HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MLIIST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S! i__
Permit Number: _
- -
Building Permit Application
Planning and DevelopmentlServices
Building and Code Regulation
lI
Division
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
lerce FL 34982
Fax: (772) 462-1578 Commercial ' Residential X _
PERMIT APPLICATION
FOR: Mechanical
Address: LIL�0
�'`I�V ay M 10S
a—
Legal Description:
I
Property Tax ID #: u �I
�5
�' V - 0/7-0 Lot No.
ame:_
Site Plan Name.!—)
Block No.
Project Name: e U , •_
(R✓
Setbacks Front___ Back: Right Side: Left Side:
Ali
LIKE FOR LIKE A/C C 1ANGEOUT 3. 3 LG r CQ 46 N
M011
trona wor<to e e or undert spermit-check aappy:
HVAC as Tank Gas Piping _ Shutters Q Windows/Doors
L1 Electric 1j dumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Constructi//o1n1: _ SQ. Ft. of First Floor:
Cost of Construction: $ � (/I , Utilities: Sewer Septic Building Height:
%
j
Name �V.' N vt I Name: CHRIS LANGEL :Emil
Address: LA -1 � 5 lY11,11 Sz Ror. Company: SEACOAST A/C
2 1 4,1 _v ate: _/r Address: 3108 INDUSTRIAL 31st STREET
City: u'f-' I
Zip Code: City: FT PIERCE State: FL
Phone No. 7 U 3�p-'T5 I Zip Code: 34946 Fax: 772-466.3053
E-Mail:'rN SC4' X -S- Q: r•W/V�--- Phone No, 772-466-2400
Fill in fee simple Title Holcjer 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 $200 or more, a RECORDED Notice of Commencement is required.
S PpLEIVIENAL CONSTRUCTION LIEN LAUV I(�fORMATION
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DESIGNER/ENGINEER: _Not
Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. Pleasieeconisult any
happlicable
oiur HomeOwnners Association Association
drreviebylaws
v ur deed for any restrictions which rmaor
alprohibit such
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
commencin work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as�gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF -ST Lucie
The forgoing instru en w s acknowledged b ore me
this day of 20 I Y
CHRIS LANGEL'�-
(Name of person acknowledging )
blic-
1 ersonally Known x OR Produced Identification
Type of Identification Prod
Commission No. _FF941411
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru�j entw s acknowledged b ore me
this 3 day of 11/Dy , 20 by
CHRIS LANGEL
(Name of person acknowledging )
A i n
(Sfknature of Notary Public- State of Florida )
Personally Known x
Type of Identification
FF 941411IFI Commission No,
er e. 2016
OR Produced Identification
612019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
AHRI Certified Reference Number: 201855388 Date: 11-05-2018 Model Status: Active
Old AHRI Reference Number :
Product : Water -to -Air and Brine -to -Air
Model Number : LV070-1VT/CFN'"TIA*B "*S
Manufacturer Name : BOSCH THERMOTECHNOLOGY CORP
Brand Name : FHP
Rated as follows in accordance with ANSIIAHRI/ASHAREIISO Standard 13256-1 Water-toAir and Brine -To -Air Heat Pumps and subject to
verification of rating accuracy by AHRI-sponsored, independent third party testing:
Air Flow Rale - Cooling:
Air Flow Rate - Heating:
WLHP (Water -Loop Heat Pumps)
Cooling Capacity (Binh)
Cooling EER Rating (Btuh/watt)
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Bluh)
Heating Cop (watt/watt)
Heating Fluid Flow Rate (gpm)
GWHP (Ground Water -Heat Pum
GLHP (Ground Loop Heat Pi
Cooling Capacity (Stan)
Cooling EER Rating (BtuhNVat
Cooling Fluid Flow Rate (gpm)'
Heating Capacity (Binh)
Healing COP (watt/watt)
Heating Fluid Flow Rate (gpm)
Indoor Blower Motor Fan Type :ECM
Sold In? : USA
Full Load Part Load1
2100
65200
14.60
16.00
71800
Part Load2 PartLoad3
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 fering for sale.
R fi tith oft mpa d by WAS indicate an'nvoluntary re -rale The new published ratino is shown along with the previous (i.e. WASI 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 produchs) 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.ahridirectory.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 arm 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 farthe model cited on this certificate can be verified at www.ahrid[rectory.org, click on "Verify Certificate" link we make life hate,"
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. .a.
131859168167679911
02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: