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HomeMy WebLinkAboutBUIDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 12/13/21 Permit Number: Date: Building-PermitApplication-_ — Planning and Development Services X Commercial Residential Building and code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: Address: 4679 s 25th st 3403-502-0124-000-2 Lot No PropertyTax Inn, _.. Block No. _ Site Plan Name: Project Name: kristin a/ ames cox 'ram. 7 11 D DE 0 1C, t D ��iPl'I�?�7.Qefig 3 ton, 14 seer, 7 kw LIKE FOR LIKE A/C CHANGE OUT New Electrical Meter _ Second Electrical Meter -���f ro -�� Additional work to be performed underthispermit— checkallthatapply; _Pond Tank Gas Piping XMechanical _Gas _Shutters —Windows/Doors _Electric Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ 6039.00 Utilities: Septic Building Height: Cost of Construction:$ _Sewer yR� � Christopher Langel kristinya/james cox Name: Name Sea Coast A/C and Sheet Metal Inc. Address: Do box 12638 Company: FL Industrial 31stStreet City: fort pierce.. state: Address_3108 city: Ft Pierce state: FL zip code: 34979.Fax: _ 772-448-4416 No. 772 519-8856 zip Code: 34946 Fax: Phone Phone No 772-466-2400 E-Mail: Pill in fee simple Title Holder on next page( if different E-Mail info IX )se co com from the owner listed above) State or County License CMCQ35421 — If value of construction is 2500 or more, a RECORDED Notice of Commencement Is required. If value of WAVC is $71SOo or more, a RECORDED Notice of Commencement is required. lNFQRI I'ATI0N Sl7RP1 EI�ITPL G0 IST UCTIQN � UNIL ,�1ti1 44444 DESIGNER/ENGINEER: Applicable MORTGAGE COMPANY: Not Applicable —Not Name: Name: Address: Address: City: State: ` City: State: - Zip:--�_— Phone_._—_... ----Zip__._P-hone;--...------_.___.-- -- 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 Court makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure such is youlsdeed or any restrits ction whicli may epplyhlb,t consult withpyourFlorne Owners Assoc atlontandt eviebylaws StructurenPlease --in-consideration of the-granting.of this requested.permit, l.do hereby agreetliatll 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 in the records of St. improvements to your property. A Notice of Commencement must be recorded public to financing, consult Lucie County and posted on the iobsite before the first inspection. If you intend obtain with lender or an attorney before commencing work or recordin our No ice of Commencement. Signature of Owner/ Lessee Contractor as Agent for Owner Signature, of Contractor/License Holder STATE OF FL I P STATE OF FLO I COUNTY OF J�jXA P COUNTY OF fC (or affirmed) and subscribed before me of S o'n to (or affirmed) and subscribed before me of S to(or rn Presence or online Notarization Physical Presence or Online Notarization 3al _ da this -3_day of DEC 2021by this_9 day of []F —,2021by Ohr(: -Int�l,�r fj C,l - aa Name of person m king statement. 0 1Name of person making statement. X. OR Produced Identification PersonallyKnifieatl X OR Produced Identification Personally Known Type of Type of Identification Produced Produced ignature of Notary Public -State (Sig1 ture of Notary Public -State of Florida ) __of^�Florida) Commission No.��auLJc.tL.rCaL (Seal) ommisslon No. +� '� L JUSTINALHOPKINSCONNE �%`yFF 10 8 JUSTINAL,HOPKINSCONNELL ? M SSIONkGG840 TONi =a4 °' EV ES: December 17, 203 i i 1 `IQPIRE ;gg¢pQq@ Xy 3 LANS VEGETATION %��f�FnA°d NaDfQid de t REVIEWS FRON n° N0 ° REVIEW COUNT -VIEW DATE RECEIVED DATE COMPLETED ev AHRI Certified Reference Numher : 9529643 Dale : 12-10-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER W SERIES R410A AC Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WCA4364GKA** Indoor Unit Model Number (Evaporator and/or Air Handler) : WAPL364A' Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MO, MS, NC, 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, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. t"Active" Model Status are those that an AHRI Cedifcation 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 cling or offering for sale. R I]& that arej222mWnled by WAS indicate invol t ry re -rate. The w published rating Is shown along with the o u (I e WAS) rat'ng 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 praduct(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,ahridirectory.org, TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used far 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 arty 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 he verified at www,alirldirectory.org, click an "Verify Certificate" link we 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.: 3zaas4asszasnzeR