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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 /22/2022 Permit Number: � 01� uc um O Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR WRIN MEt?0IV1P OVE�/IENT L90�1IOT+ �fi _ Address: 10701 S OCEAN DRIVE 766 property Tax I D #: 4511-805-0167-000-0 Site Plan Name: Project Naine: KATHLEEN DOROTHY OLSEN LIKE FOR LIKE AC CHANGK UU 1 Z I UN, 14 SttK b KVV New Electrical Meter Second Electrical Meter (Affidavit required) Additional worl<to be performed under this permit —check all that apply: XMechanical _Gas Tank _Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 6163.00 _Gas Piping Sprinklers Shutters _ Generator Lot No. Block No. _ WindowsJDoors ,_ Pond Sq. Ft. of First Floor: Roof Pitch Utilities: _Sewer _Septic Building Height: Name KATHLEEN DOROTHY OLSEN Address: 10701 S OCEAN DRIVE - 766 _ City: JENSEN BEACH State: FL Zip Code: 34957 Fax: Phone No, 630-212-0375 E- Mall: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Nante: Christopher Langel Company:00a rCt + nt Rhaat hAatal In Address: 3108 INDUSTRIAL 31 ST STREET City: FT PIERCE State: FL Zip code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-M ai I INFO@S EACOASTAI R. COM Sta te or County License CMC0 5421 f value of construction is 2500 or more, a RECORDED Notice of ICommencement is required. If value of HAVC 1s $7,500 or more, a RECORDED Notice of Commencement is required . Nante: Christopher Langel Company:00a rCt + nt Rhaat hAatal In Address: 3108 INDUSTRIAL 31 ST STREET City: FT PIERCE State: FL Zip code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 E-M ai I INFO@S EACOASTAI R. COM Sta te or County License CMC0 5421 f value of construction is 2500 or more, a RECORDED Notice of ICommencement is required. If value of HAVC 1s $7,500 or more, a RECORDED Notice of Commencement is required . SUIPPPLEM NTA G�NSTRIICT�01�1 1 N LAIN III DESIGNER/ENGINEER: _ Not Applicable Name: OtRlyfl&* y 1_ti y f N MORTGAGE COMPANY; _ Not Applicable Name: _ Address: Address; City: Zip: Phone: Stater City: State; Zip: Phone FEE SIMPLE TITLE HOLDER: _ Name; Not Applicable BONDING COMPANY; Name; _ Not Applicable 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 grantingg a permit will authorize the permit holder to build the subject structure which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure, Please consult with your Homeowners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, 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 St, Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult wit h lender or an attorneym before commencing work or recording your Notice of Commencement. Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affir�t�r�r��jcribed before me of X Physical Presence or Online Notarization this 22 day of, 2022by CHRISTOPHER LANGEL Name of person making statement. Personally Known X_ OR Produced Identification Type of Identification Produced 4`b a' d arn�ll Z In n it d ka o Q ( nature of Notary Public -State o Florida) R• "n.-: fin+ l l�%� ) , •i'iii:°."'°•• JUSTINAL, HOPKINS CONNELLY Commission No _L�'t eat i + i.e MYCOMMIS8ION000940662 fit, "` EXPIRES:DacemDa+17,2023 Wad Tim Notary Public Underxrlleto REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW TE CEIVEDTE FCO MPLETED Rev Eligible for Federal Tax Credit AHRI Certified Reference Number : 201152952 Date: 01-22-2022 Model Status : Active Old AHRI Reference Number: 7428120 AHRI Type: SP-A (Single -Package Air -Conditioner; Air -Cooled) - Series : GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1424H41 E" 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 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. t"Active" Model Status are those [hat 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 Cediflcalion Program Participant is no longer producing BUT is still Relling or offering for sale. tino th t mpani d 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 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.org. TERMS AND CONDITIONS This Cerificate 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 whale 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 farina user's Individual, personal and confidential reference. AIR�CONOITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.arg, 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. ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 3za7331a71sss729s