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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (" Permit Number: Date: ' - _61 -li__ -._ -- Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Residential x Phone: (772)462-1553 Fax: (772)462-1578 commercial _. _____ PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: _ Lot No.- Property Tax ID#: Block No. Site Plan Name: . Project Name: Setbacks Front Back: Right Side: Left Side: -DETAI-LED DESCRIPTION OF WORK: LIKE FOR LIKE CHANGEOUT I ?) w CONSTRUCTION INFORMATION: -- ACIditiona wor to e e orme un er t is permit—c ec a app Y Gas Piping Shutters �❑Windows/Doors ✓❑HVAC Gas Tank ❑ p g — ❑�Plumbing ❑Sprinklers ❑Generator RoofC❑ Roof pitch ❑Electric g Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction- $ Utilities: Sewer❑Septic Building Height: — R k W C NTRACTOR: GW' ' R/LESSEE: Name: CHRISTOPHER LANGE Name SEACOAST A/C Company: Address: 3108 INDUSTRIAL st ST City: � State:FL Address: City: FT PIERCE State:FL Zip Code: Fax: Zip Code: 34946- Fax: 466-3053 Phone No. 772-466-2400 Phone No. E-Mail: DANISEACOASTAIR(JAOL.COM Fill in fee simple Title Holder on next page if different E-Mail:State or County License: CMC035421 from the Owner listed above) If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: I 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 ild the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that r ay restrict or prohibit 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,p rform 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:roor additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anoth non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in i ur paying twice for improvements to your property. A Notice of Commencement must be recorded and sted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or ar attorney before commencing work or recording our Notice of Commencement. all tIt-117r Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor,License Hol er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE ThZ�ng instr t acknowledgeyfore me ThZing instr a ackno ledg efore me thi ay of 20 y thiay of 20 by C�iRIS LANGEL CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging. r I ( ignature of otary Publi -State of Florida) (Si ature of Notary lic-Sate f Florida P rsonally Known x OR Produced Identification Personally Known x OR Pro uced Identification ype of Identification Produced pe of Identification Produced ( ( I ,may jUsTnNA L HOPKI `[ ! 6 Y4 (S yj�GMM1SSiL)N4FF94t411 mmission N eau�`[_�' =`�' y�x%: �LHOPIaNS-0ONNELLY Commission No. �gmber6,20t ;'s MISSIM#FF941411 ondcdThEN ry Public Undenmte 4; EXPIRES:December 8,2019 Bon Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S A TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency tax Credit when o placed in service between Feb 17,2009 and D 31, 2016. CERTIFIED&am swill www.aliridirectory.org Certificate of Product Ratings AHRI Certified Reference Number :201300147 Date 02-20-2018 Model Status Active Old AHRI Reference Number :8004957 AHRI Type :SP-A Series :GPC15 Outdoor Unit Brand Name :FRANKLIN Outdoor Unit Model Number (Condenser or Single Package) :GPC1542H41A* Indoor Unit Brand Name : Indoor Unit Model Number(Evaporator and/or Air Handler) Furnace Model Number : 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 reg ns until June 30,2016. Beginning July 1,2016 central air conditioners can only be installed in region(s)for which they me t the regional efficiency requirement. The manufacturer of this FRANKLIN 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 :40000 SEER : 15.00 EER(A2)-Single or High Stage(95F) : 12.00 IEER (Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for le;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. Ratio s that are accom anied b WAS indicate an involuntaryre-rate. The new published ratio is shown alongwith the previousi.e.WAS ratio . 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 p rformance 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 It le 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 an confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced:copied:disseminated; JU 11WH 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. &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 rnake 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. 131636107582053141 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: