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Building permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/29/21 Permit Number: O A, —Building-RermitApplication___ Planning and Development Services Building and code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce F6 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR: Address: 5047 N HIGHWAY A1A 1003 1414-610-0051-000-9 Property Tax ID #: Site Plan Name: _ Project Name:Ju� ne winter LIKE FOR LIKE A/C CHANGE OUT 3 5 ton 14 30 eer no kw water souce heat pump New Electrical Meter Second Electrical Meter. Additional worl<to he performed under this permit—checl<all that apply: Mechanical _Gas Tank _Gas Piping _Shutters Electric _Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 6700.00 Lot No. 81ock No. Windows/Doors _Pond _Sprinklers Generator _Roof Sq. Ft, of First Floor: _ Neight: Utilities: _Sewer _Septic Building Address:1722 victoria w� city: san mareos state: CA zip code: 92069 _ Fax: Phone No. 760-798-3933 E-Mall: Pill in fee simple Title Holder on next page ( if different from the owner listed above) Pitch 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 jnfo�a seacoastair rom State or County License CMC0354 1 o rrnnnrn rvnrira of commencement Is If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 5 11'PL MENER GO�JSTIkUCTIGDW f N LAU1F)�I O MATI�[ Not Applicable MORTGAGE COMPANY: Not Applicable DESIGNER/ENGINEER: _ Name: Name; Address: Address: State:P-hon&:--- City: State: _ City: - Zip; --- Phone-_— - — —-.fp__----- 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 ar installation has commenced prior to the Issuance of a permit. St. Lucie County makes no epresentation that is granting a permit will authorize the permit holder to build the subject structure VI structurenPleasleconsultwlthpyourHomeOwnnersAssociationtandrreviewyourdeedfora yrestictionrswhichinayapplylbitsuch of -granting -of this requested permit, Wo hereby agree that I.will, In all. respects, perform ,the work. In consideration -the in with the approved plans, the Florida Building Codes and St. Lucie County Amendments. accordance The following building.permit applications are exempt from undergoing a full concurrency review: roorn 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 be in the records of St. improvements to your property. A Notice of Commencement must recorded public first inspection. If intend to obtain financing, consult Lucie County and posted on the jobsite before the you with lender or an attorney before commencing work or rec(oorrrddliiin our No, ice of Commencement. Signature of Owner Lessee Contractor as Agent for Owner Signature of Contractor/License Holder / STATE OF FLO I P STATE OF FLO[Pff � OF COUOF � Uk0_ lie COUNTY NTY S to (or affirmed) and subscribed before me of S�0Jn to (or affirmed) and subscribed before me of am TPhysical Presence or Online Notarization �i Physical Presence or_.Online Notarization by this 29 day of OCTOBET 202( by this 9 day of 0C:TnRER�20ZI• Lri�c)+g lief Name of person rrhking statement. Name of person making statement, X� OR Produced Identification Personally Known A. OR Produced Identification Personally Known Type of Identification Type of Identification Produced Produced ignature of Notary Public- tate offlnFlorida) (Sigi tore of Notary Public- State of Florida) Commission No. j�j, aL (seal) ommission No. ,, dUSTIIIHOPOKINBS 09 j��H,J'a•'(� a ' Pb(/ �t18TINA1. HOPKINSCONNELL M 8E8 •yet EXP ES! oecember17,203 #( 141QPlIRE :4 TiM LANS VEGETATION �fiWiled iNa�d ae FROM t t REVIEWS . a REVIEW COUNT _VIEW DATE RECEIVED DATE COMPLETED ev. Cleftificate of Prod= Katings AHRI Certified Reference Number: 7992985 Date: 10-18-2021 Model Status: Discontinued Old AHRI Reference Number : Product : Water -to -Air and Brine -to -Air Model Number : 50PCV041L/R**3/CA Brand Name : CARRIER Rated as follows in accordance with the latest edition of ANSIIAHRI/ASHRAEIISO 13256-1 Water -source heat pumps --Testing and rating for performance-- Part 1: Water -to -air and Brine -to -air heat pumps and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Full Load Part Loadt Part Load2 Part Load3 Air Flow Rate - Cooling: 1200 Air Flow Rate - Heating: WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/watt) Cooling Fluid Flow Rate (gpm) Healin Heatin Heatin GLHP Coolin Coolin Conlin Healing Capacity (Bluh) Heating COP (watUwatt) Heating Fluid Flow Rate (gpm) Indoor Blower Motor Fan Type : Sold In? :USA 39500/39500 13.10/13.10 9.00 29400/29400 3.20/3.20 9.00 PSG Where rating shows value/value, the first value is at minimum voltage, the second value is at 230v for a dual volt system. tModels with "Discontinued" Model Status are those that an AHRI Certiflcation Program Participant no longer produces AND Is no longer selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary r to The w published t' u Is shown alone with the previous (i.e. 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 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,ahrldirectory.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; Aim 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, & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www,abridirectory.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. 132790533898164544 ©2MAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: