HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/20/2021 Permit Number:
°° - --Building -Permit-Application
-_
Planning and Development Services X
aullding and code Regulation Division Commercial Residential_
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR;
II PropertAddress:2400 RIVER HAMMOCK LANE __
y Tax ID it, 3404-702-0004-000-2 Lot No.
Site Plan Name:
Project Name: DAVID/KAY HALL
LIKE FOR LIKE A/C C
New Electrical Meter � Second Electrical Meter-
Additlonalworktobeperformed undertltispermit—checl<allthatapply:
Mechanical _Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction; $
6838.00.00
Gas Piping _Shutters
T
_Sprinklers ,_Generator
Block No.
Windows/Doors _ Pond
Roof Pitch
Sq. Ft, of First Floor:
Utilities: _Sewer _Septic Btu ngHeight:
Namef)AVlll/KAY NAI I
Address: 2400 RIVER HAMMOCK �ANF
city: FT PIERCE State: FL
Zip Code; 34981 Fax:
Phone No.�2,94 .,956g
Fill
in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: �.iu�sruNnCi �aiiyci _
company: Sea Coast A/C and Sheet Metal Inc.
Address: 3108 Industrial 31 st Street
city: Ft Pierce State: FL
zip Code; 34946 _ Fax: 772-448-4416
Phone No 772-466-2400
E-Mail info seacoastair Com
State m County License CMC035421
If value of construction is 2500 or mare, a RECORDED Notice of Commencement Is required.
If value of RAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
FEE SIMPLE TITLEHOLDER:
^ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone;
OWNER/ CO NTAACTOR 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 no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in cooWict with any applicable Home Owners Association rules, bylaws or and covenants that may i estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed fof any restrictions which may apply.
--In-consideration ofthegrantingof this requested.permit, I.do hereby agree that.l_will, In all. respects, perform the work
.............._ ...
In accordance with the approved plans, the Florida Building Codes and St. Luce County Amendments. The following bullding 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
with lender or an attornev before commencing work or recording vour Notice of Commencement.
as Agent For Owner
STATE OF FLO I F
COUNTY OF—��,LQ(�(
S rn to (or affirmed) and subscribed before me of
,� Pfysical Presence or _Online Notarization
this 20day of 2021 by
O.hr 1 �'} nnh P r' Ln {mot Q e,
Name of person making statement. J
Personally Known X. OR Produced Identification
Type of Identification
Commission
Jt1S71NA 1. N0p!{INS
Contractor/License Haider
STATE OF FLO A
COUNTY OFF f�
nto (or affirmed) and subscribed before me of
S oPhysical Presence or Online Notarization
this'Q_dayof DEC 202E by
Name of person inaking statement,
Personally Known __Z\�OR Produced Identification
Type of Identification
of Notary Publlc-
Lemn ' • • • •' .
AHRI Certifed Reference Number : 202517504 Date : 12-20-2021 Model Status : Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series : GSX14
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX140181 M*
Indoor Unit Model Number (Evaporator and/or Air Handier): ARUF25B14A*
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
LA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, VT, WA, WV, Wf, WY, U.S.
Territories)
Region Nofe : 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.
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 Slopped" Model Status are those that an AHRI Ceditication Program Participant is no longer producing BUT Is still
selling o ffering for sale.
Ratings that are accomoanled by WAS Indicate an involuntary re -rate The new Dublished rating is shown alone with the u (I.e. WAS) reline
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 product(s) 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 the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahrldirectory,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;
entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, AM
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION IS REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahrldlrectory.org, click on "Verify Certificate" link make life betterand enter the AHRI Certified Reference Number and the date on which the certificate was issued, we
which is listed above, and the Certificate No,, which is listed at bottom right.
92021
Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132844969256710473