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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MU$- BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:s "'"! Permit Number: -----=-----=------ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fart Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROP® ED IVlPE3OAF LO ID'' ry u x� � ,v. Address \'r . Legal Description: Property Tax ID#: l _ Lot No. Site Plan Name: / Block No. Project Name: Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CHANGEOUT IL45eer2 tiona wor to be nertormed un ert ispermit-check all apply: ZHVP Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Constructio : S Ft. of First Floor: Cost of Construction:$ 401(1) Utilities:0 Sewer Septic Building Height: r lee", fSE ® Name )Qnin 15 Von _ Name: CHRIS LANGEL Address- Oupn r— • Company: SEACOAST A/C City: I'5_410k 1 State: k, Address: 3108 INDUSTRIAL 31st STREET Zip Code:r7 ^n Fax: �y City: FT PIERCE State: FL Phone No. t�� - a�o�� L . Zip Code: 34946 Fax: 772-466-3053 E-Mail: Phone No. 772-466-2400 Fill in fee simple Title Holder on next page(if different E-Mail: INFO@SEACOASTAIR.COM from the Owner listed above) State or County License: CMC035421 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. Y SUPPLEMENTAL CONSTRUCTION LIEN LAWrINFORMATION: 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 Count 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. ll� ytt_ 6& 242 Sign re of Owner/Lessee/Contractor as Agent for Owner Signature of Contracto /License HoTder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE The o ng instr �i} w�as�acknowledg efore me The ing instr as acknowledg efore me this ay of_ �11(� � 20by thisday of_ ( /� 20 by CI HRIS LANGEL CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) r Ignature of Notary Public-State c Florida I (Sig ture of Notary Public-State of Florida I ersonally Known x OR Produced Identification Pers nally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. E• .��� JUSTINALIIOPKIf�ELLy Commissl Xn.� =NF05' :,; ;,;MYCOMIOSSIO 1411;;••,. ::,xy EXPIRES;December 6,2019 W %, ` 9ONA Thm Notary Public(Laren6ters Revised.07/1 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 o placed in service between Feb 17,2009 and Dec 31, 2016, Avis smal CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number:201152959 Date:05-23-2018 Model Status:Active '.. Old AHRI Reference Number:7428122 AHRI Type:SP-A ',. Series:GPC14 Outdoor Unit Brand Name:GOODMAN '.. Outdoor Unit Model Number (Condenser or Single Package):GPC1430H41 E' Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID,IL,IA, IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS, MT,NC,NO,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 requirement. The manufacturer of this GOODMAN 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:28400 SEER:14.00 EER(A2)-Single or High Stage(95F) :12.00 }"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.Produclion Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still selln Ratngg O trh oaft arie gam nied by WAS indicate an involuntary re-rate. The new published rating is shown alone with the previous fi.e.WAS)rating. LLLdoes LAIMER does not endorse the product(s)listed an this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility far, roduct(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 thorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In thetory at www.ahridirectory.org, S AND CONDITIONS Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal anddential reference purposes.The contents of this Certificate may hot,In whole or In part,be reproduced;copied;disseminated; Aft red Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's Individual, nal end confidential YefeYehCe. AIR-0ONDITIONING,HEATING, TIFICATE VERIFICATION &REFRIGERATION INSTITUTE nformation for the model cited on this certificate can be verified at www.alirldirectory.org,click on"Verify Certificate"link we make life better*'enter the AHRI Certified Reference Number and the date on which the certificate was Issued, h Is listed above,and the Certificate No„which is listed at bottom right.18Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 31715731109365550