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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MOST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ Permit Number:
Building Permit Application
Planning and Development iServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort' fierce FL 34982
Phone: (772) 462-1553 l=ax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Mechanical
Address: V
Legal Description:
Property Tax ID #: = CJI 1
Site Plan Name: i_
Project Name: —
Setbacks FrontBack:
Total Sq. Ft of Construction:
Cost of Construction: $ _
City: f V
Zip Code: _
Phone No.
E -Mail: �
Fill in fee simple Title H
from the Owner listed
Right Side:
Left Side:
nit – checx an tnat appiy:
Piping _Shutters
nklers ❑ Generator
_ S Ft. of First Floor: _
Utilities: Sewer E]Septic
Residential X
State
on next page ( if different
If value of construction Is $2$00 or more, a RECORDED
Lot No.
Block No.
❑ Windows/Doors
0 Roof = Roof pitch
Name: CHRIS LANGEL
Company: SEACOAST A/C
Building Height:
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: Fl-
Zip
LZip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
F-Ma;l• INFO@SEACOASTAIR.COM
State or County License: CMC035421
Commencement is required.
DESIGNER/ENGIN.,EER: — Not Applicable MORTGAGE CON
Name:
Name;
Address:
Address:
State: _ City:
City:
Zip: Phone: Zip:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable BONDING
Name:
Name: _
Address:
Address:
_
City:_
City:
Zip; Phone:
Zip: _
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie CountiyYl,makes no representation that is granting a permit will authorize the perm)
strt cture, Pleasecconsult with yolurr Homeownersowners Association lon andrreviewyyour deed foroan
in consideration of the granting of this in accordance with the approved plans, the FloridadBuilding Codes and Seby t. Lucie C unity An
The following building permit applications are exempt from undergoing a full concurrency
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory us
WARNING TO OWNER: Your failure to Record a Notice of Commencement ma'
improvements to your property. A Notice of Commencement must be reco
before the first inspection. If you intend to obtain financing, consult with le
_e._.1. __ --A;- �, nintira of Cnmmencement. %-
Signature of Owner/Lessee Contrac oras
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF' siLucla
COUNTY OF S1
The for oing instr er
The omg Inst t v�a�(�d owledge ore me thi ay of
thiday of �(ii 2Dry'y
CHRIS LANGEL
CHRIS LANGEL
(Name of person acknowledging
(Name of person acknl
of Notary
Rersonally Known x' OR Produced identification —
Personally Known x
Type of Identificatio
Type of Identification Produced
non-residential use
,esuli in
r
Commission No.
osted on the jobsite
der ora
Sal(INALHOPKINS-00" U-
# Ff 941411
mmission Nol
:.
MY COMMISSION
F.XPIRES:DecemlKar8,2O
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
REVIEW
:E:COUNTER
REVIEW
REVIEW
INITIALS
— Not Applicable
_Not Applicable
subject structure
rict or prohibit such
may apply,
the work
view: roo
additions,
to anothe
non-residential use
,esuli in
our paying twice for
led and
osted on the jobsite
der ora
attorney before
me
wrhm
OR Pro uced Identification
iced_
JUSTI A L HOPKIN$CONNEL
MYCOMMJSSIONlIFF941
xx eaembar S, aOt
�%lli1�ow,dsd ibm NotaryPublio UrvleM6t
N S.ATURTLE MANGROVE
RFVIFW REVIEW
This combination qualifies for a Federal Energy Efficiency tax Credit when
o placed in service between Feb 17,2009 and Dec 31, 2016.
CERTIFIEDmal
Certificate i
AHRI Certified Reference Number : 10259414 Date: 03-19-2018 Model Status : Active
Old AHRI Reference Number :
AHRI Type : RCU-A-CB
Series : ELITE EL16XC SERIES
Outdoor Unit Brand Name : LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : EL16XC1-048-230A**
Indoor Unit Brand Name :
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-048-230*+TDR
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, ML MN, MO, MS, MT, NC, NO, NE, NH,
NJ, NM, NV, NY, OF, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, VT, WA, WV, WI, VVY, 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,
Beqinning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency
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 produced."Production Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
opening selling or ring for sale.
Returns that are accom anted b WAS indicate an invelunta re -rale. The new ublished ratio is shown alon with the revious i.e. WAS rating.
DISCLAIMER
AHRI does not endorse the prodUet(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.alirldirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. Tills 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, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATIONlick on "Ver
we make life better"'
The Information for the model cited on this certificate can be verified at www.alirldirectory.org, cify Certificate' link
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. CERTIFICATE NO.: 131659583169939280
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