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HomeMy WebLinkAboutBuilding Permit ApplicationALL APP . AB I 0 Ml11 BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date; AIB Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Ilerce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical Address: I IU Legal Description: Property Tax ID #i: Site Plan Names Project Name: � Setbacks Front. LIKE FOR LIKE A/C 16, L=IHVAC u_ Electric Total Sq. Ft of Constructic Cost of Construction: $ F Name Addres Back: Right Side Left Side: Lot No. Block No. Sq, Ft. of First Floor; _ Utilities: 0Sewer 75eptic City: ri - State: �L Zip Codei Fax: Phone No.rr)a— -7 l - �!> O E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed abbve) Name: CHRIS LANGEL 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@SEACOASTAI R. COM State or County License: CMC035421 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. �JP rL�I,U��t�TAL,COJ�ISTRUCTIO"N� L�£JU L.AW iNfi'M�fiQN DESIGNERIENGINEER: _ Not Applicable Name: %���, �� _ °� MORTGAGE COMPANY: _ Not Applicable Name: Address: SUPERVISOR REVIEW Address: VEGETATION REVIEW City: State: Zip: Phone: MANGROVE REVIEW City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: 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 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. ie& ywq ?L S Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIe Th ng instr e t acknowledg efore me thi�ay of 20�_by STATE OF FLORIDA COUNTY OF STLUCIe Th ng instr�7/�,,;,ent wfQs acknowledg efore me thiday of �.(J_t..JJ 20 1 0 by -11 CHRIS LANGEL 1 I CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) Known x OR Produced Identification Type of Commission No. FF941411 Revised 07/15/2014 Notary Public- State of Florida ) Personally Known x Type of Identification 6420119 I1I Commission No. OR Produced Identification December 6, 2010 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS w�■P.� CERTIFIED® www.ahridirectory.org awl • AHRI Certified Reference Number: 9198746 Date: 08-22-2018 Model Status : Active AHRI Type: RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA030*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L Region : Southeast and North (AL, AR, DC, DE, FL, GA, IT, 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. 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. R t ng ih t mp d by WASindicate involuntary rat Th n aubl' h d r fro is shown along with the previous (i. e. WA ra mg. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no respmrsibiI ty 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.alirldlrectory.org. TERMS AND CONDITIONS This Cedlgcate 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 manner or by any means, except for the user's Individual, AIR-CONDITIONING, HEATING, personal and confidential reference. g REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahtitllrectory.org, click on "Verity Certificate" link we make life butte,° 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.137794137128e51800 ©20181ir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..