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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/25/2022 Permit Number: Uo A0 Building Permit Application Planning and Development Services Building and code Regulation Division Commercial Residential 2900 Virginia Avenue, Fort Pierce FL 34982_ Phone'(772)462-1553Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: X Address: 6231 ALEXANDRIA CIR Property Tax ID #: 3410-503-0345-000-2 Lot No. Site Plan Name: Block No. Project Name: MICHAEL & MINNIE KNEZEVICH LIKE FOR LIKE AC CHANGE OUT 3 TON, 15 SEER 5 KW New Electrical Meter Second Electrical Meter. (Affidavit required) Additional work to be performed under this permit— check all that apply: XMechanical _Gas Tank _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: $ 8152,00 Utilities: _ Sewer _ Septic Building Height: '�TNx��R�L�SSEE'` K,YgRAGT0�2,,ram Name MICHAEL & MINNIE KNEZEVICH Name: Christopher Langel Address: 6231 ALEXANDRIA CIR Company:�Pa r ��+ ,ir anA RI PP} MPtaI Inr City: FT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 410-913-7720 E- Address: 3108 INDUSTRIAL 31ST STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 7724484416 Mail: Phone No 772-466-2400 Fill in fee simple Title Holder on next page (if different E-Mail INFO@SEACOASTAIR.COM from the Owner listed above) State or County License CMC035421 If value of construction Is 2500 or more, a RECORDED Notice of Commencement is requirea. If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable a MORTGAGE COMPANY: _ Not Applicable Name: Name: _ Address: Address: City: Zip: Phone State: City: Zip: _ Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Appl(catlon 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 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 1 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 fobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of Contractor - or -Owner Builder as applicabl e STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affir�t�er d>;jeribed before me of IX Physical Presence or Online Notarization this 25 day of 20 22 by CHRISTOPHER LANGEL Name of person making statement. Personally Known X_ OR Produced Identification Type of Identification Produced (nature of Notary Public- State of Florida) U � ��i )�c(7 I 'Yrfl:°Y°- JUSTINAL. HOPKINS CONNELLY Commission No — _I Seal) +at• 1n'•: 7 k •i4 MYCOMMISSI0Nt{0O940661 ._� r l ,io', EXPIRES: Dacembar 17, 2023 REVIEWS I R I S I V I S I MREVIEWVE CO �NTER REVIEW REVIEW REVIEW EVIEWON REV EWLE Eligible for Federal Tax Credit AHRI Certifed Reference Number: 201664256 Old AHRI Reference Number : 6242629 Series : GSZ14 Outdoor Unit Brand Name : GOODMAN Date : 01-24-2022 Model Status :Active ote Outdoor Unit -Air -Source) - --- -- --- Outdoor Unit Model Number (Condenser or Single Package) : GSZ140361 K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47D14A* The manufacturer of this GOODMAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 with Addendum 1, Peformance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) Single or High Stage (95F), bluh : 34800 - f"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 protluced"Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still Iling or offering for sale. R tl th tIL2=nied by WASindicate an Involuntary re -rate. The Published rating is h along with the o (' WAS) ratlnq DISCLAIMER AHRI does list endorse the products) listed on this Certificate and makes no representations, warrantles 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 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, III whole or in part, be reproduced; copied; disseminated; NM entered into a computer database; or otherwise utilized, in any form or manner or by any means, except fertile 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.ahridirectory.org, click on "Verify Certificate" link we make life beuer� 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.: szs7b17ae13ssssaz