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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO Ml)ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _ Permit Number: 1015 MW Building Permit Application Planning and Development Services '......... Building and Code Regulation Division '.. 2300 Virginia Avenue, Fort fierce FL 34982 Phone: (772)462-1553 'Pax: (772)462-1578 Commercial Residential X _ I PERMIT APPLICATIO FOR: Mechanical MMW Address: �� Legal Description: Property Tax ID#: ) JI Lot No. Site Plan Name: Block No. Project Name: _ Setbacks Front - Back: Right Side; Left Side: LIKE FOR LIKE A/C CHANGEOUT Additional work to be ne orme un d ert ispermrt—c ec a appy: ZHVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors Electric ❑ Plumbing ❑Sprinklers 11 Generator L1 Roof Root pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ Utilities: Sewer I Septic Building Height: Name UUCP, Name: CHRIS LANGEL Addre • Et Company: SEACOAST A/C City: _ Sta e: Address: 3108 INDUSTRIAL 31st STREET Zip Code: Fax: City: FT PIERCE State:FL Phone No. Zip Code: 34946 Fax: 772-466-3053 E-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$2B00 or more,a RECORDED Notice of Commencement Is required. '.. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMP NY: _Not Applicable Name: Name: Address: Address: ' City: State: City: State: Zip: Phone: Zip: Ph ne: i FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPA Y: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Ph' ne: 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 permi�holder to uild the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and cove tarts that iay restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for an restriction which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,p Worm the work in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amlendments. The following building permit applications are exempt from undergoing a full concurrency teview:root additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory us s to anothe non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement ma result in our paying twice for improvements to your property. A Notice of Commencement must be recorded and osted on the jobsite before the first inspection. If you intend to obtain financing, consult with le der or ar attorney before commeKinjg work or reco rigy VOu^otice of Commencement. '\ — .- Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor License Hol er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCRE COUNTY OF ST ME Theoing in a acknowledge More me The f0 Ding instrk( enK as ackno led a efore me this day o 20 by this day of 4 20 by GMRIS LANGEL CHRIS LANGEL (Name of person acknowledging) (Name of person acknoy iedging)_ " I (Signature of Notary Public-State of Florida) (Sig ature of Notary P blic-State If Florida) PeI i rsonally Known x OR Produced Identification_ Personally Known x OR Pro uce gyyl({riti Type of identification Produced e of Identlfic tion P oNNELLY JUPSTINALMMINswcoftiLly `` �• " �X COMMISSION B FF 9041COMMISSION A FF 841411 Commission +Se C mission No 7 I + EXPIRE�S�ffwmher8,2U19 k-XPIRES:December 6,2U1 :;:+...• + Bonded Thm NOtary ub4c UMerr""' •'hiPf�h� Bonded Thin Notary Public U�emd rs �Ri„t�•" Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAI ION S ATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIE,N REVIEW REVIEW DATE COMPLETE INITIALS i I I I - W , Certificate Product Ratings AHRI Certified Reference Number :9193304 Dale:03-14-2011 Model Status :Active Old AHRI Reference Number AHRI Type :RCU-A-CB Series : 14 SEER AC Outdoor Unit Brand Name :CARRIER Outdoor Unit Model Number (Condenser or Single Package) :CA14NA030*0**A* '.. Indoor Unit Brand Name Indoor Unit Model Number(Evaporator and/or Air Handler) :FB4CNF030L Furnace Model Number Region :Southeast and North(AL,AR,DC,DE,FL,CA,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' I I Cooling Capacity(A2) Single or High Stage(95F),btuh':28200 SEER'.:14.00 EER(A2)-Single or:High Stage(95F) :12.00 IEER 1"Active"Model Status are those that an AHRI Certification Program Participant is certainty producing AND selling or offering for sale;OR new models that are being marketed but are not yet being produced"production Slopped"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 oublished rating is shown alone with the previous(i.e WASi rating DISCLAIMER AHRI does not endorse the product(s)listed on this Certiffcate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed oil 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.ah ridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products Of AHRI.This Certificate shall only be used forindividual,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, AM personal and confidential reference. AIR-CONDIT(ONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www,aiir)directory.org,click on"Verify Certificate"link we make life bate,- 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.: 131655223975856697