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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MU BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: J ..• 1=0' MOMI Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSI PROVEMENT L C T ON: Address: ti Legal Description: Property Tax ID #: Lot No. Site Plan Plan Name: I Block No. Project Nam Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE CHANGEOUT CONSTRUCTION INFORMATION: Additional work to bMG::: me un er t is permit — cc HVAC ❑Gas a appy: as Tank Piping _ Shutters Windows/Doors Electric 0 Plumbing Sprinklers Generator E]Roof Roof pitch Total Sq. Ft of Construct' Scn of First Floor: Cost of Construction: $ Utilities: _ Sewer Septic Building Height: OWN RAESSEE: ONTRACTOR: Na 1 ir <Qame: CHRISTOPHER LANGEL Addre Company: SEACOAST A/C City: State: FL Address: 3108 INDUSTRIAL 31st ST Zip Code:x: City: FT PIERCE State: FL Phone No. — Zip Code: 34946 Fax: 466-3053 E -Mail: Phone No. 772-466-2400 Fill in fee simple Title Holder on next page ( if different E -Mail: DANISEACOASTAIR@AOL.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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: City: Address: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. which is inoconfli t with any applicablelHo eat is Ownners Associnting a ation ruleswill abylaws or andpcovenanthols that build the may restrict o1rproh bits such structure. Please consult with your Home Owners 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded 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. �6 ytm Signature of Owner Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF STLUCIE Ther Ing instr m t acknowledge fore me this day of 20 �,y er iRIS LANGEL ,(Name of person acknowledging ) Ignature of Notary Pul ersonally Known x Type of Identification �PrI Commission Noi f% Revised 07/15/2014 ic- State of Flo OR P �_� YYA s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The ng instr e t as acknowledge fore me this day of 20 ,by CHRIS LANGEL (Name of person acknowledging ) — ature of Nd'tary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced . ,>a...t MY COMMISSION # FF 941411 04ROS: December e, 2019 Commission No. Bonded Thru Notary Public Undenerhm JUSTINA L HOPKINS-CONNIR a Y YCOMMISSION Y FF 94141 E PIRES: December e, 20, Bonded Thru Notary Pubic UndenW REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratinas AHRI Certified Reference Number : 201407645 Date : 02-14-2018 Model Status : Active Old AHRI Reference Number : 8631966 AHRI Type : RCU-A-CB Series : GSX14 Outdoor Unit Brand Name : AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L* Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF25XX16A* Furnace Model Number : 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, SD, 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 region(s) for which they meet the regional efficiency requirement. The manufacturer of this AMANA DISTINCTIONS product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 22000 SEER : 14.00 EER (A2) - Single or High Stage (95F) : 11.50 JEER : 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 prod uced."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 alona with the previous (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 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.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 AN 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. AIR-CONDITIONING, HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.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. ---- - - ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131631020941428651