HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLLICBLE INFO COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r f L Permit Number:
Building Permit Application
Planning and Development IServices
Building and Code Regulatin Division
2300 Virginia Avenue, Fort P fierce FL 34982
Phone; (772) 462-1553 ,rax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Legal Description:
Property Tax ID #i:
Site Plan Name
Project Name:
Setbacks Front
LIKE FOR LIKE A/C CIIANGEOUT
(-Q 1 4 �n
L iHVAC LJ
LLQ Electric 0
Total Sq. Ft of Construct
Cost of Construction: $
N
Fill in fee simple Title H
from the Owner listed
Lot No.
Block No.
Left Side:
(2) r �,4,_)
ned unoertnispermn— cnea<auapply:
Tank ❑Gas Piping jj��_Shutters Q Windows/Doors
nbing Sprinklers 11 Generator Roof Roof pitch
/\ Sq� FFtt.I of First Floor:
0.()U Utlllties:LJSewer FSeptic Building Height:
Name: CHRIS LANGEL
Company: SEACOAST A/C
f 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
;) State or County License: CMC036421
If value of construction is $2$00 or more, a RECORDED Notice of Commencement is
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: I
Name:
Address:
Address:
PLANS
REVIEW
State:
City: State:
City:
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
structure. Pleasle c nlsult with yolur Home Owners Association andreviewdews or ed for any restrict ons 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
commencing work or recording our Notice of Commencement.
?� s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COU NTY O F ST LUCIE
Th f gong instru n w s ck owledgfore me
thi day o 20 by
CHRIS LANGEL 1
(Name of person acknowledging )
Known x
Type of
Commission No. FF941411
Revised 07/15/2014
ic- State of Florida
OR Produced Identification
December 6, 2019
STATE OF FLORIDA
COUNTY OF ST LUCIE
The f g ng instru s c owledg b fore
thiay f 20 by
RIM
CHRIS LANGEL
(Name of person acknowledging)
(S nature of Notary Public- State of Florida )
Personally Known x
Type of Identificatio
Commission No.
OR Produced Identification
k FF
612019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
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: 202025346 Date: 07-27-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series : 16 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA16NA048'0"13*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)049L
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.
Ratings that are accomoanled by WAS indicate an'nvolu t re -rate. Th npublished rating h Ing with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI 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) listed on this Certificate. AHRI expressly discla!ins 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.allri(ilrectory.org,
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and :y
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,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.alirldiroctory.org, click on "Verify Certificate" link we make life brae, "
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.
02018Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE"No.: 131771878786682882