HomeMy WebLinkAboutBuilding Permit ApplicationBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development I3ervices
Building and Code Regulation Division
2300 virginla Avenue, Fortl lerce FL 34982
Phone: (772) 462-1553 �ax: (772) 4624578
PERMIT APPLICATION FOR: Mechanical
Legal Description:
%m';g 6
Property Tax ID
Site Plan Name: Te -0
Project Name: LeU
Setbacks Front—
LIKE FOR LIKE A/C C
Electric L�
Total Sq. Ft of Construc
Cost of Construction: $
Commercial Residential X _
0
/v_s
Back: Right Side: Left Side;
7 TON, ) seer/ (0 15
Lot No,
Block No.
,meE under this permlT— cnecrc au urrr �j
s Tank ❑Gas Piping Shutters Q Windows/Doors
imbing Sprinklers 01 Generator � Roof Roof pitch
I�J
5 Ft, of First Floor:
Utilities: 0Sewer I]Septic Building Height:
Name
Leo 3a NL
Address: S/0
City:
��r_�_State:�Z
_
Zip Code: 3x/ �/ Fax:
Phone No,
E-mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed ab�VO
Name: CHRIS LANGEL
Company: SEACOAST A/C
Address: 3108INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
34946 772-466-3063
zip Code:
Phone No. 772-466-2400
E -Mail: INFO@SEACOASTAI R.COM
State or County License: CM00364ZI
ant is required,
If value of construction Is $25,00 oY more, a RECORDED Notice of Commencem
SUPPLEMENTAI,CONS,TRUCTION
LIENIAW
INF' N;
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 Count yy makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
which Is In conflict 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
commenncpcii,n work or re�coordin our Notice of Commencemeenntt
LZI
s
Signature of Owner/Lessee/Contractor assent for Owner Signature of Contractor/License Halder
STATE OF FLORIDA
COUNTY O F sr wore
The forgoing Instrument was acknowledged before me
this I day of "b. , 20 aby
STATE OF FLORIDA
CO U NTY O F ST LUCIE
The forgoing Instrument was acknowledged before me
this I day of Delo 20 l 9 by
CHRIS LANGEL L CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
2( nature of Notary Pul
2snature
Known x
Type of Identification Pr(
Commission No. PF941411
Revised 07/15/2014
of Florida
OR Produced Identification �
FF 941411
or 0.2019
ature of Notary Public- State of
Personally Known x
Type of Identification
Commission No.
OR Produced Identification
2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
AHRI Certified Reference Number : 8386546 Date : 02-01-2019 Model Status : Production Slopped
AHRI Type, SP -A
Series: GPC15
Outdoor Unit Brand Name: XENON
Outdoor Unit Model Number (Condenser or Single Package) : GPC1536H41A'
Region: All (AK, AL, 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, NO, 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 XENON product is responsible for the rating of this system combination.
}"Active" Model Status are those that an AHRI Certification Program Participant is currenfly 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.
Ratings that 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 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 this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahrldirectory.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, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we make life bene"
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. ' :'
2019Air-Conditioning, Heating, and Refrigeration Institute CE1 41CATE NO.: 1a131935041176173145OO