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HomeMy WebLinkAboutBuilding Permit ApplicationALL APP II L NF MU COMPLETED FOR APPLICATION TO BE ACCEPTED Date:— E ` I EMN Permit Number: Building Permit Application Planning and Development Services Building and Code Regulati n Division 2300 Virginia Avenue, Fort Phone: (772) 462-1553 Pierce FL 34982 IFax: (772) 462-1578 Commercial ' Residential X _ PERMIT APPLICATION FOR: Mechanical 1 SII Address: 1 Legal Description: i I i Property Tax ID #: Lot No. Site Plan Name, Block No. Project Name:,l _ Setbacks Front I_- Back: Right Side: I Left Side: LIKE FOR LIKE A/C C�iANGEOUT ona wor<ta e e orme un ert ispermit—c ec TZHVACids Tank n❑Gas Piping Electric �P,lumbing ❑Sprinklers a appy: _ Shutters ❑Windows/Doors Generator Roof Roof pitch Total Sq. Ft of ConstructW: SCI. of First Floor: Cost of Construction: $ —I Utilities: I _I Sewer Septic Building Height: Name Name: CHRIS LANGEL Addre . ompany: SEACOAST A/C City: State. Address: 3108 INDUSTRIAL 31st STREET Zip Code; ax: City: FT PIERCE State: F� 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 $2 ,00 or more, a RECORDED Notice of Commencement is required. :J w L+NACOISTRUfi�[�i LlEfy LAINiE3Ulx q > ZONING SUPERVISOR PLANS DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: REVIEW Address: Address: REVIEW City: State: _ City: State: Zip: 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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 vour Notice of Commencement. Signature of Owner/Lessee/Contractor a'�ent for Owner STATE OF FLORIDA COUNTY OFSTLUCIE yy.��"� TheAday Ing ins tr e t a owledg Tore me this of 20 y v'i // �. s Signature of Contractor/License Holder STATE OF FLORIDA COLIN Y OF sTTlLUCIE Th f r Ing instrTrr ,r powledg fore me this day of 20 y CHRIS LANGEL 1 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) 2( nature of Notary Public- State of Florida I / rsonally Known X OR Produced Identification Type of Identification Prod _- —'-"'� k )' JU6TINALHOPKINS•CONNELLY xg•_ Commission No. FFa4lali z +�� MY �IDecemON berli,FF 411 EX� Decemher6, 2019 '6LoF,;frbC` BondedThm NolaryPubllo UndOmtllem Revised 07/15/2014 is nature of Notary Public- State of Florida ) Personally Known X OR Produced Identification _ Type of Identification Pr- X67IJ���{+"� Commission No, FF9414 t° �f' S-0 941411' ,u MV COhgAdAo�gFF 941411 ,. ,m \ pOXOIRHS: Deoembere, 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 9170109 Date: 09-14-2018 Model Status : Active AHRI Type: RCU-A-CB Series: COMFORT 16 AC Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ABC636A*030* Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)003L 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 Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sellingo=g.=,,. Return d by WAS' d t an'n I t ry r -rat Th publi h d ratio h a w'th th p (' WAS) ti a 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.ahridIrectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRL This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, br whole or in 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.a11rldIrectory.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. "' ©2018Air-Condition ing, Heating, and Refrigeration Institute C&R IFICA'TE NO.: 131819293896137910