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HomeMy WebLinkAboutBuilding Permit ApplicationALL APP jABB ILE INFO ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (—-- Permit Number: _ i tEi'�`494a � Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort plerce FL 34982 Phone: (772) 462-1553 I -ax: (772) 462-1578 Commercial Residential X _ PERMIT APPLICATION FOR: Mechanical Address: Legal Description: I i Property Tax ID #: Lot No. Site Plan Name: nn Block No. Project Name: C� Setbacks Front IBacl<: Right Side: Left Side: LIKE FOR LIKE A/C C�IANGEOLIT I �I , 5 r� 1 b I� tions work to ele Orme under tispermit—c ec a appy: HVAC Sas Tank ❑nGas Piping _fflShutters Q Windows/Doors Electric Plumbing OSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S", Ft, of First Floor: Cost of Construction: $ _u � ; �. l Utilities:�Sewer Septic Building Height: 1 Name LL Name: CHRIS LANGEL Addr Company: SEA COAST A/C City: State: Address: 3108 INDUSTRIAL 31st STREET Zip Code 1=a 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 abihve) State or County License: CMC036421 If value of construction is $2 00 or more, a RECORDED Notice of Commencement is required. P LEi111 1Tp�GC±NSTRUCTIOf LEEN CAW (NEAR ATT x SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: COMPLETE Address: City: State: City: State: Zip: Phone: 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 CountyY makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure. Pleasecconsult with yolur Hlome Owners Association landrreview your deed for any restri tions which restrictor alprohibit such 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-residentlal 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/Contractor a's A ent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE Theo going instru s owled fore me this day of , 201by STATE OF FLORIDA COUNTY OF sTwcm The fo�g oInginst e t knowledg fore me this�--k—dayof 20 by CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) re of Notary Personally Known x Type of Identification Commission No. FF941411 Revised 07/15/2014 of Florida OR Produced Identification EXAM! December 6, 2019 Bonded Thar Notary Publ!o Undeiwdlers of Notary Personally Known x Type of Identification Commission No. State of Florida ) OR Produced Identification December 6, 2019 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS • e e 10 AHRI Certified Reference Number: 9194891 Date: 09-11-2018 Model Status : Active AHRI Type: RCU-A-CB Series: 14 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA14NA060*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP060L Region : Southeast and North (AL, AR, DC, DE, FL, GA, Hi, 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 sellngor offering Ruing h Iona with the previous (i.e. WAS) rating. He _ DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility 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.ahrid 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 confidential reference purposes. The contents of this Certificate may not, in whole arm 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. &IR REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link me 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. "''' 131811410040298599 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..