HomeMy WebLinkAboutBuilding Permit ApplicationALL AF
Date:
Planning and Development
Building and Code Regulat
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
PERMIT APPLICATIC
Address: _I �:Z
Legal Description:
Property Tax ID #: J�.
Site Plan Name:
Project Name:
Setbacks Front_
LIKE FOR LIKE A/C C
lt)0(
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
Side:Back: _Right
EOUTWLbn
z,
HVAC LJ las Tank
Electric Pllumbing
Total Sq. Ft of constructio
Cost of Construction: $,
Name
Address:
City:
Zip Code:
Phone No.� Z—
E-Mail:
Fill in fee simple Title H
from the Owner listed
Left Side:
� C) KI0
JCIIIIII -UJULK Oil CVVIy.
.ias Piping _Shutters
Sprinklers Generator
SQ. Ft. of First Floor: _
Utllities:SewerSeptic
Lot No.
Block No. _
Windows/Doors
Roof = Roof pitch
Building Height:
Y W Name: CHRIS LANGEL
Company: SEA COAST AIC
State: Address: 3108 INDUSTRIAL 31st STREET
ax: City: FT PIERCE State: FL
7%Pj• 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: CMC036421
If value of construction is $2100 or more, a RECORDED Notice of Commencement is required.
LAW INFORMATION
r$ r r
S:UPPLEMENTP�GONSTRUCTION1tEN
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
DESIGNER/ENGINEER —
Not ApplicableMORTGAGE
COMPANY:
_ Not Applicable
Name:
Name:
ress:
Address:
City:
State:JAcId
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 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 orpprhibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which mayapply.
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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
CO U NTY OF ST waE
The o dothg instru e t as ac nowledge b fore me
thi�I ay o 20 by
CHRIS LANGEL-L
(Name of person acknowledging )
mersonally Known x OR Produced Identification—
Type of Identification Pro
afiYST NA L HOPKINS•CONNELLY
Commission No. FF94141r °f ;, Xy�D mbar &41411
2019
Revised 07/15/2014
vvl� L,1� s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sTwc'E
The o' g ins trum t as ac n wledg efore me
thiX11ay of 20 Pby
CHRIS LANGEL
(Name of person acknowledging
re of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Pradwali.
Commission No.
15510N k FF 941411
December 6, 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: 201300154 Date: 07-27-2018 Model Status: Active
Old AHRI Reference Number: 8004958
AHRI Type: SP -A
Series : GPC15
Outdoor Unit Brand Name: FRANKLIN
Outdoor Unit Model Number (Condenser or Single Package) : GPC1548H41A*
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"Aclive" 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.
Rat' g th t r mp ni d by WAS indicate nInvoluntary re -rate. The new published rating's shown along 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the produchs), 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.ah rid lrectory.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;
AM
entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except forthe user's individual,
personal and confidential reference. AIR-CONDITIONING, INSTITUTE
CERTIFICATE VERIFICATION & REFRIGERATION INBTITDTE
The information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on "Verity Certificate" link we make life betv,e
and enter the AHRI Certified Reference Number and the dale on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
131771905930262481
02018Air-Conditioning, Heating, and Refrigeration Institute i 73TIF16ATE NO.: