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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED 12/6/21 Permit Number: Date: u� [Liu o �y " Applica.tion_— --Milding-Permit Planning and Development Services X Commercial Residential Building and Code Regulation Division 2300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 462-15S3 Fax: (772) 462-1578 PERMIT APPLICATION FOR; zorzal st Address:14219 1306-111-0001-000-0 Lot No. Property Tax ID 4. Block No. Site Plan Name: serge breton Project Name: LIKE FOR LIKE A/C CHANGE OUT 3 ton, 14 seer, 10 kw New Electrical Meter Second Electrical Meter V ROOM Additional work to be performed under this permit— check all that apply: Mechanical —Gas Tank TGas Piping _Shutters _Windows/Doors _Pond _Electric ,^Plumbing _Sprinklers ,_Generator _Roof _Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: 7008,00 Utilities: Sewer Septic Building Height: $ Cost of Construction: — -- GQm wr= Christopher Langel Name serge breton Name: Sea Coast A/C and Sheet Metal Inc. Address: 14219 zorzal st company: fort state: fl Address: 3108 Industrial 31 st Street city: pierce Zip Code: 34951 Fax; city: Ft Pierce state: FL 819 339-1887 zip code: 34946 Fax: 772-448-4416 Phone No. Phone No 772-466-2400 E-Mail: Fill in fee simple Title Holder on next page (if different E-Mail Info�@seaeoastair corn from the owner listed above) State or County License CMQ035421 _ 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. StRPIM= NTPLC NSTUCTIC?NIN L�1N�NORNI'A�1© b-a;�mx» _ n."5.., .`G a:......4 _>✓r DESIGNER/ENGINEER: _ Not Applicable Name: a F b,P�-o-s a,.,,. _ .mac_ _ ...�, . ..- ..v a mac,,.. m MORTGAGE COMPANY: ^ Not Applicable Name: Address: Address: City: Stater ZIP _—_,___.._p_hone;...-__— p; City: State: _ Zip; ------Phone------------ FEE SIMPLE TITLE HOLDER: mmm_m Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip:_ Phone: Zip; Phone: _ OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK ana mstanauon an mumeLcu. I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Countfyl makes noyrepresentation that is granting a permitwill authorize the permit holder to build the subject structure st{ructurenPlease eonsult an applicable Home owners A sociationtandrrevlew yours deed for eny restrictions whichtmay applyhlbit such —Inconsideration of the -granting -of this requested. permit, Ldo hereby agree That.l..111, in ail 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-residentlal 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 _ _I. ______...i.__. am k. n ,.,.; r..mv nnnn m o nt as Agent for O�nmer STATE OF FLO,�IPPt �� COUNTY OF l._. S rn to (or affirmed) and subscribed before me of Physical Presence nr Online Notarization this 6 dayof DECEMBER , 202( by Name of person m �kiJng statement. J Personally Known,—_ OR Produced Identification Type of Identification Commission L STATE OF FLOI;fpA� COUNTY oF� nto (or affirmed) and subscribed before me of S o Physical Presence or_ Online Notarization this 6 dayof nFC'FMRFR 202G by ' ri AS Name of person imaking statement. Personally Known x OR Produced Identification Type of Identification of Notary Public- Statelof Florida Eligible for Federal Tax Credit Certificate of Product Ratin AHRI Certified Reference Number : 200945843 Date : 12-06-2021 Model Status :Active Old AHRI Reference Number : 6892357 AHRI Type: SP-A (Single -Package Air -Conditioner, Air -Cooled) Series : GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1436H41D` Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 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 selling or offering for sale. Ratings that are accomoanled by WAS indicate an Involuntary re -rate.. The now 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 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 [he nauthorized alteration of data listed on this CeKificata. Certified ratings are valid only for 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,abridirectory.org, click on "Verify Certificate" link we make life better" and enterthe 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.: 132832663653604808