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HomeMy WebLinkAboutBuilding Permit ApplicationALL APP ABLE INFO M IY
Date: Lt
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1 Permit Number: _
Building Permit Application
Planning and Development
Services
Building and Cade Regulati
n Division
2300 Virginia Avenue, Fort(('lerce
Phone: (772) 462-1553
FL 34982
Fax: (772) 462-1578 Commercial ' Residential X _
PERMIT APPLICATION FOR: Mechanical
Address:
Legal Description: I
_
I
i
Property Tax ID #:
i_.,t_ Lot No.
Site Plan Name Block No.
Project Name: r JH2aQzM
Setbacks Front (Back: Right Side: Left Side:
LIKE FOR LIKEA/C C 1ANGEOUT
trona wor<to"Mome under tspermit—checka appy:
HVAC _as Tank ❑Gas Plping _ Shutters ❑ Windows/Doors
Electric Plumbing ❑Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction': SQ. Ft. of First Floor:
Cost of Construction: $ Utilities: 0Sewer Septic Building Height:
j
Name Name: CHRIS LANGEL
Address: ompany: 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 ab¢Ve) State or County License: CMC036421
If value of construction is $2100 or more, a RECORDED Notice of Commencement is required.
ONS fRUCTION LIEN l A1�U IN
�RMAibN r..�.
ZONING
"ER:
PLANS
_Not Applicable
MORTGAGE COMPANY:
Not ApplicableName:Address:State:
777='�'
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
City:
State:
Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
_Not Applicable
Name;
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 County 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
commencingwork or recordin our Notice of Commencement:
s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Halder
STATE OF FLORIDA
CO U NTY OF ST Lucie
The g Ing instru nt ledg fore me
this day of 20 y
STATE OF FLORIDA
COUNTY OF STLuCIE
Theginginst w aknowledg b are me
this day of 20 by
CHRIS LANGEL 1 I CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
2irs
nature of Notary Puc- State of Florida ) (S/nature of Notary Public- State of Florida )
Public-
onally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Prod Type of Identification Pr
JUBRALHOPKINS•CONNELLY IO{,L{ N�y FMIi� i
Commission No. FF9414f1 ;*, .*s MY�I56iUNkFF941411 Commission No. FFsa�a '` MVICpMAtl�u�ibNkFF94N4111
a: EX Decem6er6,2U19 :r: �,:�#�
o€•. BondedTArvNaI�7Publ!cUrcJeredlnrs ".f c1fe a Xf?IfiES;.December6,2019
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
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: 201152968 Date: 09-14-2018 Model Status : Active
Old AHRI Reference Number: 7428124
AHRI Type: SP -A
Series : GPC14
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GPC1442H41E`
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.
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 Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings 'th tar a ni d by WASindicate an involunta, re -rate The new published reline Is shown alone with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI does not endorse the product(s) 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.atiridlrectory.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; AM
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 cenfdential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information forthe model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we make life better"'
and enterthe AHRI Certified Reference Number and the dale on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right, reg„ n
137814257329149471
©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: