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HomeMy WebLinkAboutbuILDING peRMIT i ALL APPLICABLE INFO MIIJST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: S I i__ Permit Number: Building Permit Application Planning and Development Services Building and Code Regulatipn Division 2300 Virginia Avenue, Fort If'lerce FL 34982 Phone: (772) 462-1553 Fax; (772) 462-1578 Commercial Residential X _ PERMIT APPLICATION! FOR: Mechanical 1 11 Address: tl L 00 _ Wci K Iq CS Legal Description: 1 I Property Tax ID#: �� SG� D Z i b ' Z' Lot No. Site Plan Name: I Block No. Project Name: 'ed K5 GON"OFF Setbacks Front,___ Back: Right Side; Left Side: LIKE FOR LIKE A/C C�IANGEOUT 2: 5 off, `73 eor S` r(- J Q Itiona work to e e orme under t spermit—c ec< a appy: ZHVAC H C,as Tank F Gas Piping _Shutters ❑Windows/Doors Electric El PlumbingOSprinklers Generator Roof Roof pitch Total Sq. Ft of Constructlo))�; S Ft,of First Floor: Cost of Construction: $_l,ly I �• o Utilities: Sewer Septic Building Height; QJ4,Name G leelU IC �PJA)Qrs Name: CHRIS LANGEL Address:�_/l 4Company: SEA COAST A/C City: �Iorwa I K _ State:07 Address; 3108 INDUSTRIAL 31st STREET Zip Code: (0 5-0' Fax: City: FT PIERCE State:FL PhoneNo,LU� S� - 81g � Zip Code: 34946 Fax: 772-466.3053 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 abbve) State or County License: CMC036421 If value of construction is$2100 or more,a RECORDED Notice of Commencement is required. I I_ SUFPL, M-" TAL'CONSTRI)"CTION LIEN LAW INFOdRMATION: 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 cont ict 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 our Notice of Commencement. L& y ?� � s Signature of Owner/Lessee/Contractor agent for Owner Signature of Contractor/License Holder '.. STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF SnuCIE The fo�rPoing instrument acknowledged before me The for oing instrument�was/acknowledged before me this?dayof /"CWT 20 IR by this V day of /ur �'� 20 t by CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) ffidn A LL22i 2sonally nature of Notary Public-State of Florida) (S nature of Notary Public-State of Florida Known x OR Produced Identification Personally Known x OR Produced Identification '......., Type of Identification Prod Type of Identification Pr .. '... n eVJU$TINA L IIOPKINS•CONNELLY ' FF941417 °.: ..r MY �SSiONkFF941411 Commission No, FF©4�4 =,� x JNVINA{{,q({ ..�lavys-CONNED Commission No. EX�,December6,2019 µi„ p MVCpMSU8�i0NpFF941411 "•e •'h' E'k(41RSS:December0,2019 aentlsd Thm Notary Publlo OrcJeiwnlers � Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS i CERTIFIEDo Certificatei AHRI Certified Reference Number:201476317 Date,03-04-2019 Model Status:Discontinued '.... Old AHRI Reference Number:9117245 AHRI Type:RCU-A-CB Series:GSX14 Outdoor Unit Brand Name:EVERREST '.. Outdoor Unit Model Number (Condenser or Single Package):GSX140301 L* Indoor Unit Model Number(Evaporator and/or Air Handler):AWUF31XX16A* Region: Southeast and North(AL,AR,DC,DE, FL,GA,Hi,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT, ID, IL, I, IA,IN,KS,MA,ME,MI,MN,MO,MT,ND,NE,NH,NJ, NY,OH,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 regions)for which they meet the regional efficiency requirement. The manufacturer of this EVI�RRES11 product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHrjt 210/246 with F ddenda 1 andi2,Performance Rating of Unitary l Air Conditioning&Air-Source Heat Pump Equipment and subject tb rating accuracy by AHRI-spohsored,antlepa ndent,,lhird'party testing. Cooling Capacity(A2)-Single or High Stage(95F),btuh:28000 , SEER:"14.00 EER(A2)-Single or High Stage(96E) ;lC60 }Models with"Discontinued"Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. ! Ratinas that are accom2anlecl by WAS indicate voluntary 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 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 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 fertile user's individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information fertile model cited on this certificate can be verified at www.alirldirectory.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 ©2019Air-Conditioning,Heating, and Refrigeration InstituteTI�ICATE NO.: astsszosztasggatss