HomeMy WebLinkAboutBuilding Permit Applicationr�np �•=�h„i:
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Developmentservices
Building and Code Re., - n Division
2300 Virginia Avenue, Fortl lerce Fl. 34982
Phone: (772) 462.1553 �ax: (772) 462-1578
PERMIT APPLICATION FOR; Mechanical
Legal Description:
Property Tax ID #: ' y
Site Plan Name:
Commercial Residential _X_
c0U�.
i
Project Name:
Setbacks Front__ Back: Right Side:
LIKE FOR LIKE A/G
❑Electric l�
Total Sq. Ft of Constructic
Cost of Construction: $ _
Name FS 055 G Y -
Address: f�
City: QiN6 ( Pq C
ZIP Code: SLS
Phone No, 0 g'
E -Mall:
Fill in fee simple Title H
from the owner listed
Left Side:
GEOUT C (� S ee� ' �C)
)ermit— cnecn a
s Tank HGas Piping I _I Shutters
robing OSprinklers 0Generator
Sal Ft, of First Floor: _
Utllitles:LJSewer11Septic
State:
on next page ( if different
Name: _CHRIS LANGEL
Lot No,
Black No,
w
Windows/Doors
Roof = Roof pitch
Building Height:
Company: SEA COAST A/C
Address: 3106 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
ZIP Code: 34946 Fax: 772-466-3053
Phone No, 772-466-2400
E -Mail: INFO@SEACOASTAI R.COM
State or County License: OMC036421
of construction Is $200 or mora, a RECORDED Notice of Commencement is
SUPPLEfVIENTAL,CDNSTRUCTIQN LIEN`L,AW INFORMATION:
FRONT
ZONING
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEES] OPLE 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, Lucle Count yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in contlict 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
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY OF ST Lucie
The forgoing Instrument was acknowledged before me
this ;0 day of -S4 , 20 L9 by
CHRIS LANGEL-1-
(Name of person acknowledging)
Pers
nature of Notary Public- State of Floridaonally Known x OR Produced Identification
Type of Identification Prodl✓mm..
Commission No. FF941411
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF sT Lucie
The forgoing Instrument was acknowledged before me
this 30 day of SON , 20l cj by
CHRIS LANGEL
(Name of person acknowledging)
A i
(S14nature of Notary Public- State of Florida )
Personally Known x
Type of identification
kFF941411II Commission No.
iber0, 2019 II
OR Produced Identification
2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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.
AHRI Certified Reference Number: 10259481 Date: 01-25-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series : ELITE EL16XC SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : EL16XC1-047-23OA**
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-048-230*+TDR
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, Net, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WL 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.
Rafngs fhal 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 safe, 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 product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid onlyfor models and configurations listed in the
directory at www,aliridlrectory.org.
TERMS AND CONDITIONS
The 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; 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, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ah rid frectory.org, click on "Verify Certificate" link we make fife better^'
and enter the AHRI Certified Reference Number and the date an which the certificate was Issued,
which Is listed above, and the Certificate No., which is listed at bottom right.*.
92019Air-Conditioning, Heating, and Refrigeration Institute "6�RT1FICATE NO.: 131929176484423780