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HomeMy WebLinkAbout20180815104348702ALL APPLICABLE INFO M01 T BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: — L Permit Number: Building Permit Application Planning and Development Services Building and Code Regulatign Division 2300 Virginia Avenue, Fort It rce FL 34982 Phone: (772) 462-1553 11lFax: (772) 462-1578 Commercial Residential X PERMITAPPLICATIO� FOR: Mechanical Address: Legal Description: Property Tax ID #i: ( ),' Site Plan Nam I Project Name: ' Setbacks Front Back: LIKE FOR LIKE A/C Cl-iANGEOUT i E,- Fill in fee simple Title He from the Owner listed a of construction is 0 Side: Left Side: I. au aNNlY• Piping _ Shutters nklers Generator _ S Ft. of First Floor: _ Utilities: oSewer E]Septic Lot No. Block No. Windows/Doors 11 Roof = Roof pitch Building Height: Name: CHRIS LANGEL Company: SEACOAST A/C State:Ev Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL lbq Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 on next page ( if different E -Mail: INFO@SEACOASTAIR.COM State or County License: CMC036421 or more, a RECORDED Notice of Commencement is required. LJHVAC I 1 Cas Electric P Tank rL lumbing L Total Sq. Ft of Constructi n• Cost of Construction: $ L� Fill in fee simple Title He from the Owner listed a of construction is 0 Side: Left Side: I. au aNNlY• Piping _ Shutters nklers Generator _ S Ft. of First Floor: _ Utilities: oSewer E]Septic Lot No. Block No. Windows/Doors 11 Roof = Roof pitch Building Height: Name: CHRIS LANGEL Company: SEACOAST A/C State:Ev Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL lbq Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 on next page ( if different E -Mail: INFO@SEACOASTAIR.COM State or County License: CMC036421 or more, a RECORDED Notice of Commencement is required. CONSTR�GTION�I,)EN�LA1�11�U�0@M�I�TI©N v.,, ..1• ... :. ., tt 1, ... !.ib ....-., f... ,., •:�:�. � � �, rl"i,C>...,• ,�. � rurYN�� � EER: _Not r!777ie: Applicable MORTGAGE COMPANY: Name:Address:State: Not Applicable SEA TURTLE MANGROVE COUNTER Phone: REVIEW City:State: Zip: Phone: REVIEW FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: Name: _Not Applicable 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 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 recordine vour Notice of Commencement. _Xw Signature of Owner/Lessee/Contractor as gent for Owner STATE OF FLORIDA COUNTY OF ST LUCIE Theegging inst t cknowledg efore me this ay of , 20 by vv // � s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF eT LUCRE Theping instr ent w acknowledg fore me this day of 20 by CHRIS LANGEL'U I CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) ( nature of Notary Public- State of Florida) 0 (S/nature of Notary Public- State of Florida ) rsonally Known x OR Produced Identification U Personally Known x OR Produced Identification Type of Identification Prod Type of Identification Pr JUSTINA L HOPKINS•CONNELLY �6„rI'IWllegdyyy� FF941411>: .oi MY�ISSiUN#FF941417 Commission No. FF9474 = IaNp.1gMS-0ONNELI,' Commission No. _ - a. ,n MYCDMtS,Iit7YNN#FF 941411 >W EX December 6, 2019 ,�}� Bonded Thm Notary NOD Ixlemdlers � ®+�laipES,December 6,2019 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ra!jings AHRI Certified Reference Number: 201907216 Date : 08-15-2018 Model Status: Active AHRI Type: RCU-A-CB Series: DAVE LENNOX SIGNATURE XC21 SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : XC21-060-230-11 Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-048-230*+TDR 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. f"Active" Madel 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. Rat a ih t r a mean' d by WAS indicate an' loot ry re -rate. Th w published lino 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 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.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 mamrer or by any means, except forthe user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION 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 un which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. 131788096700700798 02018Air-Conditioning, Heating, and Refrigeration Institute 10,ERTIFICATE NO.: