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HomeMy WebLinkAboutBuilding permit ApplicationALL APPLIC BLE INFO ST 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'plerce FL 34982 Phone: (772) 462-1553 llfax: (772) 462-1578 Commercial Residential X PERMITAPPLICATIO� FOR: Mechanical Address: Legal Description: Property Tax ID #: Site Plan Nam Project Name Setbacks Front LIKE FOR LIKE A/C C LK (HVAC LSI 11 Electric Total Sq. Ft of Construct Cost of Construction: $ Name Addre City: Zip Code• Phone No. E -Mail: Fill in fee simple Title H from the Owner listed Back: Right Side: EOUT a Left Side: nea unuef 1,1114 penun—ul Cin all aNHny. Tank F�IGas Piping _Shutters ibing Sprinklers Generator S. Ft. of First Floor: _ Utilities: Sewer Septic Lot No. Block No. ❑ Windows/Doors ElRoof = Roof pitch Building Height: Name: CHRIS LANGEL Company: SEACOAST A/C State: fj. Address: 3108 INDUSTRIAL 31st STREET 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 t State or County License: CMC035421 If value of construction is $2100 or more, a RECORDED Notice of Commencement is required. 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: _ Address: City: _ Zip: ne: Name: _ Address: City:_ Zip: _ I certify that no work or installation has commenced prior to the issuance of a permit. e: 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 thefirst inspection. If you intend to obtain financing, consult with lender or an attorney before commencingwork or recordin our Notice of Commencem�enntt.. v�G s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST Lune Theting inJf1runta a kn wledge ore me this day o 20 y CHRIS LANGEL 1 (Name of person acknowledging ) of Notary Personally Known x Type of Identification Commission No. FF941411 Revised 07/15/2014 - State of Florida ) / j OR Produced Identification U _.--- ' d;••., JUSTINA L HOPKNSdANNELLY %' ��•. p,, MY�ISSiGN @ FF 941411 ` EX December 6, 2019 •�;Y:0 BondcdThrvNolaryPublic Undarndlers STATE OF FLORIDA COUNTY OF STLUCIE The oing instru t wa ck owledg fore me this day of 20 by CHRIS LANGEL .Name of person acknowledging) 110 nature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification P d111 _ JUGPINA Commission No. FFs414 y +� -MY COM r acONt; 2019 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE 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. • AHRI Certified Reference Number: 201299501 Date: 07-03-2018 Model Status: Active Old AHRI Reference Number: 7984223 AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX160601 F` Indoor Unit Model Number (Evaporator and/or Air Handler): ASPT61 D14A' Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, 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 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." Production Slopped" Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published retina is shown alone with the previous (i.e. WAS) ratina. 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 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.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 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, PM 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 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute ZERITIFICATE NI 131751000996009087