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HomeMy WebLinkAboutHAYSLIP PERMITALL API J7ABI,F FOM 1�1$T BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:�rl1JJ III ` i (Jf Permit Number: Planning and Developmeru Building and Code Regulat 2300 Virginia Avenue, Fort Phone: (772) 462-1553 PERMIT APPLICATI Address: Legal Description: Property Tax ID R: Site Plan Name: Project Name:, Setbacks Front Building Permit Application Division rce FL 34982 x: (772) 462-1578 Commercial Residential FOR: Mechanical t Back: Right Side: LIKE FOR LIKE A/C CI-IANGEOUT I HVAC L 6,as Tank ❑Electric❑ Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ Na Left Side: finis PeIII ui— Wecx an apply: ❑Gas Piping _Shutters ❑Sprinklers. F Generator SFt, of First Floor: _ Utilitles:11Sewer ❑Septic City: f� State: KL Zip Code: Fi.ax: Phone No.— E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed abovta) Name: CHRIS LANGEL Lot No. Block No. `—' ❑ Windows/Doors ❑ Roof = Roof pitch Building Height: 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: INFO@S EACOASTAI R.COM State or County License: CMC035421 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 1JPPEMENfiA OONSTRUCTION 1tEN LAW INFORM I10 a� SUPERVISOR r s DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: REVIEW REVIEW Name: REVIEW 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. ,, s Signature of Owner/Lessee/Contract—or—as—Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF sT LUCIE Ther Ing instr ent as acknowledg efore me this day of , 20 by STATE OF FLORIDA COUNTY OF STwaE The fpt�oing instr ent as acknowleciggc fore me this �E�''Ll day of , 20 �$—"`U- by CHRIS LANGEL 1 I CHRIS LANGEL (Name of person acknowledging I (Name of person acknowledging) ( nature of Notary Pub rsonally Known x Type of Identification Prc Commission No. FF941411 Revised 07/15/2014 State of Florida) (S nature of Notary Public- State of Florida ) OR Produced Identification Personally Known x OR Produced Identification _ Type of IdentificaA41fl!*& tw......,JUSTINALHOPKINS•CONNELLY �qp.��I. MY S30#FF 941411 Commission No. JMYCOAI�gbu1�NS�ONNELL' r••...•ua`�. EX�Decembers,2019 kFF941411 o BondodThm NOWry Public Undemdters I RPIRES: December s, 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i AHRI Certified Reference Number: 5831067 Date: 08-13-2018 Model Status : Active Brand Name: BARD Model Number: W42A2-AIW42L2-A Rated as follows in accordance with the latest edition of ANSI/AHRI 390-2003: Performance Rating of Single Package Vertical Air -Conditioners and Heat Pumps and subject to rating accuracy by AHRI-sponsored, independent, third party testing: AHRI Program: Single Packaged Vertical Air -Conditioners Hertz : 60 Cooling Capacity95F : 40000 EER 95F: 9.50 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling Proffering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Madel Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sellior offering for sale. Ratinosng that are accompanied by WAS indicate an involuntary re -rale. The new published ratina is shown alone with the previous (i.e. WAS) ratine. 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 producl(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.ahrld irectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and t 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, 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.alirldirectory.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. 4 - ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: aves4aszyasesss7