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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI AB((LEE� INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Developmentl Services Building and Code Regulati n Division 2300 Virginia Avenue, Fort �ierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATI Address: ''-'I'--{ Legal Description: Property Tax ID #: Site Plan Name: Project Name.. Setbacks Front FOR: Mechanical Jt(A Back: Right Side: Left Side: LIKE FOR LIKE A/C CIi-iANGEOUT__ I HVAC Ll Gas Tank DElectric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ I III jean¢– cnecrcau apply: Sas Piping _ Shutters Sprinklers Generator SFt, of First Floor: _ Utilities:12Sewer Septic � r' I .p X Name: CHRIS LANGEL City: i C t -V—f t�_ �J State: Zip Code: I ax. � Phone No. a( E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Lot No. Block No. Windows/Doors gRoof = Roof pitch Building Height: Company: SEACOAST A/C Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 E -Mail: INFO@SEACOASTAIR.COM State or County License: CMC036421 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. w - ',' !)• ZONING DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: COUNTY OF ST LUCIE Address: Address: The Ing ins t has cknowledg fore me City: State: City: State: Zip: Phone: Zip: Phone: (Name of person acknowledging ) tru'—'� zR FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Type of Identificatio ,r,• pfd"��,fI NernNN SOYYFF Address: Address: Commission No. FF947411 o.• a•;•' sonucd( p� npublic WMenvdlen City: City: Zip: Phone: Zip: Phone: INITIALS I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count yy 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 your Notice of Commencement. Revised 07/15/2014 REVIEWS FRONT ZONING S Signa r o Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF STLUCIE The r oing instr s knowledg fore me The Ing ins t has cknowledg fore me this day of 20� y this day of 20 Itby CHRIS LANGEL 1 CHRIS LANGEL Name of person acknowle ging) I TP t, 0 (Name of person acknowledging ) tru'—'� zR ( ignature of Notary Public- State of Florida) 'gnature of Notary Public- State of Florida ) ersonally Known x - Personally Known x 0R.Py�gf�j�' v 4 P Type of Identification Pr uvrnuFF 941411 Type of Identificatio ,r,• pfd"��,fI NernNN SOYYFF {i Vie... EXPIRES: December 6. 2019 S; .•.p^. V6M 6M 941411 Commission No. FF947411 o.• a•;•' sonucd( p� npublic WMenvdlen Commission No. Erg ?¢ti!' . L:1k,Eilli99f B 6% 6, 2019 --?f„Fti•"..._ 1$ OMNdla. PublicUmlenvrilem Revised 07/15/2014 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. AHRI Certified Reference Number: 10239675 Date : 04-17-2018 Model Status : Active AHRI Type: RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA037*0**A* Indoor Unit Model Number (Evaporator and/or Air Handier) : FX4DN(B,F)037L Region : - Southeast and North (AL, AR, DC, DE, FL, GA, 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. 1"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 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 rating is shown along with the previous 0,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 pmduct(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.ahridirectDry.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 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.ahridirectory.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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: a1se4576s1ssz4sso