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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFFOOM Date: planning and Development Building and Code Regulat 2300 Virginia Avenue, Fort Phone: (772) 462-1553 PERMIT APPLICATIO Address: _[Z(\ Legal Description: Property Tax ID N: Site Plan Name: Project Name.(— Setbacks ameSetbacks Front_ LIKE FOR LIKE A/C COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application rvices Division rce FL 34982 x: (772) 462-1578 Commercial ' Residential X FOR: Mechanical Lot No. Block No. -2 J X c1lr>lt. Back: Right Side: Left Side: IANGEOUT I S.e V- 10 Additional work to be a ormeo unser HVAC LJ G,asTank Electric Plumbing Total Sq. Ft of Constructlooi):moi 1,_ Cost of Construction: $ WIT City: Zip Code• Phone No. E -Mail: Fill in fee simple Title He from the Owner listed a nit -cneckall Mal apply: Piping _Shutters Windows/Doors nklers 11 Generato1-1 r Roof = Roof pitch S�Ftj. of First Floor: y� �- Name: CHRIS LANGEL 1 Y C'mm,anv: SEA COAST A/C _ Utilities: LJ Sewer Septic Building Height: Q State: _ Address: 3108 INDUSTRIAL 31st STREET ax: City: FT PIERCE State: FL 3_ 0�-l-7 0L Zip Code: 34946 Fax: 772-466-3063 Phone No, 772-466-2400 on next page ( If different E -Mail: INFO@SEACOASTAIR.COM State or County License: CMC036421 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. LAIN"INFORMA`fION � SUUXPPLEMENTAL CONSTRUCTION LIEN Personally Known x � ,� DESIGNER/ENGINEER _ Not Applicable _ MORTGAGE COMPANY: _ Not Applicable Name: 4 JUSPINA LL��ppII ..S-0941411' = + • MVCOMAt�S,Qdi6NMONN411 - Name: COMPLETE Address: r'3,nf:F\w BondedThN Notary Public UffhMA ISEkf�IRES; 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure strucis ture. Please consult with yolur Home owners Association ers tandion rreviewyyour laws deed for any restri tions which may apply ibit such 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 rnmmencine work or recording your Notice of Commencement. 8& V_ Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF STLUCIE Theo In rostrum t a a kn wledgg ore me this y of Y Signature of Contractor/License Halder STATE OF FLORIDA COUNTY OF STLUCIE Theo gin nt w acknowledge ore me thisy of 20 y CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) ^ of Notary Public- State of Flor da) (Sf�nature of Notary Public- State of Floridaally T(nature Known Produced Identification Personally Known x OR Produced Identification _XOR Type of Identification Prod _..._.._.._......-----="` Type of Identification Pr- _ Commission No. FF941411 4i " , JU6TINA L HOPIONS-0ONNELLY Se( ,ei M�ISSiONkFF 941411 - Commission No. FF9414 4 JUSPINA LL��ppII ..S-0941411' = + • MVCOMAt�S,Qdi6NMONN411 - - E December 6.2019 COMPLETE 9+ Decembel6, 2019 r'3,nf:F\w BondedThN Notary Public UffhMA ISEkf�IRES; Revised 07/15/2014 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS Certificate of Product Ratin AHRI Certified Reference Number: 201384343 Date: 07-20-2018 Model Status : Active Old AHRI Reference Number: 8242080 AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX160421 F' Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT49D14A* 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, 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 Proffering for sale; OR new models that are being marketed but are Pul 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 -rale. The new published 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 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 form mals and configurations listed in the directory at www.ahridirectovy.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 farina model cited on this certificate can be verified at www.alirldlrectory.org, click on "Verify Certificate" link we make life bate, - 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 I'CERTIFICATE'NO.: 731765941570512346