HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MILT
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /o ) q11
Permit Number: _
Building Permit Application
Planning and Development
Services
Building and Code Regulotipn
Division
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
Ilplerce FL 34982
Fax: (772) 462-1578 Commercial Residential X _
PERMITAPPLICATIO�V
FOR: Mechanical
Address: 600D
CO 0 M � C�1
Legal Description:
I
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Property Tax IDl' '— y� a �60� ✓OC�10 ` Lot No.
Site Plan Name: I_ Block No.
Project Name: S Q 1Cit/ i�tQr —
Setbacks Front eac Right Side: Left Side:
LIKE FOR LIKE A/C CyiANGEOUT Seer,
Additional wor<toe e orme under tspermit—checka apply:
❑✓ bas F( ]Gas Piping M�Shutters ❑ Windows/Doors
HVAC Tank
1lumbing oSprinklers Generator ❑ Roof Roof pitch
❑Electric 17I
Total Sq. Ft of Construction: _ 2 S Ft. of First Floor:
O ❑Septic
Cost of Construction: $ 7' 1, D Utilities:oSewer Building Height:
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Name s� q iv ei a Q1— Name: CHRIS LANGEL
fi�r--
Address: &O C4 /M /� Company: SEACOAST A/C
n�g
City: %dr -t pi`e/Ce State: Address: 3108 INDUSTRIAL 31stSTREET
Zip Code: 3 14 q y -7!. Fax: City: FT PIERCE State: FL
Phone No. 7 %Z ' �/_ Zip Code: 34946 Fax: 772.466-3053
_�-610
E -Mail: _ Phone No, 772-466-2400
FIII 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: CMC035421
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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S�PPLEM�N�'AC. GONSTRUCTCO�N LIEN LAW f�V��RMATI�N
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p � ; ,
DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
REVIEW
City:
Zip: Phone:
State:
'City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
COMPLETE
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count yy 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.
% v'i� s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY O F ST LUCIE
STATE OF FLORIDA
COUNTY OF STLUCIE
The for oing instrum�rent was acknowledged before me The forgoing instrument was acknowledged before me
this 7 day of 0 6G 0.�J 9% , 20 �y I this/C( day of OCIC)6-el 20 /,y by
CHRIS LANGEL -- I CHRIS LANGEL
(Name of person acknowledging) I (Name of person acknowledging )
ersonally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
of
OR Produced Identification
Notary
Personally Known x
Type of Identification
1411 ([ Commission No.
2619
State
OR Produced Identification
'JSIUN k FF 941411
Decambar6, 2oi9
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
r =_0 a • •
AHRI Certified Reference Number: 9198746 Date : 10-19-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series: 16 SEER AC
Outdoor Unit Brand Name : CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA16NA030*0**A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L
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.
Ratings that are accompanied by WAS indicate an involuntary re -rale. The new published ratinq is shown alone with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI does not endorse the products) 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.altridlrectory.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;
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.alirldirectory.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.
02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131844265096216707