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BUILDING PERMIT APPLICATION
i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 02/11 /2022 Permit Number: o ° ✓` ' ° 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 CBDG Funding PERMIT APPLICATION FOR : PJ fS � bS R 1MPROVE�qfM LQGATY Address : 200 HARTMAN ROAD Property Tax ID tt: 2408-323-0004-000-8 Lot No. Site Plan Name : Block No, Project Name : ANDRES KAREN LLANAS WaN WT 11MI "QSMCRI0M ., 0�� U�O1�({ r _ _ LIKE FOR LIKE AC CHANGE OUT 16 SEER 10 KW 4 TON New Electrical Meter Second Electrical Meter_ (Affidavit required ) RpNST�UCTIgiU Additional work to be performed underthls 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 : $ 7957 . 00 Utilities : Sewer _ Septic Building Height: Uv 01f17NE [214UESSSRE7& Y CI9 ( TRACTOR . ._ .,fr Name ANDRES KAREN LLANAS Name; Christopher Langel Address : 200 HARTMAN ROAD.,-- Company: Se A/(�__Co apd Shppf Metal Inr city: FT PIERCE State: FL Address : 3108 INDUSTRIAL 31ST STREET Zip Code ; 34947 Fax: City: FT FIERCE State: FIL Phone No , 772-464- 1530 E- Zip Code: 34946 Fax: 772-4484416 Mall: Phone No 772-466-2400 Fill In fee simple Title Holder on next page (if different [-Mail INFO@SFACOASTAIR. COM from the Owner listed above) State or County License CMC03-5}21 _ 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. I RUiPPL�_M �,N�GF�: GONa�TRu0Ti0 � �.IEN �W_ iN���t� �A`i'ION �� � � � j DESIGNER/ENGINEER: Not Applicable M ORTGAGE COMPANY: Not Applicable Name : Name : Address : Address : City : State : City: State : Zip : Phone Zip : Phone: 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. f St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which conflicts with an 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 with lender or an attorney 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 affirpr P fUAl cYibed before me of X Physical Presence or Online Notarization, this 11 day of 20_22by CHRISTOPHER LANGEL Name of person making statement. Personally Known Y OR Produced Identification Type of Identification Produced - 1 L t� canlCQ � n � � oQP ( nature of Notary Public- State o Florida) �_ , Ci3i>. •. JUSTINAL. HOPKINSCONNELLY Commissio662 n No) 7r7 n �Seal) +�?' ''• MYCOMMISSPKINSION 4 ON0ELL ` EXPIRES; December 17, 2023 < Bonded Thm Notary Public Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 1 I Eligible for Federal Tax Credit FFCertfflcatu� I o 1 AHRI Certified Reference Number : 201384390 Dale : 02-11 -2022 Model Status , Active Old AHRI Reference Number : 8242082 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) : GSX160481F* Indoor Unit Model Number (Evaporator and/or Air Handier) : ASPT49D14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, AlI IN, KS, KY, LA, MA, MD, ME, Ml, 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, Wt. 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 GOODMANIproduct is responsible for the rating of this system combination. 1 11I Rated as follows in accordance with the latest edition of AHRI 210/240 '2017 with Addendum 1 , Performance Rating of Umlary 7 Air Conditioning & Air Source Heat Pump 'Equipment and subject to rating accuracy by, AHRI-spo all,d, independent I third party testing: . Cooling Capacity (A2) - Single or High Stage (95F), btuh 45000 SEER : 16,00 EER (A2) Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification 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 Certification 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 alone with the orevlous (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 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.alirld [rectory.org, TERMS AND CONDITIONS This Certificate and Its contents are proprletary 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 retina 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,ahridifectory.org, click on "Verify Certificate" link we make life honer^' 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. : 132890693701838215