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HomeMy WebLinkAboutBUILDING PERMIT FTe7� 7 ALL APPLICABLE INFO MIUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: J T 1 I Permit Number; ra Building Permit Application Planning and Development Services Building and Code Regulation Dlvislon 2300 Virginla Avenue, Fort l('lerce FL 34982 .Phone: (772)462-1553 lax: (772)462-1578 Commercial Residential X _ PERMIT APPLICATIOII FOR; Mechanical Address; a Legal Description: y �'N / �d f f �y ap 3 �j2z/U coo Property Tax ID#: _ 60l J ��ff Lot No, Site Plan Name: _ Block No. Project Name:, Setbacks Front I_- Back: Right Slde; Left Side; i I II 111 LIKE FOR LIKE A/C C�IANGEOUT �• S �0 N/ /0 5eel f /0 hJ i I i9�I I i Additional wortto e e or me un art ispermit—checka apply; ZHVAC n jas Tank [l]Gas Piping _Shutters Windows/Doors Electric 0 Plllumbing L_ISprinkiers Generator Roof Roof pitch Total Sq, Ft of ConstructIA S Ft, of First Floor; Cost of Construction: $ o 7 o O Utilities: Sewer Septic Building Height; i Name ZiQN AJ 1-e N Name: CHRISLANGEL Address; Company: SEA COAST A/C City: SG- iV State: Address: 3108 INDUSTRIAL 31st STREET Zip Code; y�1 Fax; City: FT PIERCE State; FL Phone No i Zip Code: 34946 Fax; 772.466.3063 E-Mall; _ Phone No. 772.466-2400 Fill in fee simple Title Holder on next page ( if different E-Mall: INFO@SEACOASTAIR.COM from the Owner listed ab ve) State or County License: CM0036421 s$2 If value of construction i 00 or more,a RECORDED Notice of Commencement is required, i i SUPPLEMENTALCONSTRl1CTI0N, LIENTAW INF�RMATI'ON DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State:_ City: State: Zip: Phone: Zip: Phone: 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 County 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 Assoclat]on 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 Commencemeennti;A 8& vvL� s Signature of Owner/Lessee/Contractor assent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF sT LUCIE The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me this 7 day of re6. 20 _L� by this 7 day of 20 1 F by CHRIS LANGEL 1- CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) ( gnature of Notary Public-State of Florida) (S nature of Notary Public-2State of Florida) ersonally Known x OR Produced Identification Personally Known X OR Produced Identification Type of Identification Prod -----_-..— Type of identification Pr ,, .k..ej¢�•i., 4yeTINALHOPKINS,CONNELLY ��,I,1- LI .,��qq�y Commission No. FF941411 _: MY 561GNflFF941411 Commission No. FFs414 2 MYCCM�A ONy F04Nq"y EX�December 6,2019 '•:go„(�er aonesdrnm Notary Public OnJenuloo; ` , - .MINIRSS:December 6,eo19 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i i o Cieftificate of Product Ratings AHRI Certified Reference Number:201340958 Date:02-07-2019 Model Status:Discontinued Old AHRI Reference Number: 1076037 '.. AHRI Type:SPY-A Series:RHEEM RSNM SERIES Outdoor Unit Brand Name:RHEEM Outdoor Unit Model Number (Condenser or Single Package):RSNM-A030JK Region: North(AK,CO,CT,ID,IL,IA,IN,KS,MA, ME,MI,MN,MO,MT,NOT NET NH,NJ,NY,ON,OR,PA,RI,SD,UT,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 RHEEM 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 8lAlf-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing:, Cooling Capacity(A2) 'Single or High Stage(95F),btuh:28800 SEER:13-00 t ? EER(A2)'-Single or High Stage(95F) :11,50 tModels with"Discontinued"Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-mte. The new published rating is shown along with the previous(i.e.WASI 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 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 or 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,HEATING, CERTIFICATE VERIFICATION S,REFRIGERATION INSTITUTE The information for the model cited on this certificate Gan be verified at www.alirldirectory.org,click or"Verify Certificate"link we make life bencr- 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. K; 131940378112816753 ©2019Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: