HomeMy WebLinkAboutBuilding Permit ApplicationALL APP'yLIICCABLE INF MI{J�BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (,–��—li ( \ Permit Number:
Building Permit Application
Planning and Development) Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort I fierce FL 34982
Phone: (772) 462-1553 ,9=ax: (772) 462-1578 Commercial ' Residential x
PERMIT APPLICATION FOR: Mechanical
Address: Z )1\l
Legal Description:
Property Tax ID #:
Site Plan Namg.–
Project Name:
Setbacks Front_
LIKE FOR LIKE C
❑✓_ HVAC I =I
11 Electric 0
Total Sq. Ft of Constructk
Cost of Construction: $
N
Back: `Right Side: v Left Side:
;Tank
robing
UT
Qno
c �y-)-LY l-�
nit – cneCK all � apply:
Piping _ Shutters
nklers ❑ Generator
_ SFt. of First Floor: _
Utllitles:n Sewer 7 Septic
I U
Name: CHRIS LANGEL
City: State:V
Zip Code:
Phone NoL44LA t_
E -Mail:
Fill in fee simple Title Holler on next page ( if different
from the Owner listed abbve)
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@SEACOASTAI R.COM
State or County License: CMC035421
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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
commencing work or recording our Notice of Commencement. A
s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The Ing instru e t was acknowledg fore me
thi day of � 20 ,
CHRIS LANGEL 1
(Name of person acknowledging)
personally Known x
Type of Identification P
Commission No, FF941411
Revised 07/15/2014
OR Produced Identification
9onOdThN
FF 941411
or 6.2019
STATE OF FLORIDA
COUNTY OF STwaE
TheIng instru ent was acknowledg efore me
this ay of _, 20 � by
CHRIS LANGEL
(Name of person acknowledging )
(Sr nature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification PreAuz
2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicabley
Name:
REVIEW
Name:
REVIEW
Address:
REVIEW
Address:
DATE
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
COMPLETE
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
INITIALS
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
commencing work or recording our Notice of Commencement. A
s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The Ing instru e t was acknowledg fore me
thi day of � 20 ,
CHRIS LANGEL 1
(Name of person acknowledging)
personally Known x
Type of Identification P
Commission No, FF941411
Revised 07/15/2014
OR Produced Identification
9onOdThN
FF 941411
or 6.2019
STATE OF FLORIDA
COUNTY OF STwaE
TheIng instru ent was acknowledg efore me
this ay of _, 20 � by
CHRIS LANGEL
(Name of person acknowledging )
(Sr nature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification PreAuz
2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
AHRI Certified Reference Number: 201384392 Date: 08-24-2018 Model Status: Active
Old AHRI Reference Number: 8242082
AHRI Type: RCU-A-CB
Series: GSX16
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX160481 F*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A*
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,
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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
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
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soiling or offering for sale.
R fnq th t mpani d by WAS indicate an involuntary re -rale The new published rating is shown along with the previous (i.e. WASI rating.
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02018Air-Conditioning, Heating, and Refrigeration Institute 'CERTIFICATE NO.: 13179602429088 1 9212