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HomeMy WebLinkAboutCAROL DUBOSE PERMIT ALL APPL AB E INO M I ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4 _ Permit Number: _ Building Permit Application Planning and Development Services Building and Code Regulah m Division 2300 Virginia Avenue, Fort IlPierce FL 34982 Phone: (772)462-1553 Irax: (772) 462-1578 Commercial Residential X _ PERMITAPPLICATIO�V FOR: Mechanical Address: Legal Description: II Property Tax ID P: h Lot No. Site Plan Nam�,LI1 Block No, Project Nam .e Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CI-iANGEOUT I g vim, Aciartionaii work to be e ormed under t s permit—cheCK all that apply: ZHVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors Electric OP _llumbing Sprinklers Generator 1:1Roof Roof pitch Total Sq. Ft of Constructio S Ft. of First Floor: Cost of Construction:$_. Utilities:DSewer Septic Building Height: MEW Name Name: CHRIS LANGEL Address: _ Company: SEA COAST A/C V.City; _ State; Address: 3108 INDUSTRIAL 31stSTREET j Zip Code: � I=ax: _ City: FT PIERCE State: FL Phone No. C la—(Oila-0M9 Zip Code: 34946 Fax; 772-466-3053 E-Mail: _ Phone No. 772-468-2400 Fill in fee simple Title Holder on next page ( if different E-Mail: INFO@SEACOASTAIR.COM from the Owner listed above) State or County License: CMC035421 If value of construction is$2100 or more,a RECORDED Notice of Commencement is required. �UP�phEIU4�NTAt,COJUSI'RU�TION�.I�N L�RW iN�b� IV�A7�19N„y �- a �'S'v ,r„ ;-y,-�;r�...: »�_,_r;. .° /:,sue,.. f- -,,., ;. , ,�,_,m� Y a,'..,,�,,:. '..,?',!n; �` I„! s• ., .. . .,.>'r ._„,.. . DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: 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 Count yy 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 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 commencing work or recording our Notice of Commencement. 5 Signature of Owner/lessee/Contractor as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF Sr Lucie The fo going instr n s acknowledg efore me The fo oing instru n s acknowledg efore me this±day of 20�by this I day of�, 20 by CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) 04y ( na AIIT ture of Notary Public-State of Florida) (S nature of Notary Public-State of Florida) rsonally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Prod — M Type of Identification Praduce u:' U",• JUSTINA L.HOPKINS•CONNELLY ""y �IluNilNlklYWMehr Commission No. FF941411 =*'� s MY�ISSiONk FF 941411 Commission No. FF9414 l� . I,M�F' S-0ONNEII,y a< EX December 6,2019 MYCOLgIS(I�olO�y 'u:- i - #fF 941411 Bonded Thm N.Wry Nine.Undamriters `?/' "PIRES:December6,2oi9 ---- - �� ®asNc3YAm Revised 07/15/2014 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 o placed in service between Feb 17,2009 and Dec 31, 2016. olt anal CERTIFIED www.atirldirectary.org Certificate of Product Ratings AHRI Certified Reference Number:201152968 Date:08-01-2018 Model Status:Active Old AHRI Reference Number:7428124 AHRI Type:SP-A Series:GPC14 Outdoor Unit Brand Name:AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package):GPC1442H4i E` 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 which they meet the regional efficiency requirement. The manufacturer of this AMANA DISTINCTIONS product is responsible for the rating of this system combination, . Rated as fellows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1!and 2,Performance Rating of Unitary Air Conditioning&AlrvSpuree Heat Pump Lquipment and subject..to rating accuracy by AHRI sponsored,independent„third party testing:! Cooling Capacity(A2)-,Single or High Stage(951�) btuh 40000! i I € SEER:14:00 , k4i �)hI, l , lril „' i � I , , EER(A2) Single or High Stage(95F) :12.00 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 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 involunlary re-rate. The new published ration is shown alone 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 for models and configurations listed in the directory at www.ah ridlrectory.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 whale 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 forthe model cited on this certificate can be verified at www.alirldfrectory.org,click on"Verify Certificate"link eve 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. 131776330966966006 02018Air-Conditioning,Heating,and Refrigeration Institute 'CERTIFICATE NO..