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HomeMy WebLinkAboutBuilding Permit ApplicationALL APP CABLF INFQ M T BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: '* Permit Number: 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 PERMIT APPLICATION FOR: Mechanical PROPOSE—D IMPROVEMENT LOCATION_ Address: Legal Description: Property Tax ID #: I ty l Site Plan Nam . Dzi—_ Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Commercial Residential X Right Side: Left Side: Lot No. Block No. LIKE FOR LIKE CHANGEOUT � KW F� YeR., �iw I CONSTRUCTION INFORMATION: ttiona wor to e e orme un er t is permit — c Z✓ HVAC Gas Tank F]Gas Piping Electric 11 Plumbing Sprinklers all tnal apply: _ Shutters Generator Total Sq. Ft of Const`r 'o S Ft. of First Floor: _ Cost of Construction. Utilities: Sewer 11 Septic OW N UZ4LESSU: „ r Name Address• City: State: FL Zip Code: Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) QWindows/Doors 11 Roof Roof pitch Building Height: CONTRACTOR: Nemo• CHRISTOPHER LANGEL Company: SEA COAST A/C Address: 3108 INDUSTRIAL 31st ST City: FT PIERCE State: FL Zip Code: 34946 Fax: 466-3053 Phone No. 772-466-2400 E -Mail: DAN ISEACOASTAIR@AOL.COM 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: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: _ Address: City: _ Zip: Phone: MORTGAGE COMPANY: Name: Address: City. Zip: Phone: Not Applicable State: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: 1 certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure. Pleasecconith sult with applicable Hlome Owners Association tlon andrreviewylaws or an your deed orovenants that any restrictions which restrict may a. prohibit 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 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 commencin, work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF ST LUCIE The ff qg"ing instr m acknowledg efore me thisday of 20 by CHRIS LANGEL ame of person acknowledging ) re of Notary Public- State of Florida ) nally Known x OR Produced Identification of Identificatiori:-.. Signature of Contractor//License Holder STATE OF FLORIDA COUNTY OF ST ' -UC` Th oing inst t s acknowledg fore me this day of 20 LCL by CHRIS LANGEI (Name of person acknowledging ) re of f Notary Public- State of Florida ) PePsonally Known x OR Produced Identification Type of Identification Produced •;'"-ry r, JUSTINAL HOPKIN"ONNELLY 1 No. FF9 39 + tr° MY COMMI d FF 941411 -. XPIRES: December 6, 2019 LU gip;: 0:.•' Bonded Thu Notary Public Undem tern 07/15/2014 FRONT ZONING SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW DATE COMPLETE INITIALS JUSTINA L HOPKINS-CCtWo NIT' LRJ;GIISSON # FF 941411 EXPIRES: December 6, 2019 VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number : 9199283 Date : 02-17-2018 Model Status : Active Old AHRI Reference Number : AHRI Type : RCU-A-CB Series : 16 SEER AC Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA036"0"`A" Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF036L+TXV 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 CARRIER 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 : 33600 SEER : 14.50 EER (A2) - Single or High Stage (95F) : 12.00 IEER : 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 along 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 confidential 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, AIR-CONDITIONING. HEATING. personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION 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. 131633487792960485 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: