HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI ABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '112-)—( Permit Number:
Building Permit Application
Planning and Development
lServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 l=ax: (772) 462-1578 Commercial Residential X
PERMITAPPLICATIO) FOR: Mechanical
Address: _!:JA
Legal Description:
Property Tax ID #:
Site Plan Name..
Project Name:,
Setbacks Front
LIKE FOR LIKE A/C 1
3 or�
Back:
I`ANGEOUT r
i� f
ZHVAC UGasTank
11 Electric ❑ Pllumbing
Total Sq. Ft of Construc
Cost of Construction: $i
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City: 1 V lium I V
Zip Code:
Phone No
E -Mail:
Fill in fee simple Title I
from the Owner listed
If value of construction is
Right Side:
Left Side:
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Sas Piping _ Shutters
Sprinklers 11 Generator
_ S Ft. of First Floor: _
Utilities: 0 Sewer 7 Septic
Lot No.
Block No.
❑ Windows/Doors
Roof = Roof pitch
Building Height:
Name: CHRIS LANGEL
Sf o�
Company: SEACOAST A/C
� k&0 State: _ Address: 3108 INDUSTRIAL 31 at STREET
Fax: City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
r on next page ( if different E -Mail: INFO@SEACOASTAIR.COM
W) State or County License: CMC036421
6 or more, a RECORDED Notice of Commencement Is required,
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DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may 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, 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
commencing work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST LUCIE
Ther ing inst rrTe v ' knowledged re me
this day of I 20
CHRIS LANGEL 1
(Naype of person
of
nally Known x OR Produced Identification
of Identification Produced
Commission No. FF941411 (Seal)
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF ST LUCIE
The r oing inst u ytt s cknowledge ore me
this day of 20 y
CHRIS LANGEL
(Name o erson acknowledging )
(SI
.g t .'� rjlpamN�r�
P so I ' x Bond% N
Type of I n Produced_
Commission No. FF941411
uced Identification
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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.
Certificate of Product Ratinqs
AHRI Certified Reference Number: 201300136 Date: 04-12-2018 Model Status : Active
Old AHRI Reference Number: 8004956
AHRI Type: SP -A
Series: GPC15
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GPC1536H41A'
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, L. 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 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.
1"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling proffering for sale; OR new models that are being
marketed but are not yet being produced." Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published retina is shown alone with the previous (i.e. WAS) ration.
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AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the products) 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.ah rld Irectory.org.
TERMS AND CONDITIONS
This Certiflcale 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;
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-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified at www.alirldirectory.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.
0201SAir-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131660417941310356