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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/21/2022 Permit Number;
AC1
Q 40# Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginlo Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CI3DG Funding
PERMIT APPLICATION FOR:
P1;O�QS1211CUIPdU�/IE;N7,L9CAT[0._,v. ._
Address: 5629 SPANISH RIVER ROAD
Property Tax ID #: 1312-503-0030-000-4 Lot No.
Site Plan Name: Block No.
Project Name: JAMES WOOD
ESE
LIKE FOR LIKE AC CHANGE OUT 16 SEER 3.5 TON 10 KW
New Electrical Meter Second Electrical Meter (Affidavit required)
PNSTi UCTION INFO NAATIC�fIV MEN , 3 W _.�' ` og
,Cr -
Additional workto be performed under this permit —check all that apply:
XMechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors ^Pond
T_Electric
Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8320600 Utilities: _Sewer _ Septic Building Height:
Q�NNILES_EE CCiNT gAzC OR t
Name DAMES WOOD Name; Christopher Lange]
Address: 5629 SPANISH RIVER ROAD Company:ga^ r'n^et ALC ^n f Rhaat A42fai Inr
City: FT PIERCE State: FL Address: 3108 INDUSTRIAL 31 ST STREET
Zip Cod: 34951 Fax: City: FT PIERCE state; FL
e
Phone No, 804-310-5208 E- Zip Code: 34946 Fax: 772-4484416
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 CMQ036421
If value of construction is 2soo 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.
DESIGNERANGINEER: _ Not Applicable
Name:
77
MORTGAGE COMPANY: _ Not Applicable
Name: _
Address;
Address:
City:
Zip: Phone:
State: _
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 makesyno representation that is granting a permit will authorize the permit holder to build the subject structure
structure,Plletase Icc,suit with your Homeowners
Association rules,
rebylaws
lew your deed for any restrictionsrwhich may apply. such
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
k. F. Pv nrle nr rprnrdinp vnur Notice of Commencement,
W I_III ICIIUCI VI all atwiiic .... i,,,,,.-„-.••,---•••------- ---
y�
Signature of Contractor" or -Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to (or affirip6mYxIl Yibed before me of 'X Physical Presence or. Online Notarization
this 21 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)
� )) ^^-- Y°•. JUSTINAL.HOPKINSCONNBLLV
��?? l �A i
Commission No.i1-r�t-i'���t9eal)
% MY COMMISSION #00940662
abr
° EXPIRES; DOcem17, 2023
W ,ap,LygS�f
aended Thm Nalery Public UndenMlen
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/1Z/L1
Eligible for Federal Tax Credit
• •+'• •LLL
AHRI Certified Reference Number: 202024777 Date : 02-21-2022 Model Status :Active
AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: 16 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA16NA042*0**B*
Indoor Unit Model Number (Evaporator and/or Air Handier) : FX4DN(B,F)049L
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, 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 regions) for
which they meet the regional efficiency requirement.
1"Active" Model Status are those that an AHRI Cedifcalion Program Padicipant Is currently producing AND selling or offering for sale; OR new models that are being
marketed but ara not yet being produced:'Production Slopped" Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT is still
Reating c Hering for sale.
ating th t re ac mo led by WASindicate n involuntary re -rate The new published rating Is shown alono with the previous (i.e. WAS) ralino.
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132899183098028523
©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: