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willcox building permit app.pdf
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: � uo L�C�IGQ� RMO - O ° ``' Building -Permit Application-__..__.___.__ _— . _ Planning and Development Services X Commercial Residential nuilding and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITAPPLICATION FOR 181 ; PSRQP(ED I(\!11?RQU_EI�IN 6St0�1 w v�>,� ... Address: 3100 n highway a1 a 1101 1425-606-0047-000-9 Lot No._ Property ID tt: Tax Block No. Site Plan Name: Project Name: Ae0r e willcoX ma �- � LIKE FOR LIKE A/C CHANGE OUT 3.3 ton, 13.10 eer, no kw wa er souce heat pump New Electrical Meter Second Electrical Meter.. Add itlonaI work to be performed underthIs permit —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: 7315400 Utilities: Sewer Septic Building Height: $ Cost of Construction. — — OW Christopher Langel YName, george wiIICOX Name: Sea Coast A/C and Sheet Metal Inc. Address:112 quiet way Company: SC Address: 3108 Industrial 31 st Street city:anderson _State: Zipcode: 29326 Fax: city: Ft Pierce State: FL _ Zip Code: 34946 Fax: 772-448-4416 Phone No.313-590-2683 Phone No 772-466-2400 E-Mail: _ Fill in fee simple Title Holder on next page (if different E-Mail Info seacoastalr r`Dm from the owner listed above) State m County License CMC035471 _ 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. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY; _Not Applicable Name: Name: Address: Address: City: State: City: State: _ —zip:-- Phone—- FEESIMPLETITLE 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 or installation has commenced prior to the Issuance of a permit. SL Lucie Countyy makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure mayprohibit such al structis maor wlthpyoiur Nome Owners Associ Association review your deed or any restrts iction ure, PleasleconsUlt - --In-consideration of tile -granting.of this requested permit, I.do hereby agree that i_will, In all respects, perform tile 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 t. improvements to your property. A Notice of Commencement must be recorded in the public records lt Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, nsuof withlender or an attorney before commencing work or recording our No ice of Commencement. Signature of Contractor/License Holder Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FLNTY I P STATE OF FLO{J1�jA COUOF AO t{? COUNTY OF, 1 � S orn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of Ph ical Presence or _Online Notarization Ph s'cal Presence or Online Notarization 2021 by this +"cayofnoyennl5er ,202( by lhis,ZPaayofnoyennl5e _CkrLsbvkLr 'Name of Name of person inakin statement. Name of person making statement. J � P fi�g// Personally Known,_ Produced identification Personally Known x OR Produced Identification .OR Type of Identification Type of Identification Produced Produced ignatureof Notary Public-/ State Florida) igi l (Sure of Notary Public- State of Florida ) �of Commission No.�S.J_chl[cu. Seal) ommission No. L ti I?¢ cJUSTINAL,HOPKINSCONNE JU3TINAL,HOPKINSCONNEL4 ':a S µG0940 6 • ' EXP ES: Dacemberf7,20 3 At FRON t (' III PIRE IRE ; LANS VEGETATION t�€naea NbI da t iq REVIEWS "ii e VIEW COUNT DATE RECEIVED DATE COMPLETED ev. AHRI Certified Reference Number: 7992985 Date: 11-23-2021 Model Status: Discontinued Old AHRI Reference Number Product : Water -to -Air and Brine -to -Air Model Number : 5OPCV041L/R**3/CA Brand Name :CARRIER Rated as follows in accordance with the latest edition of ANSI/AHRI/ASHRAE/ISO 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: Air Flow Rate -Cooling: WLHP (Water•Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/watt) Cooling Fluid Flow Rate (gpm) Heatin Heatin Heatin GLHP Coolin Coolin Coolin Healing Capacity (Btuh) Heating COP (walVwatt) Heating Fluid Flow Rate (gpm) Indoor Blower Motor Fan Type Sold In? :USA Full Load Part Load1 Part Load2 Part Load3 39500/39500 13.10/13.10 9.00 29400/29400 3.2013.20 9.00 Where rating shows value/value, the first value Is al minimum voltage, the second value is al 230v for a dual volt system. }Models with "Discontinued" Model Status are those that an AHRI Cediilcation Program Padicipant no longer produces AND is no longer selling or offering for sale. Ratinos that are accompanied by WAS Indicate an'nvolunlary re -rate. The new published rating is shown along with the previous (I.e. WAS+ratin DISCLAIMER AHRI does not endorse the product(s) listed on this Cercate and makes no representations, warranties or guarantees as to, and assumes no responsNility far, 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 CeKificate. Certified ratings are valid only for models and configurations listed In the directory at ww W.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,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. Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 32821446697510703 ©7�t1