No preview available
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1SS3 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical Address: Legal Description: Property Tax ID #: Site Plan Name:. Project Name: \ I W UV 1( ! 1, Setbacks Front Back: LIKE OR LIKE A/C CHANGEOUT Right Side: Left Side: Lot No. Block No. ❑✓_ HVAC 1:1 Gas Tank Gas Piping us . h . ut . ters 0 Windows/Doors 11 Electric OPlumbing City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 ❑Sprinklers Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 1:1Generator State or County License: CMC035421 1:1Roof = Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ t Sq. Ft. of First Floor: _ Utilities: 0 Sewer Oseptic Building Height: Q1I IR LESSEE .; (WI'. Nam Name: CHRIS LANGEL Address: Q n Company: SEACOASTA/C City: State: _ Zip Code: Fax Phone No. �— d� Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW'INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable me: 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 County 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, consult with lender or an attorney before commencing work or recording your Notice of Commencement. w n as Agent for Owner STATE OF FLORIDA COUNTY OF ST LUCIE Thf oing instru n s a knowle before me thi day of 2by STATE OF FLORIDA COUNTY OF ST was ThIng ins d efore me thi day of tr as acknowl20 by G�HRIS LANGEL CHRIS LANGEL (Name of person acknowledging) ^ n (Name of person acknowledging) j n Ignature of Notary Publlc- State o Florida) (Sigture of Notary Public- State of Florida ) ersonally Known x OR Produced Identification Pers nally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No.ff., JUSTINALIfOPKI 41lY Commissl n, YAL-lipRIQMS-04n aMW5SIONF`�914tt'MYCOMNJSSI�NNF'f94f411 aa EXPIRES: Dec, 8, 2Uf9-nvmmee. Revised 07/ 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. M • • 0 AHRI Certified Reference Number : 10259413 Date : 05-24-2018 Model Status : Active AHRI Type: RCU-A-CB Series: ELITE EL16XC SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : EL16XC1-042-230A'• Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-048-230'+TDR Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, CA, 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. f"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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still asg or offering for sale. Ratlnos that are accompanied by WAS Indicate an involunlary re -rate. The new published rafinG is shown alone with the previous (i.e. WAS) ratino. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibllltyfor, the product(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.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 whale 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.ahrldirectory.org, click on "Verify Certificate" link we make life better - and enter the AHRI Certified Reference Number and the data 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.: 131716687890771482