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HomeMy WebLinkAboutbroome permitALL APP CABL�EII Date: c.._, °G4 Planning and Development Building and Code Regulati 2300 Virginia Avenue, Fort Phone: 1772)462-1553 PERMIT APPLICATIO Address: c Lt Legal Description: Property Tax ID Site Plan Name: Project Name: _ Setbacks Froi LIKE FOR LIKE A/C BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application rvices Division rce FL 34982 c (772) 462-1578 Commercial Residential X FOR: Mechanical IJHVAC LJ Gas Tank ❑Electric ❑ Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ City: €. Zip Code: Phone No. E -Mail: Fill in fee simple Title H from the Owner listed If value of construction Is Lot No. Block No. Jenna —uieuc doapply: ❑ Sas Piping _Shutters Windows/Doors Sprinklers ❑ Generator ❑ Roof = Roof pitch SFt. of First Floor: _ Utllities:Sewer ❑Septic Building Height: Name: CHRIS LANGEL L Company: SEACOAST A/C State: Address: 3108 INDUSTRIAL 31st STREET g:ax: City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 on next page ( if different E -Mail: INFO@SEACOASTAIR.COM State or County License: CMC035421 or more, a RECORDED Notice of Commencement Is required. Name: City: State: _ Zip: Phone: MORTGAGE Name: Address: _ City: Zip: _ Not Applicable 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. FRONT COUNTER ZONING REVIEW St. Lucie County makes no representation that is granting a permit will authorize the permi which is in contlict with any applicable Home Owners Association rules, bylaws or and cove. holder to ants that uiid the subject structure ay restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for anrestriction S 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 Am Rndments. The following building permit applications are exempt from undergoing a full concurrency I eview: root additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory USES to anothe non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in our paying twice for improvements to your property. A Notice of Commencement must be recorded and Oosted on the jobsite before the first inspection. If you intend to obtain financing, consult with le der or a att9r�ney before Signature of Owner/Lessee/Contractor as Agent for Owner Signature or uontractorYLicense nui er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF sT 111E The f6'rt mg instr nen w�3 knowledg efore me Thyr r Ing instru eni was kno ledg efore me this ay of i j{ .r 20 by this day of 20 by CHRIS LANGEL CHRIS L (Name of person acknowledging) [(Name of person ($I nature of Not ry P5117 ic- State of Florida ) ($'i nature of Notary P blit- State f Florida) U Peilsonally Known x OR Produced Identification Personally Known x OR Pro uced Identification Type of Identification Produced Type of Identification P oduced ICommission No.i Sion No -1 (Seal) �:jt iy 8 JUSTINALHOPKINM NNE No." ( L I MYCOMMSS10�9#FF 41411 ,o ll'i"�•„ ..os SCoI -''%.f,"�';,.'`• eondtd Thm Notary Publb UnJenmlers i�„'. 1.1 MYCOMMISS100FF¢ Revised 07/15/2014Af' �aP. ,t4fi a EXPIRES:Decembsra REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETAI REVIE�N ION S ATURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. TOM AHRI Certified Reference Number : 9177650 Date: 03-20-2018 Model Status : Production Stopped Old AHRI Reference Number : AHRI Type : RCU-A-CB Series : Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ACB748A*031* Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)005L Furnace Model Number : Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, CA, 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, SO, 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 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 f"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 selling or offering for sale. Ratinas that are accommmied by WAS indicate an involuntary re rate. The new published rating is shown along with the previous fi.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 III part, be reproduced; copied; disseminated; PM 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.urg, click on "Verify Certificate" link we make life better' and enter the AHRI Certified Reference Number andthe 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.: 131660412331771093