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Home My WebLink AboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/1/21 Permit Number: Mo LL VQ . v ' .-,.-.,...,...--Building-P-er-mit Application--._—__ Planning and Development Services X 6uildingand Code liegulationDivision Commercial Residential_ 2300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 462-1.553 Fax: (772) 462-1.574 PERMIT APPLICATION FOR; Address; 12715 W ANGLE RD 2305-500-0001-000-4 Lot No. Property Tax ID N: Site Plan Name: Block No. Project Name: Walter LIKE FOR LIKE A/C CHANGE OUT 4 ton, 14 seer, no kw water souce heat pump New Electrical Meter Second Electrical Meter Additional work to he performed under this penult —check all that apply: Mechanical _Gas Tank Gas Piping _Shutters —Windows/Doors _Pond Electric Plumbing _Sprinklers Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft, of First Floor: Utilities: Sewer _Septic Building Height; Address: po box 4221 city: fort pierce state: fl Zip Code: 34948 Fax: Phone No. 772-464-2343 Fill in fee simple Title Holder on next page( if different company: Sea Coast A/C and Sheet Metal Inc. Address; 3108 Industrial 31st Street city: Ft Pierce _state; FL zip Ph Code: 34946.Fax! 772-4484416 one No 772-466-2400 E-Mail info ()Seacoastair com State or county License CMC035421 value of construction is 2500 or more, a RECORDED Notice of Comm �UpPI.EMS[�TP�L�ONSTRUCT(9�N�,L(�N�Ll�W #NkOR1�lA�['ION_ DESIGNER/ENGINEER: _NotApplicable .�_ � �� r MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City, State: _ - City: State:__ FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING Name: COMPANY: _Not Applicable Address: Address:_. City: City: Zip: Phone:_ zip: Phone: - .. . . ...... :.. L_ .,...k^ %.....c . nri rnctll ac indicated. OWNER/ CONTRACTOR AFFIDVIT; Application Is nereny made m oo�am a Pc� ��< <� u� .�� .•�.,, �,.- •• •--- --- - -- - I certify that no work or installation has commenced prior to the Issuance of ape rmIt, St. Lucie Cc un{�fyyf makes noyyiepresentation that is granting a permit will authorize the permit holder to build the subject structure structure, Pleaseconsultwlthpyour Home OwOwners ers A soc ationtlandrreviewyyour deed foi any restrict on may restrict applyhibit such In -consideration ofthe-granting. of this requested permit, I.do hereby agree that.) will, In allresp.ects, perfo-rrm,the wort(__ __ .., __. ..... 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 ^f sit 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 record'ansulI Lucie County and posted on the fobsite before the first inspection. If you Intend to obtain financing, with lender or an attorney before commencinB work or recordin our o ice of Commencement, l A A of Owner/ LesseejContractor as Agent for Owner STATF OF FLOIpP` COUNTY OF S rn to (or affirmed) and subscribed before me of Physical Presence or _Online Notarization this 1 dayof,nrnrpmber 202(aby aL Name of person m \ki/ng statement. Personally Known ..k..OR Produced identification Type of Identification Produced_ yl5ignature of Notary Commission No,l�7t• JU9TINAL, REVIEWS I Ff CO DATE Signature STATE OF FLO A COUNTY OF �f,t� S onto (or affirmed) and subscribed before me of Physical Presence or Online Notadzation thisJ_day of novem er 2&1 by Ch r# S Vic Name of person making statement, Personally Known � OR Produced identification Type of Identification of Notary Publlr.- State9of Florida NS VEGETATION EW REVIEW ti ■�I CERTIFIED° www.aiiridIrectory.org AHRI Certified Reference Number : 963837 Model Status: Active Old AHRI Reference Number: Brand Name INTELLIPAKTM II Product Type : Wheel Model Number: W'«.«.,+..««.....««...«««1,...««..««... Ratings generated using the following shall be in accordance with the latest edition of AHRI Standard 1060 (I-P) Performance Rating of Alr-to-Air Exchangers for Energy Recovery Ventilation Equipment and are subject to rating accuracy by AHRI-sponsored, independent, third -party testing. f"Active" Model Status are those that an AHRI CedlFlcation 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 Certigcatlon Program Padicipanl is no longer producing etlT Is still ReIling or offering for sale. tin th t re omp led by WAS Indicate 'nv tary rat Th w o blish d t1W is shown alone with the prev'eus (i.e. WAS) rating. as 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()listed on lhis toiflliability lirkind arising Out of the use or performance of the product(s), or the unauthorized alterationof data listed n this Certificate, Certified ratings are valid onlyfomodelsandonigurations listed in the directory at www.ahridlrectory.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; AM entered Into a computer database; or otherwise utilized, in any form or manlier or by any means, except for the user's Individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for 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. ' 132799220332236902 ©02MAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: