HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO/ Ml11SJr BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01 0 / R L_ Permit Number:
_"-Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fortl lerce FL 34982
Phone: (772) 462-1553 JFax: (772) 462-1578 Commercial ' Residential X
PERMIT APPLICATION FOR: Mechanical
Address: 1 - —
Legal Description:
Property Tax ID ii: a 3
Site Plan Name:
Project Name: mot
of r
Setbacks Front_
LIKE FOR LIKE A/C
11 Electric Ei
Total Sq, Ft of Constructic
Cost of Construction: $ _
- 50/-00D 1 -0/0-
uS 6,
Back: Right Side;
ANGEOUT 3 ./ ON
Lot No,
Block No.
Left Side:
rmeq under AllS pennn—w=����rrr
s Tank F]Gas Piping _ Shutters
nnbing []Sprinklers Generator
/
Sq. of First Floor; _
00__ Utilities: L_ISewerUSeptic
Name fyla ry 1
Address: lGrUSG_
01k_�eG `ee-
City: �Or�i%PICGi _ State: EL
Zip Code: 3 yq y Fax:
Phone No, 77P— a Jl'-��q�
E -Mall: FN FO Gd_Sta%r.GO/jl
FIII in fee simple Title Holter on next page ( if different
from the Owner listed above)
QWindows/Doors
Roof = Roof pitch
Building Height:
Name: CHRIS LANGEL
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31 at STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772.466-3053
Phone No, 772.466-2400
E -Mall: INFO@SEACOASTAIR.COM
State or County License: CMC036421
value of construction is $200 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTRLCONSTRU'CTION LIERIM INFORMATION
FRONT
�- >a�
...-. �....., ..:.
PLANS
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
REVIEW
Name:
REVIEW
Address:
REVIEW
Address:
;1NITIALS
City:
State: _
City:
State:
Zip: Phone:
Zip: Phone:
ETE
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 Count yy makes no representation that Is granting a permit will authorize the permit holderto build the subject structure
which Is in contiict 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, signs, screen rooms and accessory uses to another non-residentlal 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.
le& �/w 1"
s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFSTLuae
The forgoing Instrument was acknowledged before me
this 0 day of SoN . , 20 Lby
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this--& day of I A-) 20 I/ 4 by
CHRIS LANGEL CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging
Personally Known x
Type of Identification
Commission No. rF941411
Revised 07/15/2014
of Florida )
OR Produced Identification
EXPIRES: December 6, 2019
9ond9d Thm Notary Publla UrvAmAtem
of Notary Public -State
Personally Known x
Type of Identificatio
Commission No.
OR Produced Identification
2019
WS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
;1NITIALS
ETE
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
I III liq 111 11111114111
• ` �' •
AHRI Certified Reference Number: 201384321 Date: 01-08-2019 Model Status : Active
Old AHRI Reference Number: 8242079
AHRI Type: RCU-A-CB
Series : GSX 16
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX160361 F*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47D14A*
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, BE, FL, GA, Hi, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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
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.
Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratinq. is. shown. along with the previous (i.e. WAS) retina.
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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 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($), 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,ridIrectoyy.org.
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confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated;
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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. -
02019AIr-Condltioning, Heating, and Refrigeration Institute ���tT1FICATE NO.: 131914398913483664