HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO M
Date: IV711,;I, 6 -
Planning and Development
Building and Code Regulati
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
PERMIT APPLICATIC
Address: / —1
Legal Description:
Property Tax ID #!: i
Site Plan Name: /_
Project Name: � i
Setbacks Front_
LIKE FOR LIKE A/C C
�OMIIJs67
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Division
rce FL 34982
x: (772) 462-1578 Commercial ' Residential X
FOR: Mechanical
WC W a
bf - 10-000/ - ouu-
o t h F'50
Back: _ Right Side: _
EOUT / TSQer
LHVAC LJ das Tank
Electric Plumbing
Total Sq. Ft of Constructlotru
Cost of Construction: $ __
Left Side:
Lot No.
Block No.
/0 161
7ermlt-6ntlCM au
aNNw•
❑ Windows/Doors
Sas Piping
_Shutters
Sprinklers
0
Generator
1:1
Roof
=
Roof pitch
SgFt,j of First Floor:
0 Utilities: L JSewer Septic Building Height:
Name W 4 N t�'.�S �TJ
. r Name: CHRIS LANGEL
Address: (z S ) �i Z 0 - Company: SEA COAST A/C
((V , G GI Stater Address: 3108 INDUSTRIAL 31st STREET
City: L _
Zip Code: ' F`ax _ City; FT PIERCE State: FL
Phone No. 3 ( Zip Code: 34946 Fax: 772-466-3053
E-Mail:77lUj�q� _S e4 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: CMC035421
if value of construction Is $29,00 or more, a RECORDED Notice of Commencement is required.
AL1 1�/1F1 A 4N-5TRJULTq, IV Ll -N- A, -W,,' E
RNlAT 01�; v Y /
ZA-
SUPERVISOR
REVIEW
{
VEGETATION
REVIEW
DESIGNER/ENGINEER: _ Not Applicable
MANGROVE
REVIEW
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: 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
str�ucture. Please c consult with w thpyolur Hlome Owners Association Iandon rreviewyyour deed for any or and restrictions ts whichtrmay apply. prohibit
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
commencingwork or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as7Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY O F ST LUCIE
The for oing instrument was acknowledged before me
this -2 day of p ` G 20 / �iby
CHRIS LANGEL -L
(Name of person acknowledging )
Notary P
Fversonally Known X
Type of Identification
Commission No. FF941411
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF STLncIE
The forgoing instrument was acknowledged before me
this 2Xday of /7 C'C 20 L�y
CHRIS LANGEL
(Name of person acknowledging )
State of Florida) (Snature of Notary
OR Produced Identification Personally Known x
� Type of Identificatior
W rj"'.
,TINA LROPKINS•OONNELLY
�� �f'= MY�SSiONeFF941411 Commission No. FF9`
:£'.. •h EX December 6, 2019
State of
OR Produced Identification
Deeember6, 2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
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.
ALIBI Certified Reference Number: 201300154 Date: 12-28-2018 Model Status, Active
Old AHRI Reference Number: 8004958
ANRI Type: SP -A
Series : GPC15
Outdoor Unit Brand Name: FRANKLIN
Outdoor Unit Model Number (Condenser or Single Package) : GPC1548H41A*
Region : All (AK, AT, AR, AZ, CA, CO, CT, DC, DE, FL, GA, 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, RL 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.
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 Stopped" 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 accomoanled by WAS Indicate an involuntary re -rale. The new published valine is shown alone with the orevious (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 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 produchs), 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.ahrldlrectory.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 fertile model cited oil this certificate can be verified at www.atirldirectory.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.
(92018/dr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: slso4ssaz 44ns4t