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HomeMy WebLinkAboutBuilding Permit ApplicationALL APP BL INFO SY BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: __ Permit Number: Building Permit Application Planning and Development IServices Building and Code Regulatl n Division 2300 Virginia Avenue, Fort lerce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical Address: Z Legal Description: Property Tax ID #: Site Plan Name: Project Name:, Setbacks Front, LIKE FOR LIKE A/C C Commercial ' . Residential X Back: Right Side: Left Side: GET, I�(� HVAC LJ & Tank 11 Electric 0 lumbing Total Sq. Ft of Construction Cost of Construction: $ NamJNo. Addr City: Zip C Phon E-Mail: Fill in fee simple Title H from the Owner listed JClfll I L— WIC6N an ONNiy. Sas Piping _Shutters Sprinklers Generator _ S Ft. of First Floor: _ Utilities:OSewer F—ISeptic Name: CHRIS LANGEL on next page ( if different Lot No. Block No. Windows/Doors 11 Roof = Roof pitch SEA COAST AIC Building Height: Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No, 772-466-2400 &Mall: INFO@SEACOASTAI R.COM State or County License: CMC035421 if value of construction is $2100 or more, a RECORDED Notice of Commencement Is required. ,•=-1,�.c:.w a., ; ,,., ..„. ,ozir;..� .,. .a.= Sl1PPLEM Tl� L�0'NST ,, ..y,,,u'"iva."rvp'=” I'0 LIEN L WIN ., _..�. ,. �;, ;.'s ® g .0 DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: COUNTER Name: REVIEW Address: REVIEW Address: REVIEW 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 cont let 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 commencine work or recordina vour Notice of Commencement. // /7 /7 as STATE OF FLORIDA CO U NTY O F sT Lucre The forgpingInstru n w s ck owledg tore me this day of ; y CHRIS LANGEL-- (Name of person acknowledging ) of Notary Public -State PWsonally Known x Type of Identification Commission No. FF94141 Revised 07/15/2014 OR Produced Identification BonAdThN NOW S Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF srwaE Theo oing instrum t was cknowled fore me this day of 20by CHRIS LANGEL (Name of person acknowledging ) Notary Personally Known x Type of Identification 1411It Comml5slon No. FF941411 2019 ` OR Produced Identification Banded ThN Notary 2019 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. Certificate of Product Ratinas AHRI Certified Reference Number: 200945845 Date: 07-02-2018 Model Status: Active Old AHRI Reference Number: 6892357 AHRI Type: SP -A Series : GPC14 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GPC1436H41 D' 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. t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models [before being marketed but are not yet being produced "Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing OUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is. shown along with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the product(s) listed an 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 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 far 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 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, AM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we make life bvue,^ 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1317500539290i4144