HomeMy WebLinkAboutBuilding Permiti
ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ALL APPLICABLE INFO M II
Date: I
— Permit Number: _
--
Building Permit Application
Planning and Development
Services
Building and code Regulatl
n Dlvision
2300 Virginia Avenue, Fort
Phone; (772) 462-1553
plerce FL 34982
Fax: (772) 462-1578 Commercial Residential X _
PERMIT APPUCATIO
FOR: Mechanical
Address: II �CJ f' (��cl
Legal Description:
k
1
I
Property Tax lDN: 2,3
1� 7 00()3 —000" Lot No.
Site Plan Name:
I_ Block No.
Project Name: Ga ro
Y �% �Y /q U'S
Setbacks Front IBack: Right Side; Left Side:
IIgrryyVlI
_ Ikl rl
LIKE FOR LIKE A/C CIIANGEOUT � f�N
,o r�
Additional work to e e orme undert spermit—c eit
c<a appy:
Tank Piping ❑Windows/Doors
as n❑Gas _Shutters
HVAC ;urribing
Electric OSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction; _ S�Ft,j of First Floor:
��!' 0C) nSewer DSeptic
Cost of Construction: $ _ Utilities: Building Height:
� t,
Name G clrO-1 e /ji L c.[ Name: CHRIS LANGEL
Address �) �� oro fU V� Company: SEACOAST A/C
City, i Of-4 P"Crc(� State; Address: 3108 IND USTRIAL31stSTREET
Zip Code: --o' l=ax: City; FT PIERCE State; FL
y
Phone No. 71 Z 11 ®� ( 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-Mall: INFO@SEACOASTAIR.COM
from the Owner listed ab�ve) State or County License: CMC035421
if value of construction is $2400 or more, a RECORDED Notice of Commencement is required.
Sly^ PLEMENTAL:CONSTRUCTION•LIEN L"AW,IN,FOE'MATION
',-,-
-DESIGNER/ENGINEER:
ZONING
REVIEW
D ESIGNER/ ENG IN ELR:
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 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
commencingwork or recordin our Notice of Commencement.
L& L/(Ax ?�
S
Signature of Owner/Lessee/Contractor as7igent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument wa acknowledged before me
this /5 day of 1/111 Cf 20 Lw -by
CHRIS LANGEL =- -
(Name of person acknowledging)
of
Personally Known x OR Produced Identification
Type of Identification Prod ________.__------ A
Commission No. _FF941411
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF ST LUCIE
The for oing instrum�jnt was cknowledged before me
this/� day of , !/ tz/R ,20 �by
CHRIS LANGEL
(Name of person acknowledging )
of Notary Public- State of
Personally Known x OR Produced Identification
Type of Identification Prgda c . .
MY 6UIUNNrrB91411 Commission No.
EX .December 6, 2619
Bonded 7hm ftolary Public UrvJerndlars
Id3A)X#FF0414II
Decomber6, 2619
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
NTM ,0 • a0=0 F
AHRI Certified Reference Number: 202024448 Date: 03-15-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series: 16 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA16NA037*0**B*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L
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,
IA, IN, KS, MA, ME, MI, MN, MO, MT, NO, 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 region(s) for
which they meet the regional efficiency requirement.
}"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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratinas that are accomoanied by WAS indicate an involuntary re -rate. The new published ratinn is shown adorn 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the produchid, or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for inodels and configurations listed In the
directory at www,a h rldIrectory.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 for the user's individual, AM
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.aliridirectory.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.
92019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 319715235461e448e