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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:, DEC 27 2021 _ LWim Permit Number: dingP-ermIt App Pl on and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce F134982 Phone: (772) 462-1553 Fax: (772) 462-1578 Residential X Ell Site Plan Name: Project Name: STEVEN SEGOND LIKE FOR LIKE A/C CHANGE OUT I F �ctr< 4 I vlN D rvv New Electrical Meter Second Electrical Meter BIocIW o. Additional work to be performed under this permit—check<all that apply: KMechanical _Gas Tank T Gas Piping _Shutters _ Windows/Doors _ Pond Electric _,Plumbing _Sprinklers _Generator _Roof ,_Pitch Total Sq. Ft of Construction: Sq, Ft, of First Floor: _ Cost of Construction: $ 14,385.00 Utilities: _Sewer _ Septic Building Height: Name STEVEN SEGOND Address: �4�INDIAN RIVER DR City: FT PIERCE State: FL Zip Code: 34982 Fax: _ Phone No, 772-801-1159 E-Mail: Fill in fee simple Title Holder on next page { if different from the Owner listed above) Name: �.iu�sr�Nnci �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 infoO seacoastai State or County License Cl) If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required. If value of HAVG is $7,500 or more, a RECORDED Notice of Commencement Is required. $uFPI NI NTIT Co tS�13UCTTON Li N LAUIIJ�IFQRI DESIGNER/ENGINEER: _ Not Applicable FIT(dNt M MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: _P-hone-;— --- - --- City: State: -Zip:--- ---Phone._.—_.-----Zip: 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. --In-consideration of- the granting -of this requested.pennit, I.do hereby agree that ]will, In all_respects, perfo_rm,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 jobsite before the first inspection. "youinto obtain financing, consult with lender or an atto/rney before commencin rk or recordiwon our No ice of Commencement. signature of Owner/ Lessee Contractor as Agent for owner Signature of Contractor/License Holder STATE OF FLO YIP COUNTY OF_ Lao STATE OF FLOf;1RA C COUNTY OFF` T S orn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization In 2/day of DEC)=MRER,2o2(by S n n to (or affirmed) and subscribed before me of P1Vical Presence or Online Notarization this_L/dayof DECEh1BER 2OZ6by Name of person making statement. Name of person m1a king statement. - Personally I(nown _. OR Produced Identification Type of Identification Produced Personally Known X OR Produced Identification Type of Identification Produced (Sig ture of Notary Public- State of Florida ) ignature of Notary Public -State of Florida) Commission No, Seal J USTINAL,HOPKINSCONNELL REVIEWS FRON L�� 'I PIThNNo�V "1 �ewM(s COUNT ommisslon No. jti� ?{z?yl.,,.JUSTINAL,HOPKINS00NN6 MmisSIONJV313940 gl(p BS:Oecember17,203 LANS VEGETATION 4� �ded NCRIM de VIEW REVIEW L 8 I DATE RECEIVED DATE COMPLETED ev. 5/6 12U AHRI Certified Reference Number. 205821102 Dale : 12-23-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: DAVE LENNOX SIGNATURE XC21 SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : XC21-048-230A** Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-036-230*+TDR 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, Rl, 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. 1"Active" Model Status are those that an AHRI Ceditication Program Participant is currently producing ANU selling or offering for sale; OR new models that are being marketed but are not yet heing produced."Production Stopped" Model Status are those that an AHRI Cedlfication Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied 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 protluct(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, tIe products) listed on this Certificate. AHRI expressly tlisclaims 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 directory at www.ah ridirectory.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; AM 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.ahrldlrectory.org, click on "Verify Certificate" link we make life better^ and enterthe 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.: azaa�as7aosne321