HomeMy WebLinkAboutrodriguez building permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; 10/12/21 Permit Number:
�M LL V CHHLS
- - -Building-P-ermit-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;
(I Address: 335� COLUMBRINA I_�R _--
Property Tax ID ll: 3425-703-0023-000 9 Lot No.
Site Plan Name: Block No.
Project Name: Jose rodriguez
LIKE FOR LIKE A/C CHANGE OUT 3 ton, 14 seer, 10 kw
New Electrical Meter Second Electrical
Additional work to be performed under this permit —check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters
Electric _,Plumbing _Sprinklers ,_Generator
Total Sq. Ft of Construction: Sq. Ft, of FIrsY Floor:
Cost of Construction; $ 5473.00
Windows/Doors _Pond
Roof Pitch
Utilities: _Sewer _Septic
Name Jose rodriguez
Address: 1570 river st
City: boston State: ma
Zip Code: 02136 Fax:
Phone No. 617-372-4401
Fill in
fee
simple
Title Holder on next page (if different
r
Building Height:
company: Sea Coast A/C and Sheet Metal IncT
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 info �seacoastair com
StatoorCounty License CMC035421
value of construction is 2500 or more, a RECORDED Notice of Comm
If encement Is regti
If value of MAVC is 0,500 or more a RECORDED Notice of Commencement is required.
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_Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:
Address:
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State: City: Staterone----
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FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name: —
Address:
Address:
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City:
City: —
Zip: Phone:
Zip: Phone;
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby rnade 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. Lucle CounttflfyyI makes noyyi epresentation that is granting a permitwill authorize the permit holder to build the subject structure
such
applyhihit
nrreview your deed or any restrictions which maor
wlthpyour Associ tion
staucturenPlease consult HorneOwnersOwners and
--In-consideration of the -granting .of.this requested.permit, I.do hereby agree that.l will, 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 roams 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 ofSt.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
withlender or an attorney before commencing wokorodiNice of Commencement.
l,fi•z !Ivy'/',``
Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FL I P STATE OF FLO A
COUNTYOF�, COUNTY OF It (�
S rn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of
Phyysical Presence or _ Online Notarization _A Physical Presence or.OnlineNotarization
922 day 202) by
this day of October 2021 by this of nrtobpr ,
i P
lr I S cr L hq
Name of person m statement. I Name of person makiingg statement,
'ki/ng
Personally Known X. OR Produced Identification Personally Known x OR Produced Identification
_L
Type of Identification Type of Identification
Produced Produced
ignature of Notary Public- ofFlorida ) (Sig ture of Notary Public -State of Florida )
�.,State
Commission No.jjy=(t„��SILcv�, Seal) ommission No,GGq4 L111111�isplL
vp ., JUSTINAL,HOPKINSCONNE
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REVIEWS �
COUNT -VIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Eligible for Federal Tax Credit
AHRI Certified Reference Number : 200945843 Date : 10-12-2021 Model Status :Active
Old AHRI Reference Number: 6892367
AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series : GPC14
Outdoor Unit Brand Name : GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GPC1436H41D*
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02021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132785325980809271