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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO % I�T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number;
Date; K ( 6q --
_ _:_.. _. _..._....._., Building Permit Application
Planning and Development services
Building and Code Regulatl n Division
230OvirginiaAvenue, Fort'lerceFL34982 Residential X _
.Phone; (772) 462-1553 fax: (772) 462.9.578 Commercial _
PERMIT APPLICATION FOR; Mechanical --_
Legal Description:
Property Tax ID ti:
Site Plan Name: _
Protect Name:
Setbacks Front
aq 19-1 u 1
2'-000- 7
6t j� S P. e I
Back; Right Side; Left Side:
/q _seer, , S 70N,
LIKE FOR LIKE A/O C�iANGEOUT
trona wor<to e e 'ormed unoertmspenuu— u
HVAC ;as Tank []Sprinklers
Piping �_j Shutters
Electric Rlumbing Sprinklers Generator
I
Sq. Ft, of First Floor; —
Total Sq. Ft of Construction; _
Cost of Construction: 0q. 0 0-- Utilities: Sewer Septic
Lot No,
Block No,
Windows/Doors
Roof = Roof pitch
Building Height;
IVI T G t zrvu es fors L Av,`d Name: CHRIS LANCEL
Name QQ yepSEACOAST AIC
Address: 5'0 51 N Y� a i �' /l!lZ Company:
�S/aN� State;[ Address: 31061NDUSTRIAL31stSTREET
City: �li +r �1/j/SoIJ i
y � _ City: FT PIERCE State; FL
ZIP cc de; 3yg 1 i Fax; y 772.466-3063
a S - p 'f 7 — Zip Code: 34946 _Fax;
Phone Na, 772.466.2400
"Title
h `r Go/1'�___.______ Phone No,
E -Mail; _N INFO@SEACOASTAIR.COM
Fill In fee simer on next page ( if different S -Malar County License: CMCO36421
from the Owner listed ab¢v(')
If value of construction Is $21100 or more, a RECORDED Notice of Commencement is
9UPPLEMENT4LCONSTRUCTION LIEN'LAW INFORMq+iI,ON;
FRONT
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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-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,
s
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Halder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing Instrument was acknowledged before me
this R dayof Sq N. 20 Eby
STATE OF FLORIDA
COUNTY OF STWCIE
The forgoing instrument was acknowledged before me
this ( dayof &N, 20 //'7by
CHRIS LANGEL CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging)
of Notary P
Personally Known x
Type of Identification
Commission No. '1'90411
Revised 07/15/2014
OR Produced Identification
TSSiON 9 FF 941411
pooember 6, 2019
Nolery Publio U14011AOR
of
Personally Known x
Type of Identificatlo
Commission No.
ic- State of Florida )
OR Produced Identification
2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
o o F
AHRI Certified Reference Number: 7490502 Date: 01-07-2019 Model Status: Active
AHRI Type: SP -A
Series: R41 OA AC SPP
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : 50ZPC030---30"'
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, CA, 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, RI, 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.
The manufacturer of this CARRIER product is responsible for the rating of this system combination.
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling Proffering 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 Par icipant is no longer producing BUT is still
selling or offering for sale.
Rating Ih l r a a ni d by WAS indicate inv t ry r -r t Th n a bli h d r t' . is shown alono 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 pmduct(s) listed on this Certificate. AHRI expressly disclaims all Ilabiilty 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.alirldirectory.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;
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,EFRIGRATIINSTITUTE
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The Information for the model cited on 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 dale on which the certificate was Issued,
which is listed above, and the Certificate No., which is listed at bottom right. '^ " ' A 131913487118980778
©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: