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HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MJJST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort lerce FL 34982 Phone: (772)462-1553 Irax: (772) 462-1578 Commercial Residential X _ PERMIT APPLICATION FOR: Mechanical Address: Legal Description: I Property Tax ID#: I 0 � Lot No. Site Plan Name: Block No. Project Name: I I Setbacks Front I Back: Right Side: Left Side: LIK FOR LIKE C C i O A/ � ANGE UT y � i itiona wor to (eee ormed under t ispermit—check a appy: ZHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors Electric El Plumbing ❑Sprinlders Generator Roof Roof pitch Total Sq. Ft of Construction; S Ft, of First Floor: Cost of Construction: $�Jl { tlJ 1` Utilitles:T]5ewer Septic Building Height: —I Name Name: CHRIS LANGEL Address: ( )rP —( Company: SEACOAST A/C City: State. Address: 3108 INDUSTRIAL 31st STREET Zip Code: =ax: City: FT PIERCE State: FL Phone No. Zip Code: 34946 Fax: 772-466-3053 E-Mail: L Phone No. 772-466-2400 SEACOASTAIR.COM Fill in fee simple Title Holley on next page if different E-Mail: INFO @ from the Owner listed abbve) State or County License: CMC035421 If value of construction is$2100 or more,a RECORDED Notice of Commencement is required. i- PPi�E�N[�NTAL CON�TR�CTION >yI�N L,9W 11UFQ�MATJONz� �y N ��r fr DESIGNER/ENGINEER: u 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 County 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 roams 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 STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE Theo oing instr m cknowledged before me The forgoing instrument was acknowledged before me this day of 20 _by this_day of ,20 _by CHRIS LANGEL CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) ( nature of Notary Public-State of Florida) 4�Snakture of Notary Public-State of Florida) rsonally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Prod Type of Identification Pr e JUSTINA L HOPKNS�CONNELLY �y , - eniwlpyyl 16Cw'1*' JU571NACommission No. Ersa�a�t � �- MY�ISSiUN#FF 941411 Commission No. FFsa�n fi: �{ �f3Qf#S-0ONNE Ly +a EX December8,2019 a ig MY CCM77N»9965o++YY??NNIrf94t411 BondedThN Notary PubibbWTdeMn10M—.-- .— Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ( i Certificate of Product Ratings AHRI Certified Reference Number:9193892 Date:08-02-2018 Model Status:Active AHRI Type:RCU-A-CB Series:14 SEER AC Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):CA14NA036*0**A* !, Indoor Unit Model Number(Evaporator and/or Air Handler):FB4CNF036L 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. The manufacturer of this CARRIER product is responsible for the rating of this system combination, I Rated as follows in agcordance withfile latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2,Performance Rating of Unitary Air-Conditioning&Air Source Heat Pump Equipment and subject to rating accuracy by AkRI sponsofetf,inliependeht third party testing;i Cooling,Capacity(A2) Single or High Stage(95F) btuh 33000 SEER:'.14,00 EER(A2)-Single or High Stage(85F) :12.00 f"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. Rafin s that are accom anted b WAS indicate an involunta re-rate. The new ublished ratio is shown alon with the revious 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 unauthorized)listed on alterationtof data listetl on his Certificate.I expressly ICertifi drlatingsiare val for id only for models and conges of any kind fi out of the use orfigurations listed in h¢ormance of the product(s),or the directory at www,alirldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and AM 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, AIR-CONDITIONING,HEATING, personal and confidential reference. &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION y we make life better- and information for the model cited on this certificate can be verified at www.alirldirectory.org,click on"Verify Certificate' link and enter the AHRI Certified Reference Number and the dale on which the certificate was issued, , , 131777059759161698 which is listed above,and the Certificate No.,which is listed at bottom right. ." ������,� �� , e)2018Air-Conditioning,Heating,and Refrigeration Institute