HomeMy WebLinkAboutCONSTRUCTION MATERIALS PERMITALL APPLICABLE INFO MLIJST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: _
Building Permit
Application
Planning and Development
Services
Building and Code Regulatipn
Division
Il-lerce
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
FL 34982
II:ax: (772) 462-1578 Commercial Residential _
PERMIT APPLICATION
FOR; Mechanical
Address:
i
Legal Description:_ I—
I
Property Tax ID 4,
Lot No,
Site Plan Name: I_ p n
p 0
Block No.
r�
Project Name: C C
Setbacks Front I_- Back: Right Side:
Left Side:
IY �
LIKE FOR LIKE A/C C-1ANGEOLIT
I
i
Additional work e e orme un ert ispermlt—checka
HVAC ejas Tank Piping
appy:
Shutters Windows/Doors
n❑Gas
Electric Fj lumbing ❑Sprinklers
f Generator Roof Roof pitch
Total Sq. Ft of Constructio _
Sq. Ft. of First Floor:
7Septic Building Height:
Cost of Construction: $ Utilities: Sewer
4
a e: CHRIS LANGEL
Address: (�_
Company: SEACOAST A/C
City: State;
Address: 3108 INDUSTRIAL 31st STREET
Zip Code: Fax:_
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 ab�Ve)
State or County License: CMC036421
If value of construction is $2 ,00 or more, a RECORDED Notice of Commencement is required.
i
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 con, 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, 1 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 our Notice of Commencement.
y / yz �\
s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The f r Ing instrMm� w s acknowledged b, fore me
this day of i� 6 20 by
STATE OF FLORIDA
COUNTY OF STLuciE
TheClog ins un t�a�°acknowledge fore me
this day of V 20 by
CHRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
of
Mersonally Known x OR Produced Identification
Type of Identification Pro n. --
Commission No. FF941411
Revised 07/15/2014
of Notary Public- State of Florida )
Personally Known x
Type of Identification
6=N F rr e4li Commission No.
Decembef 6, 2019
OR Produced Identification
2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
PLEMNTAL CONSTR
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
IGNER�ENG[NEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
e:
I
Name:
COMPLETE
ress:
Address:
:
State:
'City:
State:
Phone:
Zip: Phone:
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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, 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, 1 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 our Notice of Commencement.
y / yz �\
s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The f r Ing instrMm� w s acknowledged b, fore me
this day of i� 6 20 by
STATE OF FLORIDA
COUNTY OF STLuciE
TheClog ins un t�a�°acknowledge fore me
this day of V 20 by
CHRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
of
Mersonally Known x OR Produced Identification
Type of Identification Pro n. --
Commission No. FF941411
Revised 07/15/2014
of Notary Public- State of Florida )
Personally Known x
Type of Identification
6=N F rr e4li Commission No.
Decembef 6, 2019
OR Produced Identification
2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratin
AHRI Certified Reference Number: 201417957 Date: 11-12-2018 Model Status : Active
Old AHRI Reference Number: 8655532
AHRI Type: RCU-A-CB
Series: GSX14
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A*
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
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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still
selling or offering for sale.
Rations that are accompanied by WAS Indicate an involuntary re -rate. The new published rating 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 producf(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. aI,rid Irectory.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 whale 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 far the model cited on this certificate can be verified at www.altridirectory.org, click on "Verify Certificate" link we make life beta,, -
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 ERTIFICATE NO.; 31865224e14826147