HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO Ml1ST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -
__ Permit Number: _
Building Permit Application
Planning and Development
Services
Building and Code Regulati
n Division
(pierce
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
FL 34982
(fax: (772) 462-1578 Commercial ' Residential X _
PERMITAPPLICATION FOR: Mechanical
MEM
Address:
Legal Description:
I
i
�7 r
Property Tax ID #: S l '-000 - Lot No.
Site Plan Name: Block No.
Project Name: 7!r_fin u pli'( y
Setbacks Front Back: Right Side: Left Side:
Li i 11� 1
LIKE FOR LIKE A/C C(I1ANGEOUT
,
lona wor<to be elormed under this perms — check all that appy:
HVAC Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
las
❑Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction; _ S�Ftj, of First Floor;
Utilities: I ❑Septic Building Height:
Cost of Construction: $�� _JSewer
mmm. iflip =
Name >`a i`I �ONbL Name: CHRIS LANGEL
Address:� SEACOAST A/C
Company:
/n State: FL Address: 3108 INDUSTRIAL 31st STREET
City: P52—
_
Zip Code: 3'1 q,5I:ax: 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: CMC035421
if value of construction is $2 00 or more, a RECORDED Notice of Commencement is required.
i
Sl1PPLEVAN M AL CQN3TRUCTIO�N LIEN`LAW IIVI0�3MATt0N
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
DESIGNER/ENGINEER: _
Not Applicable
REVIEW
MORTGAGE COMPANY:
_ Not Applicable
Name:
REVIEW
REVIEW
Name:
Address:
Address:
City:
State:
City:
State;
Zip: Phone:
Zip: Phone:
INITIALS
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 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
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 STLecIE
The forgoing instrument was cknowledged pkefore me The forgoing instrument was acknowledged before me
this / grdayof C( �C)�e 20 125by thisdayof ( ic76.Q/ ,20 /�by
CHRIS LANGEL 1 I CHRIS LANGEL
(Name of person acknowledging I (Name of person acknowledging )
of Notary Public -State of
I ersonally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification �
Bonded
FF 941411
or 6.2019
of Notary Public- State of Florida )
Personally Known x
Type of Identification
Commission No.
OR Produced Identification
2019
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.
• •' • Z • •
4111
AHRI Certified Reference Number: 202208516 Date: 10-17-2018 Model Status: Active
AHRI Type: SP -A
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GPC1536H41 B`
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.
The manufacturer of this AMANA DISTINCTIONS product is responsible for the rating of this system combination.
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 Slapped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or sale.
Rating thoffering t r for ma d by WAS indicate I tary re -rate The new published rafng is shown along 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.altridirectory.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; tin
entered into a computer database; or otherwise utilized, in any farm 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.altridirectory.org, click on "Verify Certificate" link we make life better -
and enter the 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' -<-' - 131842772820307944
02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: