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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI ABL INFO jMXU$T BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ®l Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical Address: Legal Description: Property Tax ID #: Site Plan Name:-„, Project Name: Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CHANGEOUT ✓❑_ HVAC 11 Electric ❑ Plumbing Sprinklers U Shutters Generator Lot No. Block No. F]Windows/Doors Roof Total Sq. Ft of Construction: Sq. S �Ft.j of First Floor: Cost of Construction: $ ( (}.O� . Utilities: L_ISewer D Septic Building Height: Roof pitch If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. a Name Name: CHRIS LANGEL Address: Company: SEACOAST A/C City: State: Zip Code: MFax: Phone No. ( Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zi Code: 34946 Fax: 772-466-3053 p Phone No. 772-466-2400 .1....._...._.._..._ E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: INFO@SEACOASTAIR.COM State or County License: CMC035421 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, conJsyjllt with lei der or an attorney before STATE OF FLORIDA COUNTY OF ST LUCIE The$oT�'oJ,ng instru e d'ck owledg0*ore me thi ay of l 20 y CHRIS LANGEL J (Name of person Personally Known x Type of Identification Commission No. Revised 07 of Florida OR Produced Identification MY COMMISSION M FF 941411 Bonded Thm Notary NOD Undemfitem STATE OF FLORIDA CO U NTY O F ST LUCIE Thr'b'ng instr- t was cknowledg b fore me thiXay of ' 20 by CHRIS LANGEL (Name of person acknowledging ) r n 1 Public- State of Personally Known x OR Produced Identification Type of Identification Produced ._..._.. Commission No. a' JUST E INAL HOPKI iCONNELLY a;Hxa _ 4:6e COMMISSi0 0OA1411 Via; EXPIRES: December S, 2018 e A., RaAdndThm Notary Pubklhidemrlem REVIEWS FRONT _ � � ��i�i/�'Y."y� � �.Y"��✓.....air o. XY>������""':w +�+.w'�"� >`"��i..ri"�`l.`v�. .u^ r�./Y'y'-.nu h.'?�Sr.��....���fi.� lX� DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: 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. St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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, conJsyjllt with lei der or an attorney before STATE OF FLORIDA COUNTY OF ST LUCIE The$oT�'oJ,ng instru e d'ck owledg0*ore me thi ay of l 20 y CHRIS LANGEL J (Name of person Personally Known x Type of Identification Commission No. Revised 07 of Florida OR Produced Identification MY COMMISSION M FF 941411 Bonded Thm Notary NOD Undemfitem STATE OF FLORIDA CO U NTY O F ST LUCIE Thr'b'ng instr- t was cknowledg b fore me thiXay of ' 20 by CHRIS LANGEL (Name of person acknowledging ) r n 1 Public- State of Personally Known x OR Produced Identification Type of Identification Produced ._..._.. Commission No. a' JUST E INAL HOPKI iCONNELLY a;Hxa _ 4:6e COMMISSi0 0OA1411 Via; EXPIRES: December S, 2018 e A., RaAdndThm Notary Pubklhidemrlem 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: 9162926 Date : 04-20-2018 Model Status: Active AHRI Type: HRCU-A-CB Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CH14NBO48*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)061 L 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: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 47000 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 Heatln HSPF 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 selln Ratng sorhoffearngam ned by WAS indicate an involuntary re -rate. The new oubiished rating is shown alone with the orevlous (i.e. WASI retina. DISCLAIMER 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.ahrldirectory.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; P elm 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 far 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. 02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: 131667079133231155