HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO Mi11JST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /d aq O'—_
Permit Number:
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Building Permit
Application
Planning and Development
Services
Building and Code Regulatirn
Division
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
I
Pierce FL 34982
IF= (772) 462-1578 Commercial " Residential X _
PERMITAPPLICATIO�
FOR: Mechanical
Address: 5 1( C G
Iss i 'o Dr
Legal Description: _�—
I
Property TOx ID H: J
t�
0 Lot No,
Site Plan Name:
Block No.
Project Name:CSCS
i
a Ore
�1
Setbacks Front Back: Right Side:
Left Side:
;;L TON,
LIKE FOR LIKE A/C C-1ANGEOUT
dditionalwor<to e e a mied under tspermit–checka appy:
eas ❑Gas Piping ❑Windows/Doors
HVAC Tank
_Shutters
Electric OPIlumbing ❑Sprinklers
Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Sq. of First Floor:
Height:
Cost of Construction: $ _�.— Utilities:
L�SewerSeptic Building
I
Name 50 t' q 06rl�e
Name: CHRIS LANGEL
Address: S q 1 14 "ol CY .
Company: SEACOAST A/C
City: >� (`4 ��r�� ._ State: `G
Address: 3108 INDUSTRIAL 31st STREET
Zip Code: yq vL I=ax:
�.
City: FT PIERCE State: FL
Phone No. %2 ' 7' 3
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: CMC036421
If value of construction is $2400 or more, a RECORDED Notice of Commencement is required.
i
DESIGNI
Name:
Address
City:
Zip: _
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City: —
Zip: —
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. LucieCountyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which 1s in cantlictwith 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 he recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comljmeeencciin work or recordingour Notice of Commencement.
VL/L � � s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY OF ST LUCIE
The forggoing instrument/was acknowledged before me
this YY day of 00
( I / , 20 ! Sby
CHRIS LANGEL 1
(Name of person acknowledging)
f ersonally Known x
Type of Identificatlon
Commission No. FF941411
Revised 07/15/2014
OR Produced Identification
BondedThm
FF 941411
Sr 6.2019
STATE OF FLORIDA
COUNTY OF Sr Lucie
The forgoing instrument as acknowledged before me
this day of �C I c �� f 20 /cJ' by
CHRIS LANGEL
(Name of person acknowledging )
A I n
(SlAnature of Notary Public- State of Florida )
Personally Known x
Type of Identificatio
Commission No. M
OR Produced Identification
2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
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: 10259374 Date: W-26-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series: MERIT 14ACX SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : 14ACX-024-230A**
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-024-230*+TDR
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, OA, 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 BUTS still
selling or offering for sale.
Rations that are accompanied by WAS indicate an involuntary re -rale... The new 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 the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahridnectury.org.
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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.
OO 2018Air-Conditioning, Heating, and Refrigeration Institute �'RT���CA�E NQ,; 131859624477454759