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chew building permitapp.pdf
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/22/21 Permit Number: o �r_ R ° ° `'� ` Building -Permit Application--.--_._ Planning and Development Services Building and code Regulation Division Commercial Residential X. 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 DIAN RIVER DRY ;;i; Property Tax l D #: 3401-311-0002-000-9 Lot No. Site Plan Name: Block No, Project Name: russell/dagmer chew -- LIKE FOR LIKE A/C CHANGE OUT 3.5 ton, 16 seer, 10 kw New Electrical Meter Second Electrical Meter Additional work to be performed under this permit — check all that apply: Mechanical _Gas Tank _ Gas Plping _Shutters _Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq, Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction:$ 7493,00 Utilities: _Sewer _Septic Building Height: OER(a ESSEE v , _ lQNTRGQ e Name russell/dagmer chew Name: Christopher Lange[ Address: 502 bank st company: Sea Coast A/C and Sheet Metal Inc. City: cape may Stater Address: 3108 Industrial 31st Street zip Code: 08204 _ Fax: city: Ft Pierce State: FL Phone No.609-425-8316 Zip code: 34946 _ Fax: 772-448-4416 E-Mail: Phone No 772-466-2400 Fill in fee simple Title Holder on next page (if different E-Mail Info _ seacoastair corn from the owner listed above) State or County License CMC035421 _ If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. Name:_ Address: City: _ FEE SIMPLE T[TLE HOLDER; MORTGAGE COMPANY: ^ Not Applicable Name:_ Address: State: _ City: _ NOtAppiicable BONDINGCOMPANY: Address: City:_ _Not Applicable OWNER% CONTRACTOR AFFIDVIT; Application Is hereby trade 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 Court makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure structure, Please consult w thpyour l lome OwnOwners rs A sociation Association rules, bylaws deed for any estrts ictionrs whichtmay applyhl hit such -, --in-consideration of -the -granting. of this requested permit, I.do hereby agree that 1 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 pet mit 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 U?ith lanriar nr an attornev before commencing work or recording your No, ice of Commencement. _ as STATE OF FLO,,F�1PP` �� COUNTY OF 4.� S orn to (or affirmed} and subscribed before ma of Physical f ntoyelnl�Onlin2 Natarization this 22 day of , e21 by Name of pet son making statement. J Person ally Known � OR Produced Identification Type of identification Commission REVIEWS ( FRO COUI COM STATE OF FLO COUNTY OF L L f(".t�- S onto (or affirmed) and subscribed before me of Physical Presence or Online Notarization this�day of novem rer ,202E by Name of person making statement. Personally Known / y_ OR Produced Identification Type of Identification Produced _...._ .— of Notary Publlc- mission NS I VEGETATION EW REVIEW oecember i7, Eligible for Federal Tax Credit AHRI Certified Reference Number : 202024784 Date : 11-22-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA042*0**B* Indoor Unil Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)005L Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, So, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO, 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. }"Active" Model Status are those that an AHRI Cedification 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 selling or offering for sale. Ratinos that are accompanied by WAS indicate an involunlary re -rate. The new published rating is shown along with the previous (i.e. WAS) 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 products) listed mt 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; AM entered Into a computer database; or otherwise utilized, in any form or manner or by any means, cept for the user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www,ahridirectory.org, click on "Verify Certificate" link „e make life beuer^ 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.: szazoRsoss7o41asa