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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/17/2021
-
O. Y
F L 1 USA
Planning and Development Services
Wining and Code Regulation Division
------2300Virginia Avenue, .Fort Pierce FL34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR,
Permit Number:
ding--P-e-1
Commercial Residential X
Address: 798 WOODLANDS DR PT ST LUCIE FIB Property Tax ID 8: 3415-701-0006-000-7 Lot No. _
Site Plan Name: Block No.
Project Name; GARY/SANDRA BUSHBY
LIKE FOR LIKE A/C CHANGE OUT 16 SEER, 2
New Electrical Meter Second Electrical Mete
Additional workto be performed under this permit—checkall that apply:
Mechanical _Gas Tank TGas Piping _Shutters
Electric Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost ofConstruction; $ 6468.00
Generator
^
Sq, Ft, of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _Sewer Septic Building Height:
Name('QRY/4ANf)RA RJ I�CF-IRS--
Address; 798 WOODLANDS DR
city: PT ST LUCIE State: FL
Zip Code: 34983 _ Fax:
Phone No. 772 DanDan-Dante- —
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
Name: Christopher Langel
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(a1iseacoastair cam
State or County License_ CMC035421
If value of construction is znvu or more,a rccUunv«.I.ULI�_U1 �����-••-•-• ,
If value of MAVC is 0,500 or more, a RECORDED Notice of Commencement is required.
LiN LP W JI�'QRM_�TIO'1�
S47RPLEMNTAL COI�T}CTJION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY; Not Applicable
Name: _
Name;
Address:
Address:
City: Stater
City: State:
Zl --Phone, —. _--.—_..-
p:— ..
-Zip--
FEE SIM PLE TITLE H OLDER: 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 Count yy makes noyi epresentation that is granting a permitwill authorize the permit holder to build the subject structure
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Owi�ersAsociationandreviewyouisdeedfoienyrestrlts clion whidilmayapply
tructurenPleasleconsuRwwytlrpyourHlom
- In -consideration of the -granting. of this requested. permit, Ldo hereby agree that.] will, In all respects, perform. the work,,,,,,,.,
in with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
accordance
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 jobsite before the first inspection. If you intend to obtain financing, consult
before commencl<or recording our No ice of Commencement, i
with lender or an attorne in wor
Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO I P STATE OF FLO A
COUNTY OF l fC!
�
COUNTY OF . ,ko _
S orn to (or affirmed) and subscribed before me of S o n to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization Physical Presence or _ Online Notarization
by
this /day of nI= 2 202( by this17 day of DEC 20Z6
rt'S e.� G e
Name of person miaking statement. 0- Name of person maki��n/g statement.
X,OR Produced Identification_ Personally Known A. OR Produced Identification
Personally Known
Type of Identification Type of Identification
Produced Produced
1
ignature of Notary Public- tate ofnnFlorida) (Sigi ture of Notary Public- State of Florida )
Commission NO(seal) ommission No. I18 L
I% >,'titer. JUSTINAL•HOPKINSCONNELL �t11 e�$$ JUSTIN<+L•HCPKINSCONNE
y SSION k GG 940 S
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'u EXP ES:Dacembert7,20 3
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FRON +�j, Ili LANS VEGETATION • • 4�fi�bnded NaRIPid
�am�•d3
REVIEWS ,' mNN�49�"i re =VIEW REVIEW
COUNT
DATE
RECEIVED _
DATE
COMPLETED
ev.
i�
Eligible for Federal Tax Credit
W .:
AHRI Cedifla Reference Number : 201830189 Date : 12-16-2021 Model Slalus :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) : GSX160241 F*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT33C14B*
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Territories)
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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.
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