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HomeMy WebLinkAboutDRZAL PERMIT.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/28/2022 Permit Number: ft of 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: P120PbSEI? IMP,ROV�MENT L047SON,- Address: 159 NE ESTIA LANE property Tax ID #: 3419-540-0052-000-3 Lot No. Site Plan Name: Block No, Project Name: ANN P DRZAL gETA16ED 1)ESRIPTIQN'DFWQRIH LIKE FOR LIKE AC CHANGE OUT 16 SEER 2 TON 5 KW New Electrical Meter Second Electrical Meter. (Affidavit required) Y �' CpNs7f�UG'1'IONrINFQRNIA"fIt7N: � -_,� ,� � r . 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: $ 7660.00 Utilities: _ Sewer Septic Building Height: pW�j R/LESSR C I�,�RACT'ORmy Name ANN P DRZAL Name: Christopher Langel Address: 159 NE ESTIA LANE CompawS: pa Cnas Arr . r. chop+ Metni Inc City: PT ST LUCIE state: FL Address: 3108 INDUSTRIAL 31ST STREET Zip Code: 34983 Fax: City: FT PIERCE State: FL Phone No, 772-878-041 1 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 constructlon 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. $UPP�M�NTAhQfSTRUCTEO[�L'LfN LAVU I(�FQ2IttkiIATION DESIGNER/ENGINEER: _ Not Applicable OWNER/ MORTGAGE COMPANY: _ Not Applicable Name: Name; — Address; Address: City: Zip: Phone: Stater City; State; _ Zip; Phone 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 inoicaieu, certify that no work or Installation has commenced prior to the issuance of a permit. St. Lucie County makes yno representation that is granting a permit will authorize the permit holder to build the subject structure structure, Please consult with your Homeowners Association rules, ebylaws ew your deed for any restrictionsrwhich may apply such 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 jobsite before the first inspection. If you intend to obtain financing, consult ,.n, �...c,.. it n nrrlina vn nr Nnti Ce of Commencement Wlin lender ur an a�wi ncy vc.,,���.-,�....,.. ... ._-._. _... __.. ... �z;� Signature of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affir ffAo ubscribed before me of 'X Physical Presence or. Online Notarization this 28 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) /�/�r1rIn k"HC''U11 JUSTINAL,HOPKINSCONNELL No —!`rt. cal) "=: Commission i+'<' MY COMMISSION#GO940662 EXPIRES:Decembart7,2023 �.F.f,`Oc'�`• Bonded Thm Notary Public UndernAten 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 AHRI Certified Reference Number: 201830189 Dale : 03-28-2022 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) : GSX160241 F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT33C14B* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, AlIIN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NO, 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 Nole : 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 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, it party testing: Cooling Capacity (A2) -Single or High Stage (95F), bluh : 23600 SEER : 16.00 EER (A2) -Single or Hlgh Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI CeHlFlcalion Program Participant Is currently producing AND selling or offering for sale; OR new models that are being marketed but are not ye[ being produced."Production Stopped" Modei Sfatus are those that an AHRI Certification Program Participant Is no longer producing BUT is still selling or offering for sale. Rati us that ar a rind by WAS Indicate an Involuntary re -rate The new published rating is shown along with the previous (i.e. WAS) retire. 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.ahrid Irectory.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, personal and confidential reference. AIREFRIGERATI N INSTITUTE CERTIFICATE VERIFICATION &REFRIGERATIGN INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link Nve male 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. 132929573034792609 ©2022Air-Condition ing, Heating, and Refrigeration Institute CERTIFICATE NO.: