HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO M(1JSV BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
,_/Z�—%� I Permit Number:
�—,�—
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fortlipierce FL 34982
Phone; (772) 462-1553 Pax: (772) 462-1578 Commercial ' Residential —X—
Phone;
PERMIT APPLICATIO FOR: Mechanical
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Address: I / �/�1 / �i /
Legal Description: WVI L 1/ 6 l( /V S / JS „ �c3' �yr 0 ' r 3 3-73 •
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3
L/ SCS Z — C (fU' Lot No,
Property Tax ID 4: _ 3 —U
Block No,
Site Plan Name: I_
Project Name:
Setbacks Front �__ Back: Right Side; Left Side:
N
LIKE FOR LIKE d /
KE A/C C 1A
II
trona wor<to e erlormea unaerrnispenu —� _ "°"Shutters
Tank ]Gas Piping
❑windows/Doors
HVAC—as
O5 rinklers
p
Generator
Roof Roof pitch
Electric _Plluinbing
Total Sq. Ft of Constructio6: _
" L��,
5 Ft,
of First Floor:
USeptic
Height:
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Cost of Construction: $ _J
Utilities
Sewer
Building
Name: CHRIS LANGEL
Name
iG r(A 17�% SEA COAST A/C
Address: `7/G -5 L' L7• �� 1Z Company:
Cit —o �` Cf t i_ State:, -L— Address; 3108 INDUSTRIAL 31st STREET
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Zip Code:t�� 1=ax; City: FT PIERCE State: FL
Phone No. S-6 _ G Zip Code: 34946 Fax;
772.466.3063
E -Mail;
Phone No. 772-466-2400
Fill in fee simple Title Holder on next page (if different E -Mail: INFO@SEACOASTAIR.COM
from the Owner listed above)
State or County License; CMC036421
If value of construction Is $200 or more, a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION `LIEN LAW,INFORMATION
FRONT
COUNTER
ZONING
REVIEW
DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
DATE
Address:
City:
Zip: Phone:
State:
'City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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.
Inconsideration 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
commmeencin work or recordingour Notice of Commencement.
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY O F ST Luae
The for oing instrument was acknowledged before me
this lday of /'?�6 20 Lby
CHRIS LANGEL 1
(Name of person acknowledging )
Notary Public- State of
f ersonally Known x
Type of Identification
Commission No. FF94141.1
Revised 07/15/2014
OR Produced Identification
.mbar 6, 2019
P9bII0UWJsMAters
STATE OF FLORIDA
COUNTY OF STwCIE
The forgoing instrument was acknowledged before me
this /9 day of /7:_6 , 20 _d by
CHRIS LANGEL
(Name of person acknowledging)
(S�nature of Notary
Personally Known x
Type of Identification
Commission No. FF94
State of Florida )
OR Produced Identification
December 6, 2019
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
AHRI Certified Reference Number: 201384347 Date: 02-18-2019 Model Status : Active
Old AHRI Reference Number: 8242080
AHRI Type: RCU-A-CB
Series : GSX16
Outdoor Unit Brand Name: FRANKLIN
Outdoor Unit Model Number (Condenser or Single Package) : GSX160421 F*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A*
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, 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
t"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.
Ronna. that are accomommed by WAS indicate an involuntary re -rate. The new published rating is shown alone with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI does not endorse the products) 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 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 he 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, PM
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information forthe model cited on this certificate can bevenfied at www.ahridirectory.org, click on "Verify Certificate" link we 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.�,-'� <'
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02019AIr-Conditioning, Heating, and Refrigeration Institute L RTIFICATE NO..