERMIT APPLICATION FOR; pRDP(5E4 Iix jfPROUENIEN f LOGTI Address: 5312 SEAGRAPE DR Property Tax ID f : 3402-608-0279-000-5 Site Plan Name: Project Name: Connie camp LIKE FOR LIKE A/C CHANGE OUT 3.5 ton 15 seer 8 kw New Electrical Meter Second Electrical Meter. Additional workto be performed under this permit— check all that apply; xMechanical _Gas Tank _, Gas Piping _Shutters Electric ^Plumbing _Sprinlders _Generator Tota(Sq. Ft of Construction: f Cost of construction; $ 7403.00 Sq, Ft, of First Floor: Lot No. Block No. Windows/Doors _Pond Roof Pitch Utilities: _Sewer Sept! Building Height: Name connie camp Address: 5312 seagrape dr City: fort pierce State: fl Zip Code: 34982 Fax: Phone No. 850-519-2704 E-Mall: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: �.unaivNnci �anyc 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 m E-Mail info seacoastair om Sta te or County License CMQ 5421 _ ._ .. �,.,. urmnnan nGw�P of commencement If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. I�FO�R�IAi')0�(y $UPPI.EM>NTA�LG0�15TI3l7CTIQN;LIFNf1AUil � 5 _ �2�� _ ,� DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY; _Not Applicable Name: __ Name: Address: Address: City: State: Cit Y State: - Zip.,.-.TPhone - - - --Zi p.__ - ---- 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 Count yy makes norepresentationthat is granting a permit will authorize the ��)ermit holder to build the subject structure estrlcton whichtinayapplyhlbitsuch structurenPleaslecconisnitwlthpyourHlomeow�ersAssociationtlandreviewyouideedforsny --In-consideration of the -granting -of this requestedpen nit, I.do hereby agree that.Lwill, In.all.respects, 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 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 llle"nder or an attorney before commencing work or record our Notice of Commencement. orrr"in Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FL I A STATE OF FLORIDA COUNCOUNTY OF s orn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of Presence or Notarization x J'hysical Presence or Online Notarization -I Physical __Online by this_dayof, OCtOber ,202' by this? day of Ortobar 202) 0hriSl��hcr L 1 C�trtS �?helr 1t=LQ SERI Name of person making statement. J I Name of person making statement. Personally Known X.OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced_ 1220j24 4(sigire ignature of Notary Public of off Florida) of Notary Public- State of Florida j Commission No. t_�y(1�„g.¢oL (Seal) ommisslonNo. L tiff'?¢, JUSTINAL. ' $¢".,, JUSTINAL.HOPKINSCONNELL a ' HOPKINSCONNE NIMISSION 4BeiM 8 °' — •. ;uj EXP ES: 0e0ember17,20S REVIEWS FRON IQPITE MfAq Rnl3re LANS VEGETATION 4�fi�Sndea Nnttik3R COUNT VIEW REVIEW DATE RECEIVED DATE COMPLETED ev. • 1 • • a AHRI Certified Reference Number : 201765375 Date : 10-05-2021 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) : GSX16S42W Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT59C14A' 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 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. t"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 being produced "Production Stopped" Model Status are those that an AHRI Certifcation Program Participant is no longer producing BUT is still selling or offering for sale. Ralinos that are accompanied by WAS indicate an involuntary. re -rate. The new published rating is shown along with the previous (i.e. WASI 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 protluct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the protluct(s), or the unauthorized alteration of data listed on this CertiRcate. 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; AAM entered into a computer database; or otherwise utilized, in any form or manner or by any means, except forthe 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,ahridirectory.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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: az7Ts slaz4ss4zza