HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO M DSII
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / SO �I
i
_ Permit Number:
Building Permit Application
Planning and Development
Services
Building and Code Regulatipn
Division
2300 Virginia Avenue, Fort
Phone: (772) 462-1553 IPax:
plerce FL 34982
(772) 462-1578 Commercial ' Residential X _
PERMITAPPLICAT10�
FOR: Mechanical
Address:(1")6;111-1
_,160N �e C' r'
Legal Description:
I
Property Tax ID 0:
la L �/L-�/`� Lot No.
Site Plan Name:
Project Name: f/V a �
Block No.
Qr � L'i�t
Setbacks Front Back: Right Side; LeftSide:
LIKE FOR LIKE A/C Cy1ANGEOUT QPr� �Q� r ✓l/'
i
Additional wolr<to be periormed under ts permit - criecka appy:
]Gas Shutters ❑ Windows/Doors
HVAC�I Tank Piping
Electric �Pilumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _ Sq, Ft.of First Floor:
oSewer Height:
Cost of Construction: Utilities: Septic Building
t
Name Q(a I Name: CHRIS LANGEL
Address:06Z-lq Company: SEACOAST A/C
City: % ! PSG State: �G Address; 3108 INDUSTRIAL 31st STREET
Zip Code: 3ti ot S ( I ax: City: FT PIERCE State: F�
Phone No, �0 Zip Code: 34946 Fax: 772-466-3053
E-Mal1. 7 jeGCO�S�G r.GOeil/� 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 above) State or County License: CMC036421
If value of construction is $251,00 or more, a RECORDED Notice of Commencement is required.
i
N�.1EN LAW 1�1�'®RMA'T�0N
$�UPPLEN�E77tY:
MORTGAGE COMP
�=
Not ApplicableName:Name:Address:Address:City:State:
DESIGNER/Eot Applicable
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
City:Zip:
Zip: Ph
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
COMPLETE
BONDING COMPANY:
Name:
_Not Applicable
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, sighs, 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
commme�ncin work or recordingour Notice of Commencement.
A
Signature of Owner/Lessee/Contractor asi�gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY OF ST Lune
STATE OF FLORIDA
CO U NTY O F ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument Was acknowledged before me
this 30 day of [7G lO��/ 20 Eby this 3 day of r6* , 20 �r
CHRIS LANGEL -- I CHRIS LANGEL
(Name of person acknowledging) I (Name of person acknowledging )
I ersonally Known x
Type of Identification
Commission NO. `F9 1411
Revised 07/15/2014
State of Florida ) / 1
OR Produced Identification
W GGA: JUSTINALHOPXINS•00NNELLY
MYWSSI0N k FF 941411
Y.c a EX December 6, 2019
tf,Ae.f\��, asndsd ThNAslary Public Urnlervmlers
(S/knature of Notary
Personally Known x
Type of Identification
Commission No. FF94
of Florida )
OR Produced Identification
December 6, 2919
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
AHRI Certified Reference Number: 9193673 Date: 10-30-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series : 14 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA14NA036*0**A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF036L+TXV
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, NO, 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.
f"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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
R t' u th t ar a mp d by WAS indicate t ry re -rate. Thenewgublished rarna' h n i nq with th o f 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 products) 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 alteratlon of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
directory at www.alirldiroctory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Indlvldual, personal and
confidential reference purposes. The contents of this Certificate may not, In whale or In part, be reproduced; copied; disseminated; AM
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.alividirectory.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. 131853967604743370 '
02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.;