HomeMy WebLinkAboutbuilding Permit ApplicationALL AF
Date:
Planning and Development
Building and Code Regulat
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
PERMIT APPLICATIO
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:L
Project Name:
Setbacks Front.
LIKE FOR LIKE A/C
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
rvices
Division
-rce FL 34982
x: (772) 462-1578 Commercial Residential X
FOR; Mechanical
Right Side: Left Side:
EOUT- 1
4ae(Z
a.5ion
Additional worK to ice e ormea u
✓HVAC LJ 'as Tank
Electric M Plumbing
Total Sq. Ft of Construction
Cost of Construction: $
Fill in fee simple Title I
from the Owner listed
mc— cnecx an Uldl appry:
Piping _ Shutters
nklers Generator
_ SFt. of First Floor: _
Utilities:Sewer Septic
1
Name: CHRIS LANGEL
State:
on next page ( if different
Lot No,
Block No.
❑ Windows/Doors
0 Roof = 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: I NFO@SEACOASTAI R. COM
State or County License: CMC035421
If value of construction is $2$00 or more, a RECORDED Notice of Commencement Is required.
S1JPLEM�fNN `L107 ONS.,U�CO1��IE �A.I�
(&1_ 4u//,, s
Signature of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
DESIGNER/ENGINEER: _ Not Applicable
Name:
STATE OF FLORIDA
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Th mg instru e twas-a knowledge fore me
Address:
thiay of ( 20 by
City: State:
Zip: Phone:
CHRIS LANGEL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
I
BONDING COMPANY:
Name:
_Not Applicable
Address:
Personally Known x OR Produced Identification
Address:
Type of Identification Produced
City:
Commission No. Prsar . tra'�!ix ry--., JUCTINALI( -CONNELLY
MYCOWSSIONPFF941411
City:
- EXPIRES: December 6,2019
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 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 our Notice of Commencement.
M YA_
(&1_ 4u//,, s
Signature of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COU NTY OF ST Lucie
CO U NTY O F ST LUCIE
Thinstru as cknowledg efore me
Th mg instru e twas-a knowledge fore me
.Ming
thday of 20 by
thiay of ( 20 by
CHRIS LANGEL 1
CHRIS LANGEL
(Name of person acknowled Ing )
(Name of person acknowledging
DATE
I
nature of Notary Public -State of Florida)
(I nature of Notary Pu lic-State of Florida )
P sonally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No.; -
I= INA LHOPKI M NELLY
Commission No. Prsar . tra'�!ix ry--., JUCTINALI( -CONNELLY
MYCOWSSIONPFF941411
COMMISSION! FF941411
- EXPIRES: December 6,2019
01
Revised 07/1
:=
wrs_.-„�gqlfulU••. uonoea mm rvoldly YYOIW UWBIWnWB
„ --
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Rati
AHRI Certified Reference Number: 9193304 Date : 04-30-2018 Model Status: Active
AHRI Type: RCU-A-CB
Series : 14 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA14NA030*0**A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF030L
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.
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 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 accomoanied by WAS indicate an involuntary re -rate. The new published ratina is shown Plano with the orevious fi.e. WAS) ratina.
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 [lability 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 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,
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.alirldlrectory.org, click on "Verify Certificate" link we snake 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.: 131695741044614834