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HomeMy WebLinkAboutBuilding Permit Application (2)ALL AA ALL NFO Mt'Slr BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number; Date; ------ — Building permit Application Planning and Development Services Building and Code Regulatlpn Division 2300 Virginia Avenue, Fort lerce Fl. 34982 Phone: (772) 46 -1 1 -ax: (772) 462.1578 PERMIT APPLICATION FOR: Mechanical Legal Description: I -L- r 34 vf, -.Is r3asti,a5j. Property Tax ID d: 5 Site Plan Name: OSet�l1 �} Project Name: — Setbacks Front__- Back: LIKE FOR LIKE A/C LjElectric L Total Sq. Ft of Constru( Cost of Construction: $ Name , 00 city; NoHv-'�1e-- Zip Code; Hyl Phone No, a H $ E-Mall:_____— FIII in fee simple Title Hof from the owner listed al If value of constructlon Is $; Commercial ' Residential X _ /u .IS Stf CVV,S -'ON -0012 -000 ' GEOUT to as Tank lumbing 3Ib-VC) Right Side: Left Side: -a� l0r T arum — W Jul" u11 err r as Piping _Shutters prinklers E—Generator _ Sq, Ft, of First Floor, _ Utilities:OSeweY Septic Lot No, Block No. Windows/Doors 0- Roof = Roof pitch Building Height: q Name: CHRIS LANGEL o kl4 N� Company: SEACOAST A/C State; MT Address: 3108 INDUSTRIAL 31 at STREET City: FT PIERCE State; FL ax, �� ZI Code; 34946 Fax; 772"466-30 53 J p Phone No. 772-466-2400 on next page ( if different E -Mail; INFO@SEACOASTAIR,COM State or County License: CM0036421 or more, a RECORDED Notice of Commencement is required, SUPPLtMENTAL"CONSTRUCTI0NLIEN'LAW INF'®RMgTI,ON:":. FRONT COUNTER ZONING REVIEW DESIGNERENGINEER: 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 conTllet 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 your Notice of Commencement. Signature of Owner/Lessee/Contractor as X&nt for Owner STATE OF FLORIDA COUNTY OF srwae � // v�_ . s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF srwae The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me thisday of 3Q�, 20 Lq by this ol" day of Sc'/J- 20 Lt by CHRIS LANGEL 1- CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) Pers nature of Notary Put onally Known X Type of Identification Pre Commission No. _F1'941411 Revised 07/15/2014 OR Produced Identification December 0, 2019 Notary Public- State of Florida ) Personally Known X Type of Identification Commission No. OR Produced Identification 2019 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS AM* CERTIFIED° www:ahridirectory.org Eft �. �.. • • AHRI Certified Reference Number: 9162108 Date : 01-14-2019 Model Status : Active AHRI Type: HRCU-A-CB Series : 14 SEER HP Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CH14NB018*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP018L The manufacturer of this CARRIER product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 17800 SEER: 14.00 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. Ra t",% ih t ar mo d by WAS indicate n involuntary t Th new a bl' h d t' q h n along w'ih 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 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(s), or the unauthorized alteration of data listed on tills Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.efirldivactory.org. TERMS AND CONDITIONS Tills 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,EFRIERATNIHEATING, & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link the 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. 131919687357776456'.. 11 KATE NO.: ©2019Air-Conditioning, Heating, and Refrigeration Institute Cl2T