HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI AB F ' I E COMPLETED FOR APPLICATION TO SE ACCEPTED
Date: E( Ii9 Permit Number:
Building Permit Application
Planning and Development Services
Building and code Reguladpn Division
2300 Virginia Avenue, Fort Ilplerce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ' Residential X
PERMIT APPLICATION FOR: Mechanical
Address: !"lt
Legal Description:
Property Tax ID #: — J1 "i L 0( �`r Lot No.
Site Plan Name Block No.
Project Name: `P
Setbacks Front ` __ Back: Right Side: Left Side:
I
LIKE FOR LIKE AIC C�IANGEOUT `Mn
i l
11 Electric z
Total Sq. Ft of Constructii
Cost of Construction: $ _
Addresst
City:
Zip Code:
Phone No.
E -Mail:
Fill in fee simple Title I
from the Owner listed
Tank
Jef fl tit —ldlc Ln au aNYIY-
Sas Piping Shutters
Sprinklers Generator
State
SqqII�Ft.
)� of First Floor:
Utilities: Sewer ESeptic
on next page ( if different
Nam,, CHRIS LANGEL
QWindows/Doors
E]Roof = Roof pitch
Cmmnanv: SEACOAST A/C
Building Height:
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No, 772-466-2400
F-nnall• INFO@SEACOASTAIR.COM
State or County License: CMCO36421
e of construction Is $2 00 or more, aRECORDED Notice of Commencement Is
.a' �.,, s<�-"FP .> "a" � ^' " �a N l�I. �ONSTRU� IIO LI��I LAW
IN
0
MOY: Not Applicable
NamAddState:
NGINEER: _Not Applicable
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
Phone:
REVIEW
REVIEW
City:State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
— Not Applicable
REVIEW
BONDING COMPANY: _Not Applicable
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 consultwith 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-residentlal 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 "Ice of Commencement.
s
as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY O FST LUCIE
The o glnstr e tas knowledg fore me
thi� ay of ® 201 by
CHRIS LANGEL L
(Name of person acknom
nature of Notary Hui
P sonally Known x
Type of Identification Pri
Commission No. FF94141,
Revised 07/15/2014
State
OR Produced Identification
8, 2019
STATE OF FLORIDA
CO U NTY O F ST LUCIE
Th Ing instr e t as acknowled tore me
thiay o`f 20 by
CHRIS LANGEL
(Name of person acknowledging )
(5knature of Notary PtiMlic- State of Flor
Personally Known x OR Produced
Type of Identification PrCY
Commission No. FF941411
2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ti.IM� CERTIFIED°
www. ah rid! rectory. Org
AHRI Certified Reference Number: 9193892 Date: 06-28-2018 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) : CA14NA036*0**A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF036L
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.
Ratinas that are accompanied by WAS indicate an involuntary r ta The new published t' g is shown alonn with the previous lie WAS) rating
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties ar 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 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.alirldirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
AM
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, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we make IT, 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.
131746882546187361
Oo 2018Air-Conditioning, Heating, and Refrigeration Institutef=RTIFICATE NO.: