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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) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROUEMNI OCgO w90M 0 �� Address: Legal Description: Property Tax ID #: — — Lot No. Site Plan Name: Block No. Project Name: vI _ Setbacks Front Back: Right Side: Left Side: �D:1;TAILI:DD���O�i�1P�fi19N ®f . ®. w LIKE FOR LIKE A/C CHANGEOUT •� (� 5 Additional worktobepertormed un ert is—permit—check all appy: ❑✓_ HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11 Electric 1:1Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ Utilities:SewerDSeptic Building Height: Name Name: CHRIS LANGEL Addres 12H. JL I—"—[_ Company: SEACOAST A/C Address: 3108 INDUSTRIAL 31st STREET City:If Stater City: FT PIERCE State: FL Zip Code: Fax: Phone No.—qq. _ — 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 State or County License: CMC035421 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: FRONT DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: MANGROVE Address: COUNTER City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 commencima work or recordine vour Notice of Commencement. A as Anent for Owner STATE OF FLORIDA COUNTY OF ST LUCIE The f r oing instrucrl=n w c nowledgr�efore me this day of 20 6 STATE OF FLORIDA COUNTY OF ST LUCIE Thetforgoing instru hent was acknowledg fore me this day o 20 by CHRIS LANGEL CHRIS LANGEL (Name of person acknowledging) n A / (Name of person acknowledging) I n A A �ignature of Notary Public- State oTFlorida ) / f (Sig ture 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. r.. 'Y JUSTINALIIOPKI ELLY Commissh n,, 'e I YCOMIOSSIOIN 1411 dd ` 'NAJ.JfOP-I(IN3-CONNEL ) *i '"= a/ a MY COMNS5ION 0 FF9411411 :,.•. _;,z FxrnaFs, necember 6.2079 g,, {,� j ....._.._ _ Revised 07/ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 9�ra ` �M,a AHRI Certified Reference Number: 9193305 Date : 06-04-201!3 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) : FFMANP030 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. }"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering far 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 selling or offering for sale. Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published ralinq is shown along with the previous (i.e. WAS) rating. 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 liability for damages of any kind arlsing out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certifleate. Certified ratings are valid only for models and configurations listed in the directory at www.alirldlrectory.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, Pin personal and confidential reference. AIR-000NDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for 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. r ©2018Air-Conditioning, Heating, and Refrigeration Institute 16ERTIFICATE NO.: 131726016698538817