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HomeMy WebLinkAboutBuilding Permit ApplicationALL AP AB�tE: Nf0 BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: i �/` ,S Permit Number: _ Building Permit Application Planning and Development Services Building and Code Regulatlpn Division 2300 Virginia Avenue, Fort Phone: (772) 462-1553 I?,lerce FL 34982 Il:ax: (772) 462-1578 Commercial ' Residential X _ PERMIT APPLICATIO FOR: Mechanical Address"V Legal Description: �— I i Property Tax ID #i: Lot No. Site Plan Name; Block No. Project Name:r Setbacks FrontBack: Right Side; Left Side: LIKE R LIKE A/C C;.IANGEOLIT WI i .� tiona wor<to e a orme un ert spermit–checka appy: das ❑Gas Piping ❑ Windows/Doors HVAC Tank _Shutters 11 ❑ ❑Sprinklers ❑ Generator ❑ Roof Roof Electric Plumbing pitch Total Sq. Ft of Constructior S Ft, of First Floor: ❑Septic Cost of Construction: $ Utilities:[]Sewer Building Height: Name " N me: HRIS LANGEL Addre s _ y; SEACOAST A/C City: State:. Address: 3108 INDUSTRIAL 31st STREET Zip Code: Fax: 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 abve) State or County License: CMC036421 If value of construction is $2 ,00 or more, a RECORDED Notice of Commencement is required. IVI " "R N,TA CONSTRUCT101 LIEN lA l K c fulA �4N h 57 SUPERVISOR PLANS DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable 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 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 recordina your Notice of Commencement. Signature of Owner/Lessee/Contractor as-A&nt for Owner STATE OF FLORIDA COUNTY OF ST waE The'ng instr e w wled efore me this ay of , 2 by Signature of Contractor/License Holder STATE OF FLORIDA CO U NTY O F sr waa Th oing inst m cknowle efore me thi _day of 2by CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) 2( nature of Notary Put rsonally Known X Type of Identification Pr( Commission No. FF941411 Revised 07/15/2014 OR Produced Identification Bonded of Notary Public -State of Florida ) Personally Known X Type of Identification """ IiI Commission No. 2919 OR Produced Identification 2919 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. Certificate of Product Ratings AHRI Certified Reference Number: 201384662 Date: 09-13-2018 Model Status : Active Old AHRI Reference Number: 8242117 AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX160301F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT37C14A* 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 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 marketed but are not yet being produced," Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. R tig ih tar a an d by WAS indicate involuntary re -rate The new Published rating is shown along with the previous (i.e. WAS) ration. DISCLAIMER AHRI does not endorse the produchs) 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.al,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; Aim 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.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. ^r.t> ©2C18AT-Condltloning, Heating, and Refrigeration Institute '6i"FICATE NO.: 131813478198816365