HomeMy WebLinkAboutBuilding PermitALL APP LIC BLE INFO M I1ST BE )MPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1QJ Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulati n Division
2300 Virginia Avenue, Fort P fierce FL 34982
Phone: (772) 462-1553 r1rax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name: c
Setbacks Front
LIKE FOR LIKE A/C
11 Electric Q
Total Sq. Ft of Construct!,
Cost of Construction: $ _
a
City:
ZipCode:
Phone No.
E -Mail:
Fill in fee simple Title I
from the Owner listed
Back: _ Right Side: "Left Side:
GEOUT I I .,, t)e e
4
Tank
ng
Sas Piping I-=jShutters
Sprinklers 0 Generator
_ S Ft. of First Floor: —
b Utilities. Sewer F_ ptic
State:
on next page ( if different
Lot No,
Block No.
D r_L0
Windows/Doors
Roof = Roof pitch
Building Height:
Name: CHRIS LANGEL
Company: SEACOAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3063
Phone No, 772.466-2400
E -Mail: I NFO@SEACOASTAI R. COM
State or County License: CMC035421
If value of construction is $200 or more, a RECORDED Notice of Commencement is required.
SU�LEMENTAL�CONSTRUCTIQN LIEN LAW iNFQR�!IATIQN��
f �' � 'r
ZONING
SUPERVISOR
PLANS
�
SEA TURTLE
MANGROVE
Not Applicable
DESIGNER/ENGINEER _ Not Applicable
REVIEW
MORTGAGE COMPANY
_
Name:
REVIEW
Name:
Address:
Address:
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 Court tyY makes no representation that is granting a permit will authorize the permit holder to build the subject structure
strustructure. PleaseconsultwithpyolurHomble e Owners Association �andon rreviewyy your dlaws eed for any covenre trnts ictlons which rmay 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.
V�A s
Signature of Owner/Lessee/Contractor as Agent Tor Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F ST LUCI COUNTY OF ST wclE
Th fo o' g instru t s ck owledg fore me Th Mir ng instru nt a c owledg efore
this ay of 20 fore
ay of 20 by
CHRIS LANGEL 1
(Name of person acknowledging )
of Notary Public -State of
personally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification
MYN&ON @ FF 941411
EX December 6, 2019
Bonded Thm Notary PublicUnJ6Mdi0M
CHRIS LANGEL
(Name of person acknowledging )
of Notary
Personally Known x
Type of Identification
Commission No.
State of Florida )
me
OR Produced Identification
15510N It FF 941411
December 6, 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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.
n O •
AHRI Certified Reference Number: 201384392 Date : 07-26-2018 Model Status : Active
Old AHRI Reference Number: 8242082
AHRI Type: RCU-A-CB
Series: GSX16
Outdoor Unit Brand Name : AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX160481 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 Cerlihcalion 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 ar a d by WASindicate an involuntau re-rane. re-ranThe new published r f a' h nq with lh p u (i WAS) f g
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 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.ahrldlrectory.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 for the user's Individual,
personal and cmngdenlial reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information forthe model cited on this certificate can be verified at www.alirldirectory.org, click oil "Verify Certificate" link o, 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 )RTiFIGATE NO.:. fa131770943005983380OO