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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MtI1ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: — - —_ Permit Number: Building Permit Application Planning and Developmentl Services Building and Code Regulatln Division 2300 Virginia Avenue, Fort�r. fierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Mechanical Address: Legal Description: Property Tax ID Site Plan Name: Project Name: _ Setbacks Fro Back: Right Side: Left Side: LIKE FOR LIKE A/C C•1ANGEOUT- ❑Electric Total Sq. Ft of Constructk Cost of Construction: $ F Addres City: - Zip Code Phone No. — E -Mail: Fill in fee simple Title F from the Owner listed Residential X pea unser Tms permit— L11— all V11'Y• Tank 7Gas Piping _ Shutters nbing Sprinklers Generator SFt, of First Floor: _ ���- UtilitiestSewerSeptic Lot No. Block No. ❑ Windows/Doors Roof = Roof pitch Building Height: Name: CHRIS LANGEL Company: SEACOASTA/C State: YA Address: 31081NDUSTRIAL31stSTREET ax: City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No, 772-466-2400 on next page ( if different E -Mail: INFO@SEACOASTAIR.COM 0 State or County License: CM0035421 If value of construction is $2400 or more, a RECORDED Notice of Commencement is required, SUPP EMENTAL CONSTRUCTIO@N EN L4aa- Ifs 0 Af'O :y 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 yy 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 woDk or recording your "ice of Commencement. /j 7 %f as Agent for Owner STATE OF FLORIDA CO U NTY O F ST Lucie The fQVoing instFu e t acknowled� (iefore me thisdayof� 2 ktLby v s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OFsTwcia The f g ng instrKm s wledg efore me this, day of !.. _ '20 by CHRIS LANGEL -k I CHRIS LANGEL (Name of person acknowledging I (Name of person acknowledging Morally Known x OR Produced Identification Type of Identification Produced Commission No.. FF941411 209 (?nature of Notary Pifblic- State of Florida ) PersonalWKnoxM,)caton Type of ICommiss .:, ..: Boras �'"tl"s��� REVIEWS ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE OUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS • M 7e AHRI Certified Reference Number: 201417943 Date : 06-07-2018 Model Status : Active Old AHRI Reference Number: 8655532 AHRI Type: RCU-A-CB Series : GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241L* Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A` 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 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 sellinga offering forsale. Ramos that are accomoanied by WAS Indicate an involuntary re -rate. The new Dublished rating 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 products) Ilsted 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.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; pin 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.ahridirectory.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.a ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 931728643988408304