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HomeMy WebLinkAboutBUILDING PERMIR APLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/22/2021 Permit Number: I UCIE -- =" Building-Per-mit-Application--.-. Planning and Development Services X 13a0dingand Code Regulation Division Commercial Residential_ 2300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 462-1SS3 Fax: (772) 4624578 PERMIT APPLICATION FOR; Address: 16 SANTA C�� �� �^JAY - Property Tax I D n:. 3427-111I'll-0002-000-5 Lot No. . . -- .. ....... - Site Plan Name: AI ATHRYN RIFRnI ID Block No. Project Name: LIKE FOR LIKE OUT 3.5 New Electrical Meter Second Electrical Meter_ Additional work to be performed underthls permit —check all that apply: Mechanical _ Gas Tank Gas Piping _Shutters Electric _Plumbing _Sprinklers ,_Generator Total Sq. Ft of Construction: Cost of Construction; $ 6946.00 _ R10KW Windows/Doors _Pond Roof Pitch Sq, Ft, of First Floor: Utilities: sewer _Septic BuildingHeight: Name WYNNE BUILDING CORP (RIEBOLD) Address:8000 S US HIGHWAY 1 STE 402 City: _T ST I I1( IF State:FL Zip Code: 94Q52Fax: Phone No. 772-94n-no 8___ E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: c;nnstopner Langer 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(q, seacoaatalr com State or county License CMC035_421— If value of construction is 2500 or more, a RECORDED Notice of Commencement is regi If value of HAVC is 67,500 or more, a RECORDED Notice of Commencement 1s required. IFORM�A�T10f� '�M O77r. ER:MORTGAGE COMPA Name: M Address: City:hon-Zip: -P-ho 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure that restrict of such which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants may prohibit deed for any restrictions which may apply. structure, Please consult with your Home owners Association and review your In consideration of -the -granting of this requested. permit, Wo hereby agree that 1 will, in allrespects, 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 nsut. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, lt ement. with lender or an attorneybefore commencin worrur= �,( Cfi•z Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL I P STATE OF FLORtgA COUNTY OF UCA,e COUNTY OF Sy��orn to (or affirmed) and subscribed before me of S`�oJ"n to (or affirmed) and subscribed before me of Presence Online Notarization Physical Presence or Online Notarization Physical or_ 22 202f' by Z day of DECEMBER this_dayof DFC ,202( by this 0 hr L C h ntts pher t) cr I,aLq Name of person 0aking statement. J Name of person makihn/g statement. OR Produced Identification Personally Known u_ OR Produced Identification Personally Known /�, Type of Identification Type of identification Produced Produced ignature of Notary Public-Mat�at��e ofFlorida(Sig Lure of Notary Public- State of Florida ) Commission No. (seat (Seal ommisslon No. 1 doill'vrJUSTINAL.HOPKINSCONNE L ; 4,'Q',,,, JUSTINAL,HOPKINSCONNELL � �� If"� M 8SIONH00940 8 __- .h 4u4 a Exp E9:December47a89 3 REVIEWS FRON i,i IQPImmN�@94rLq@ � LANS VEGETATION ded NpRtflHt � COUNT VIEW REVIEW DATE RECEIVED _ — DATE COMPLETED ev. 11 • Ili 111111 Ili 4 . • AHRI Cenifed Reference Number : 7492899 Date : 12-22-2021 Model Status :Active AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled) Series: R41 OA AC SPP Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WJA442000K"OA 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, NO, 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 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. The manufacturer of this GRANDAIRE product is responsible for the rating of this system combination. t"Active" Model Status are those that an AHRI Certifcation 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 Certifcation Program Participant is no longer producing BUT is still selling or offering for sale. Ratinos that are accompanied by WAS indicate an involuntary re -rate. The new oublished ratino is shown along with the previous (i.e. WAS1 ratino. 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 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.ahridirectory.crg. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only he 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 & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridheclory.org, click on "Verify Certificate" link ,ve 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.: szeas ses6a�4sszs