HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MWST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ Permit Number:
r
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort lerce FL 34982
Phone: (772) 462-1553 IFax: (772)462-1578 Commercial ' Residential X _
PERMIT APPLICATIO� FOR: Mechanical
MMMMM
Address: / GG ,' A/
Legal Description: 1_
1 I
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Property Tax ID If: 'G Lot No.
Site Plan Name: Bloch No.
Project Name: In _ Gr�. �j(
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE A/C C IANGEOUT 3, rJON
20
((��itiona work Ie_pe� orme un erY spermt-c ec a apply:
ZHVAC LJ Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
OElectric Z Plumbing Sprinklers [i Generator Roof Roof pitch
Total Sq. Ft of ConstructioLrti�: q Sq, Ft. of First Floor:
Cost of Construction;$—!/_ 7 0 ® Utlllties: FISevverElSeptic Building Height:
1
Name W NNEG Co
Name: CHRISLANGEL
Address: �0 0 d S `} /yt I 5{e y0 Z Company: SEA COAST A/C
City:-105 State;TL - Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 3 �^ Fax: City: FT PIERCE State:FL
Phone No. "7-1Lb t` ' —00 �5 --- Zip Code: 34846 Fax; 772-466-3053
E-Mail: _ 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 above) State or County License: CMCO35421
If value of construction is$2 00 or more,a RECORDED Notice of Commencement is required.
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S,U"PLEMENTAI CONSTRUCTION LIEN'L'W�INFORMATION;
.v. . �_..
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: _Nat Applicable
Name:
Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
i
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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-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.
�
lam(_ LAW ~
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Signature of Owner/Lessee/Contractor agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLucIE COUNTY OF sTwae
The forgoing instrument wa,ss acknowledgerj before me The for oing instrument was acknowledged before me
this dayof /Y)Qe6-A 20 Lby this day of 20 by
CHRIS LANGEL 1- CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging)
a�T�A4 6
2( nature of Notary Public-State of Florida) 4(Snature of Notary Public-State of Florida)
ersonally Known x OR Produced Identification` Personally Known x OR Produced Identification
Type of identification Pro — Type of Identification Pr
eD n JUSTINALHOPKINS•CONNELLY 9 JUk"PINA �y
Commission No. rFsaiaaa st; z MY�dISSiGNRFF 941411 Commission No, FF9414 ION SLONNELIY
' - •e;. NFF941411
-ra EX (December8,2019 tAYEOdi M m
`rf p;(R,ee•'' 9onacdTnN Newry Pumm urrJerenmra `�� kF�IAft December 6,2019
Revised 07/15/2014
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
o placed in service between Feb 17,2009 and Dec 31, 2016.
MILI CERTIFIED
Fcu---rtificate rRatims
AHRI Certified Reference Number:201300147 Date:03-07-2019 Model Status:Active
Old AHRI Reference Number:8004957
AHRI Type:SP-A
Series:GPC15
Outdoor Unit Brand Name:FRANKLIN �I,
Outdoor Unit Model Number (Condenser or Single Package):GPC1542H41A'
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,NO,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SO,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 FRANKLIN product is responsible for the rating of,thie system combination,
Rated as follows in agcordanbe with the latest edition of ANSVAHRi 210/240 with Addenda i and 2,Performance,132ling of Unitary
1
a
Air-Conditioning,&Air-Sourne Heat Pump Equipment an subjeATlo rating accuracy by AH'RI sponsored,An�fependent third party`hspng,'. :
Cooling Capacity(A2)-rSing[e or High Stage(95F) btuh�.40004 I
SEER 15.00 ''
EER(A2)'.-Single or High Stage(95F) :12:00
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. '..
R t' gs that mo n' d by WAS indicate involuntary rat The w published f a i h a with the a (i a WASI rating
DISCLAIMER
AHRI does not endorse the product(s)listed on this Certificate antl 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 historian this Certificate.Certified ratings are valid only far models and configurations listed in the
directory alwww.ahrldI ectory.org.
TERMS AND CONDITIONS
This Certificate and Its cmrtents 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 for the user's individual,
personal and confidential reference. AIR-CONDITIONING,HEATING,
C &REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information forthe model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link ,ve 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.
02019Air-Conditioning, Heating, and Refrigeration Institute 1IFICATE NO.; 13196444932e827343