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HomeMy WebLinkAboutMATULA PERMIT.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/20/2022 Permit Number: ��10 I�UC�1]C 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: PRQPQ:SEI? IIVIPRdV �/IENT_LOCATCON __ _ - - - Address: 5330 PALMETTO AVE Property Tax ID if: 3404-501-0556-150-5 Lot No. Site Plan Name: Block No, Prolect Name: JAMES & CAROL MATULA LIKE FOR LIKE AC CHANGE OUT 3 TON, 16 SEER 10 KW New Electrical Meter Second Electrical Metere. (Affidavit required) mmo�RMATI�N1 Additional workto 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: $ 7591.00 Utilities: _ Sewer —Septic Building Height: OW'�IEtLESEE GNTRACT003 , _lee,e ... _ �, �.� . _ Name JAMES&CAROL MATULA Name: Christopher Langel Address: 5330 PALMETTO AVE _ Company: Sa^ r n^et Air anrf Sbeet Metal ar,— City: FT PIERCE State: FL Address: 3108 INDUSTRIAL 31ST STREET Zip Code: 34982 Fax: City: FT PIERCE State: FL Phone No. 772-332-2897 E- Zip Code: 34946 Fax: 772-448-4416 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 required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. LA17V IIORlY1ALION SllPPLEAlI�NTtAIGONSTRIICT�O[LIEN y t N1 ti DESIGNER/ENGINEER: _Not Applicable MORTGAGE 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. St. Lucie County makesnorepresentation that is granting a permit will authorize the permit holder to build the subject structure f r any restrictions which or prohibit such ew your deecovenants Pllease consult with your Homeowners Association and rbylaws structure. Please v 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 anattorneybefore commencing worl<or recording your Notice of Commencement. Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF STLUCIE Sworn to (or affirwA "ubscribed before me of 'X Physical Presence or _ Online Notarization this 20 day of 20 22 by CHRISTOPHER LANGEL Name of person making statement. Personally Known _X OR Produced Identification Type of Identification Produced s X LULL € ( nature of Notary Public- State o Florida) {A I&.'J•. JUSTINAL.HOPKINSCONNELLY �'•' Commission No.i�h�Li'�7�iUeal) MY COMMISSIONiFG0940662 '� EKPIRES:Decomber17,2023 ${;gt°�'`` Bonded Thlu Wary Public Undennilero REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED -- DATE COMPLETED Rev 1 Eligible for Federal Tax Credit AHRI Certified Reference Number : 202544168 Date : 03-20-2022 Model Status :Active 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) : GSX160371A" Indoor Unit Model Number (Evaporator and/or Air Handler) : AVPTC37C14B` 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 11 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 that an AHRI Cenifcallon Program Padicipanl is currently producing AND seliing 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 Panicipanl Is no longer producing BUT is still liing or offering for sale. R t' a that reaz amanied by WAS Indicate Involuntary re -rate The new Published rating is shown along with the previous fl.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,ahrldfrectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confldential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; Am entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the 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.ahridlrectory.org, 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. 132922572841765677 ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: