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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/27/2022 Permit Number: 2`1To I UG(U- h; O g a'A ° Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Cl3DG Funding PERMITAPPLICATION FOR: "R130POSE)+z�II�PRbUE�yIENTLQC�,7fb� � t Address: 5102 INDIAN BEND LANE Property Tax lD ##: 1312-800-0013-000-1 Lot No. Site Plan Name: Block No. Project Name: MARK LILIAN WILCENSKI pET 1LEb pES RIPTIN 0FW00�9x LIKE FOR LIKE AC CHANGE OUT 3.5 TON, 15 SEER 10 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:$ 8189.00 Utilities: _Sewer _Septic Building Height: CQiTRACTORIme _ _? Name MARK LILIAN WILCENSKI Name: Christopher Langel Address: 5102 INDIAN BEND LANE Company:SP C Q A/C'tIl! Ghaat Mortal Inc FT PIERCE State: FL Address: 3108 INDUSTRIAL 31ST STREET City: Zip Code:34951 Fax: City: FT PIERCE _State:FL 772-464-7465 E- Zip Code: 34946 Fax: 772448-4416 Phone No, 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 CMC0a5421 If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required. if value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable OWNER/ 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: CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and Installation as Indicated. 1 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 %Alifh Ipnrlpe nr an ni,fnrnpv hpfnrp rnmmpncinp work or recordine vour Notice of Commencement. Signature of Contractor - or- Owner Builder as applicable STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affirc�r dbscrlbed before me of X Physical Presence or _ Online Notarization this 27 day of H Y J 20 22 by CHRISTOPHER LANGEL Name of person making statement, Personally Known X OR Produced Identification Type of Identification PPrrooduc�ed��(����(/ • G,J1�l.LorYY I. ( nature of Notary Public -State o}Florida) CommissionNor:,&gq(:.L"eal)+isAA4dUS71NAtoHOPKINSCONNELLY MYCOMMISSIONSGO940662 S t' EXPIRE 8:Decomber1702023 ` �►%$k,f; 4S�f Bondod Thm Nolery Public Undennllers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10/12/21 Geftificate of Product Ratings AHRI Certified Reference Number: 201384348 Date: 01-26-2022 Model Status : Active Old AHRI Reference Number: 8242081 - AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit; Coil with Blower) - Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160421 F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT59C 14A* 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, SO, 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 1"Active" Model Status are those that an AHRI Codification 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" Modal Status ara those that an AHRI Certification Program Padicipant 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 ratino Is shown along with the orevious (i.e. WASI 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 products) 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, 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,ahrldlrectory.org, click on "Verify Certificate" link ve make life better'i 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 I CERTIFICATE NO.: 112111111396121330