HomeMy WebLinkAboutBuilding Permit ApplicationALL AP AB(J.E.�jNFO
T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' 'I
_ Permit Number: _
W.
Building Permit Application
Planning and Development
Services
Building and Code Regulation
Ilerce
Division
2300 Virginia Avenue, Fort
FL 34982
Phone: (772) 462-1553
IFax: (772) 462-1578 Commercial ' Residential X _
PERMIT APPLICATION
No
FOR: Mechanical 1
Address:�ll
Legal Description:
I
I
Property Tax ID #:
— — — Lot No,
Site Plan Na
_
— Block No.
I'
Project Name:
n
C.
Setbacks Front —_ Back: Right Side: Left Side:
LIKE FOR LIKE A/C C�iANGEOUT
i
Additional work tojee orme un ert —c spermlt eITa appy:
HVAC I ;as Tank Piping Shutters ❑ Windows/Doors
I _
�❑jjGas
F ]Sprinklers
Electric Plumbing Generator Roof Roof pitch
Total Sq. Ft of Constructio SFt. of First Floor:
o
Cost of Construction: $ Utilities:�Sewer Septic Building Height:
i
i
Nam Name: CHRIS LANGEL
Addres Company: SEA COAST A/C
City: State: Address: 3108 INDUSTRIAL 31st STREET
Zip Code:'._ Pax: City: FT PIERCE State: FL
Phone No. Zip Code: 34946 Fax: 772-466-3053
E -Mail: _ Phone No, 772-466-2400
Fill in fee simple Title Holder on next page ( if different E -Mail: INFO@SEACOASTAIR,COM
from the Owner listed above) State or County License: CMC035421
If value of construction is $2.00 or more, a RECORDED Notice of Commencement is required.
SPL= ME�7T��l�CONSTI2U�T10�1a1�LIEN'L�A� IJ�
M r � � �
� ���
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
REVIEW
Name:
REVIEW
Address:
DATE
Address:
City:
State:
City:
State:
Zip: Phone:
COMPLETE
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
INITIALS
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.
(e& Y� '& '
S
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sT Luc1E
Thefor oing inst t nowlecig fore me
thistay of. 20� eby
STATE OF FLORIDA
COUNTY OF STLUCIE
TheogoingnstRentw cknowled fore me
this I dayof_ 20 by
CHRIS LANGEL 1 1 CHRIS LANGEL
(Name of person acknowledging) I (Name of person acknowledging )
ature
ersonally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
of Florida
OR Produced Identification
iNOFF941411
:mbar s, 2019
Public Uf ON41am
Notary Public- State of Florida )
Personally Known x
Type of Identification
Commission No, FF941
OR Produced Identification
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: 201850517 Date : 09-09-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series: GSX 16
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX160241 F'
Indoor Unit Model Number (Evaporator and/or Air Handier) : ASPT33C14B'
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.
1"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.
Ratngs that are accomoan ed by WAS Ind'cale an involunlary re -rale. The new published rating is shown along with the previous (i.e. WA51 rating.
DISCLAIMER
AHRI does not endorse the producl(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes On responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all Ilabllity 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,ah ridirectory.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; filmenlered Into a computer database; or otherwise utilized, in any form or manner or by any means, except fertile 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.alirldlrectory.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.
02018Air-Conditioning, Heating, and Refrigeration InstituteRTIFICATE NO.: 131809731689476634