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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/16/21 Permit Number: WNIg -¢-Building -P-ermit 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 PERMIT APPLICATION FOR; Address: 6392 CHASKA ST II, Property Tax ID ty: 3409-703-0008-000-8 Site Plan Name: Project Name: michele/ a var as New Electrical Meter Second Electrical Meter Additlonalworktobepertonned underthlspermit—check all that apply: Lot No. Block No. XMechanical _Gas Tank Gas Piping —Shutters _Windows/Doors _Pond Electric Plumbing —Sprinklers Generator _Roof Pitch Tota(Sq. Ft of Construction: Cost of Construction: $ 9336.00 uildi Sq. Ft, of First Floor: Utilities: _Sewer _Septic BngHeight: Name michele/gary vargas Address: 6392 CHASKA ST city: fort pierce state: FL Zip Code: 34982 Fax: Phone No. 772-882-8349 different Fill in fee simple Title Holder on next page { if from the Owner listed above) zip company: Sea Coast A/C and Sheet Metal Inc. Address:3108 Industrial 31st Street city: Ft Pierce _state: FL Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 Mail info _ E-_ seacoastair cam State or County License CMC035421 encement Is regc If value of construction Is 2500 or more, a RECORDED Notice of Comm If value of HAVG is 67,500 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 -— FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address:_ City: City: Zip: Phone: Zip: Phone: �a OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to ontam a permit to 0o the wui n anu JMWHa,IWI� 4„M..•�..%. M. I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Counttflflyy makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure structurenPleasecconsultwlthpyou applicable ome Owners Association land review youi deed for any aestrlcit on whichtmaor applyhlbit such -- - In consideration ofthe -granting -of this requested.permit, Ldo hereby agree that i will, Inall .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 improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the fobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencin work or recordin our No ice of Commencement. (—f 1 A /I V/� �l as Agent STATE OF FL I P COUNTY OF�_L4.r✓{ •P S rn to (or affirmed) and subscribed before me of Phxsical Presence or Online Notarization this 1 day of fly , 2021 by Name of person m king statement. Personally Known X. OR Produced Identification Type of Identification Notary Commission REVIEWS STATE OF FLO COUNTY OF t It (or affirmed) and subscribed before me of S o to physical Presence or _Online Notarization this�_dayof DEC 202.E by f✓t 5 Name of person making statement Personally Known X OR Produced Identification Type of identification Notary Public- Statelof Florida VEGETATION REVIEW Eligible for Federal Tax Credit 0 • LIMMIS AHRI Certified Reference Number : 202544188 Date : 11-22-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160371A' Indoor Unit Model Number (Evaporator and/or Air Handler) : AVPTC37C14B' 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, WL WY, U.S. Territories) Region Nole : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in ail 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. 1"Active" Model Status are those that an AHRI Certification 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 Certifcatlon Program Participant is no longer producing BUT is still selling or offering for sale. Ralines that are accomaanied by WAS indicate an involuntary re -rate The new published rating Is shown along with the previous (i.e. WAS, rating. DISCLAIMER AHRI does not endorse the protlucl(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the protluct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the protluct(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directoryat www.ahrid irectory.org, TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and w. confidential reference purposes. The contents of this certificate may not, in whole or in part, be reproduced; copied; disseminated; 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 farina 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 en 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.: szezosssysslososa