HomeMy WebLinkAboutBuilding Permit ApplicationALL AP ]CABLE (INFO MID BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:` I i J —1 t t_ _ Permit Number:
Building Permit Application
Planning and Development IServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort IIlerce FL 34982
Phone: (772) 462-1553 ]Pax: (772) 462-1578 Commercial ' Residential X
PERMIT APPLICATI
Address:
Legal Description:
Property Tax ID #:
Site Plan Name: _
Project Name:('
Setbacks Front
FOR: Mechanical
Back:
Side:
Left Side:
LIKE FOR LIKE A/C C4-IANGEOUT 9
Lot No.
Block No.
Addltlona l worKto ne perTormea unaer tms permit —cneCK an apply:
HVAC Cas Tank E�]Gas Piping _ Shutters ❑ Windows/Doors
Electric Pilumbing L_)Sprinklers Generator Roof C� Roof pitch
Total Sq. Ft of Constructions Sq. Ft, of First Floor:
Cost of Construction: $ _; Utilities: Sewer Septic Building Height:
Add re : f ' J J
City: State:
Zip Code:. =ax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Company: SEACOAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
E -Mail: I NFO@S EACOASTAI R.CO M
State or County License: CMC035421
of construction is $2500 or more, a RECORDED Notice of Commencement is
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rrNGINEER:
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SUPERVISOR
PLANS
_Not Applicable
MORTGAGE COMPANY:
Not Applicable
rr=
Name:Address:State:
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
City:
State:
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 Countyy 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
inccommencingwork or recordingour Notice of Commencement.
Signature of Owner/lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
Theng instru nt was cknowledge fore me
thisayof 20 y
STATE OF FLORIDA
COUNTY OF ST LUCIE
Theo ing instr ent was acknowled e efore me
this day of 20 by
Ci
CHRIS LANGEL 1 I CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
of Notary
f ersonally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification
Bonded Thm Notary
FF 941411
er 6.2019
of Notary Public- State of
Personally Known x
Type of Identification
Commission No.
OR Produced Identification
NWIV F FF 941411
December 6, 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
INITIALS
AHRI Certified Reference Number: 201791790 Date : 08-10-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series : GSX16
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX16S421A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A*
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.
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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ralinas that are accompanied by WAS indicate an involuntary. re -rate. The new published rating is shown along 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.alirldirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal antl
confidential reference purposes, The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated; om
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.atirldirectory.org, click on "Verify Certificate" link we 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. `" 131783751275650941
c02018Air-Conditioning, Heating, and Refrigeration InstituteCERTIFICATE NO.: