HomeMy WebLinkAboutBuilding Permit Applicationj
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ALL APP CABLE INFO MlJ
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i 48
Permit Number:
Building Permit
Application
Planning and Development
Services
Building and Code Regulatipn
Division
2300 Virginia Avenue, Fort IIS(-'lerce
Phone: (772) 462-1553
FL 34982
Fx: (772) 462-1578 Commercial Residential X _
PERMITAPPLICATIO�
FOR: Mechanical
1
LII
Address:
IC.
Legal Description:
I
Property Tax ID H:
Lot No.
Site Plan Name: �^
Project Name: (L/
Block No.
Setbacks Front _- Back: Right Side:
Left Side:
i
I LIKE FOR LIKE A/C C6ANGEOUT �n
P
Y
I
Aallflo @I wor<toe e orme under tspermit—c ec
HVAC ;as Tank ❑Gas Piping
Electric Plumbing ❑Sprinklers
a appy:
_ Shutters ❑ Windows/Doors
FIGenerator Roof Roof pitch
Total Sq. Ft of Constructio is _ Sq. Ft, of First Floor:
Cost of Construction: $ t J Utilities: Sewer Septic Building Height:
I
Name _
Name: CHRIS LANGEL
Addre
City, t _ State: _
Company: SEACOAST A/C
Com an
Address: 3108 INDUSTRIAL 31st STREET
Zip Code: Fax: _
City: FT PIERCE State: FL
Phone No. L45
Zip Code: 34946 Fax: 772-466-3053
E -Mail: _
Phone No, 772-466-2400
Fill in fee simple Title Holc er 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 $200 or more, a RECORDED Notice of Commencement is required.
I PPI EM NTA1 CONSTRUCTION LIEN LAW INF®�MA
s � r
ZONING
SUPERVISOR
JON,
w
DESIGN ERIENGINEER: Not Applicable
MANGROVE
MORTGAGE COMPANY:
_ Not Applicable
Name:
REVIEW
Name:
REVIEW
Address:
REVIEW
Address:
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 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
commencingwork or recordin our Notice of Commencement.
�_Xw lel�
s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
STATE OF FLORIDA
COUNTY OF STLUCIE
Theoing ins owledge ore me The oingins entw c nowled efore me
this ` day of , 20 _ y this day of 201t,
0 by
CHRIS LANGEL -- I CHRIS LANGEL
(Name of person acknowledging I (Name of person acknowledging )
of Notary
Personally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification
EXPIRES.` December 6, 2019
Bonded ThN Nelery Public 0nd0 W t0M
of Notary Public- State of Florida )
Personally Known x
Type of Identificatio
Commission No.
OR Produced Identification
612019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
AHRI Certified Reference Number: 201850792 Date: 09-05-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series: GSX16
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX163241A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT33C14B*
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
selling or offering for sale.
Ratinas that are accompanied by WAS indicate an involuntary re rate. The new published rating Is shown along with the previous (i.e. WAS) rating.
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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 tate
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; PM
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 tiled on this certificate can be verified at www.alirld[rectory.org, click on "Verify Certificate" link we make life betrer^'
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 Institute CERTIFICATE NO.: 131806290099366233