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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date; 12/1141 r L.M R I D A Permit Number: uilding P-er-mit Appli Planning 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: Commercial Residential X II address: 3100 n highway a1a 1202 Property.Tax ID II:1425-606-0054-000-1 Lot No. Site Plan Name: inhn flnrknmrcki Project Name: LIKE FOR LIKE A/C CHANGE OUT 3.3 ton 13.10 eer no kw water souce heat pump New Electrical Meter Second Electrical Mete Block No, Additional worl<to be performed under this permit —check all that apply: Mechanical _Gas Tank _, Gas Piping _Shutters _Windows/Doors _Pond Electric Plumbing _Sprinklers _Generator _Roof Pitch Tota(Sq. Ft of Construction: _ Cost of Construction: $ 6743.00 Sq. Ft. of First Floor: Utilities: Sewer _Septic Building Height: Name John florkowski Address: 1 E lake rd city: new fairfield State: ct Zip Code:06812 Fax: Phone No, 203-470-6149 Fill different in fee simple Title Holder on next page (if from the owner listed above) Name: �.iuiswNnci �anyci company: Sea Coast A/C and Sheet Metal Inc. Address: 3108 Industrial 31 st Street city: Ft Pierce state: FL zip Ph code: 34946 Fax: 772-448-4416 one No 772-466-2400 E-Mail info pseaccuxaW r ram State or County License CMC0954 1 .— 6rononCnoi,.eAro-wrnmmencementlsreauired. If value of HAVC is $7,500 or mare, a RECORDED Notice of Commencement is required. Applicable DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Name: Name: _, : Address: Address City:Stater Y� r City: State __ 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 or installation has commenced prior to the Issuance of a permit. St. Lucie County makes no yrrepresentation that is granting a permit will authorize the permit holder to build the subject structure Silh"UGtU10nP1825econsult withpyoarHome Owners A soc at ontlandrreview bylaws deed f r any restriction which may applyhibit such the --in-consideration of the granting of this requested. permit, l.do hereby agree that I.w1I1, in,-all.resp.ects, perform 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 co f St. ult Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, with lender or an attorneybefore commencin work or recordi` ou ` o ice of� mmencement. t A A of Owner/ Lessee Contractor as Agent for Owner STATE OF FLO,RIpP`^L� COUNTY OF S orn to (or affirmed) and subscribed before me of Physical Presence or _Online Notarization this I day of DECEMBER 2021 by itr(`, )171nP✓ i aqP i Name of Person m king statement. J Personally Known X. OR Produced Identification _. Type of identification Commission REVIEWS STATE OF FLO131p}i Al l to .[ � COUNTY OF `� S onto (or affirmed) and subscribed before me of Physical Presence or__.Onllne Notarization thisJdayof B.E._ DECEMR200 by n� her Name of person making! statement. Personally Known X OR Produced Identification,_ Type of Identification of Notary Public- State9of Florida VEGETATION REVIEW HOPKINS AHRI Certified Reference Number: 7992985 Old AHRI Reference Number Product a Water -to -Air and Brine -to -Air Model Number : 5OPCV041L/R"3/CA Brand Name :CARRIER Dale : 11-29-2021 Model Status: Discontinued Rated as follows in accordance with the latest edition of ANSI/AHRIIASHRAEIISO 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 Load1 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) Heatin Healin Heatin GLHP Coolir Coolir Coolir Heating Capacity (Btuh) Heating COP (watUwatQ Heating Fluid Flow Rate (gpm) Indoor Blower Motor Fan Type Sold In7 :USA 39500/39500 13.10113.10 s.00 29400/29400 3.20/3.20 9.00 Where rating shows value/value, the first value is at minimum voltage, the second value is al 230v for a dual vpit system. (Models with "Discontinued" Model Status are those that an AHRI Cedi(icalion Program Padicipant no longer produces AND is no longer selling or offering for sale. Ratings that are accompanied by WAS Indicate an involuntary re -rate. The w published rating is shown along with the previous (i.e. WAS) retire. 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 produet(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.alirldirectory.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 ally form or manner 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 venfled at www,ahridirectory.org, click on "Verify Certificate" link we make lire 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. 132826768047341880 ©2MAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: