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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 hlbitsuch 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 fQ b • • 'u EXP ES:Dacembert7,20 3 #� , OffFIRE ; Wta de I 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* 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 Nole : Central air condi(ioners 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 Certification Program Padicipant 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 Cerifcatlon Program Padicipant is no longer producing BUT is still selling or offering for sale. Retinas that are accompanied by WAS Indicate an Involuntary re -rate._. The new published rating is shown along with the previous (i.e. WAS) refine. 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 protluct(s), or the nauthorized alteration of data listed on this Certificate. era ratings are valid only for models and configurations Ilstetl 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; Pin 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.amidirectory.org, click on "Verify Certificate" link we make life 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: sza4,sazo4yzsglsT