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rider building permit app
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date; 11/4/21 Permit Number; Pionning and Development Services Building and code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 4624578 PERMIT APPLICATION FOR; Address: 11925 orange ave Property Tax ID tt; 2309-322-0001-000-0 Site Plan Name: Project Name: robert rider ng-vermitApp Commercial Residential X LIKE FOR LIKE A/C CHANGE OUT 2 ton 14 seer 5 kw New Electrical Meter Second Electrical Meter Additlonalworktobeperfol'med under this permit—checl<allthatapply: 'xMechanical _Gas Tank � Gas Piping Electric Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5834.00 _Shutters Lot No. Block No. Windows/Doors _ Pond Generator _Roof Pitch of First Floor: Utilities: Sewer' __ Septic Building Height: Address: 11925 orange ave city: fort pierce state: � Zip Code: 34945 Fax: Phone No. 772-519-1589 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 Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-Mail info a seacoastair com State or County License CMQ035421 — value of construction is 2500 or more, a RECORDED Notice of Comm If encement Is requ If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required. Address: City: State: MORTGAGE COMPANY: Name: Address: City: FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Address: Address: City: City:_ Zip: -Phone: Zip: — _ Not Applicable Not Applicable 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. in -consideration of the -granting of this requested.permit, I.do hereby agree that .I 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 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 attorne before commencjn work or record in our No ice of Commencement. — I V/` 0 1 as Agent STATE OF FLO I P COUNTY OF�.i-pC,1 S orn to (or affirmed) and subscribed before ma of Physical Presence or Online Notarization this 4 day of, noyem er 2o2( by person m king statement. Personally Known X. OR Produced Identification Type of identification Name of of Commission REVIEWS C�L�IuI JUBTINAL, Holder STATE OF FLOf?.1j�A ���� COUNTY OF r thi S onto (or' affirmed) and subscribed before me of Physical Presence or Online Notarization s 4 day of november 202k by Chn`S the)' I�& vga� I - Name of person rnakft statement. Personally Known X OR Produced Identification_._ Type of Identification of Notary Public- Statebf Florida NS I VEGETATION EW REVIEW Certificate of Product atings AHRI Certifed Reference Number : 201417943 Date : 11-01-2021 Model Status ;Active Old AHRI Reference Number: 8655632 AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L* Indoor Unil Model Number (Evaporator and/or Air Handler) : ARUF29814A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, N0, 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, 20W. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for t"Active" Model Status are those that an AHRI Certifcation 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 Certification Program Participant is no longer producing BUT is still Ratinaas that are accompanied by WAS indicate an involuntary re -rate. The new Dubiished retina Is shown alone with the previous (i.e. WAS) ration. 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 products) 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. Carl [atl ratings are valid only far 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; AM 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 for the model cited on this certificate can be verified at www.ahrldirectory.org, click on "Verify Certificate" link Ave 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. ©2021Atr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE`NO.: lszaoss4sgsa4aosas