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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO M1II1ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I _ Permit Number: Building Permit Application Planning and Development IServices Building and Code Regulatipn Division 2300 Virginia Avenue, Fort Ilplerce FL 34982 Phone: (772-462 1553 IFax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical Address: J Legal Description: Property Tax ID 4: Site Plan Name: _ Project Name: _ Setbacks Front LIKE FOR LIKE A/C UElectric L Total Sq. Ft of Construc Cost of Construction: $ 19 City: " K11 ( `r tai J Zip Code:f o'` Phone No, E -Mail: Fill in fee simple Title H from the Owner listed Back: GEOUT Right Side: Left Side: ng LJ Shutters yrs F7Generator Sq, of First Floor: — Utilities: Sewer FISeptic Lot No. Block No. Windows/Doors Roof = Roof pitch Building Height: Ani T -L--- Name: CHRIS LANGEL i 2j,'] —" � � Company: SEACOAST A/C } State: 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 0 State or County License: CMC035421 value of construction is $2400 or more, a RECORDED Notice of Commencement is required. LIEN LA1iU INF RMA7ION SUPPLMNTAI"CONSTRUCT,ION SUPERVISOR DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY _ Not Applicable Name: Name: CFRONT OUNTER Address: Address: State: City: State: City: Zip; Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: COMPLETE Name: Address: Address: City: INITIALS City: Zip: Phone: Zip; Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in c( 11 ict 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 rnmmanrina work or recording your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent Tor owner STATE OF FLORIDA COUNTYOFSTLune I (((( The f oing inst m rtkjvya�acknowledge fore me this day of JJ�t--Ltt�,, 20 Y CHRIS LANGELl _ (Name of person acknowledging ) ature of Notary Public -State of Krsonally Known A Type of Identification Commission No. FF9414H Revised 07/15/2014 OR Produced Identification Bonded Thou 2019 s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCI Thing inst nj ias acknowled e(y, �`f�Y-ore me WTI day of n 2C (t by CHRIS LANGEL (Name of person acknowledging Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Pr Commission No. 1411 2019 REVIEWS SUPERVISOR PLANS VEGETATION S LE MANGROVE REVIEW CFRONT OUNTER RENING VIEW W REVIEW REVI W EV EW REVIEW DATE COMPLETE INITIALS ;111111piq 1-!111111111 • AHRI Certified Reference Number: 201176241 Date: 07-19-2018 Model Status : Active Old AHRI Reference Number: 7493626 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1424AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RBHP-17 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. 1"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 =mad Ratinos that an; accom mad by WAS indicate an involuntary re -rate. The new published. rating is shown along with the previous (i.e. WAS) ratma. DISCLAIMER AFRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) 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.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he 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 forthe user's Individual, PM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information far the model cited on this certificate can be verified at www.afirldirectory.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 Ilsted at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute [ CERTIFICATE NO.: 131765062318753641