HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO til ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number;
Date:--
- Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort I pierce FL 34982
Phone: (772) 462-1553 II -ax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
Commercial Residential X
77
0�
Legal Description:
�rJ A) t6vCrl-
� �� > 62
�'�,��/�,�1�I ��(� � �— Lot No.
Property Tax ID tl: �— Block No.
Site Plan Name: —
f GNG S V,`Ga01-.`C7
Project Name:—
Back; Right Side; Left Side:
Setbacks Front �—_ --
LIKE FOR LIKE AIC C�,IANGEOUT 7,/
5, eel r4cclij
I
trona worK to e e Orme un ert spermit—c ec<a app Y:i
HVAC as Tank
❑Gas Piping _Shutters F—]Wlndows/Doors
11ElectricPilumbing p
[]S rinklers � Generator Roof Roof pitch
_
Total Sq, Ft of Construction; _ S'( Ft, of First Floor:
Cost of Construction: $
3 b . Q (� Utilities. nSewer OSeptic Building Height:
Ne: CHRIS LANGEL
Name G r; ® am
SEACOAST A/C
Address: 0 / a �(2/ LS 6 d Ue%5��� ompany:
pS /dN2 i— State: / Address; 3108 INDUSTRIAL 31st STREET
City; v/) FT PIERCE State; FL
Zi Code; �/ 5' Fax: City:
Zip 772-466-3053
------
Zip Code: 34946 Fax:
Phone No. 1 g7/' 772-466-2400
E -Mail; Phone No.
1 NFO@SEACOASTAI R.COM
Fill in fee simple Title Holcjer on next page ( if different E -Mall: State or County License: CMC035421
from the owner listed ab Vol
f value of construction Is $211o0 or more, a RECORDED Notice of Commencement is required.
I -I— -'. Not Applicable
DESIGNER/ENGINEER: —
Name:
Address: State:
City:—
Zip; Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
City:
Zip; Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: State:
City:
Zip; Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip; Phone:
I certify that no work or installation has commenced prior to
pp the issuance of a permit.
St. Lucie Countyy,ctwit a rep plicableiHomeaownners Asssoclationi rules, bylaws or andpcovenantdthat build
ay restrictborprohibit such
which is in leas consult
any app Y apply.
structure. Please consult with your Home Owners Association and review your deed for any restrictions which no
a I
In consideration of the granting of this requested permit, I do hereby agree that 1 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.
S
Signature of Owner/Lessee/Contractor as gent for owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF sTLucIE
The forgoing instrument✓w�s acknowledged before me
this day of ✓rices 20
CHRIS LANGEL
(1-
(a'me of person acknowledging )
ature
Versonally Known x
Type of Identification
Commission No. FF90411
Revised 07/15/2014
REVIEWS
INITIALS
OR Produced Identification
Bondgd
FRONT I ZONING
COUNTER REVIEW
9 FF 941411
mor 6. W9
STATE OF FLORIDA
COUNTY OF Lr u
The for o ng instrument wa acknowledged before me
this /day of zC /q by
CHRIS LANGEL
(Name of person acknowledging)
n 1 n
(S nature of Notary Public- State of Florida )
Personally Known x
Type of Identification
Commission No. FF941
OR Produced Identification
2019
SUPERVISOR
OR VEGETATION
TURTLE VE
REVIEWREVIEW REVIEW REVIEW VIEW
AHRI Certified Reference Number: 201417957 Date: 03-18-2019 Model Status : Active
Old AHRI Reference Number: 8655532
AHRI Type: RCU-A-CB
Series : GSX14
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX140241L*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A*
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, 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 region(s) for
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
sellRating or offering for sale.
ih t r mp n' d by WAS indicate n involunta, re -rate. The new Published t' e is showna with the previous (' e WAS) rating. _—
DISCLAIMER
AHRI does not endorse the producl(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.abrldlrectory.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 farm or manner or by any means, except forthe user's Individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CONDITIONING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information far the model cited on this certificate can be verified at www.ahrldirectory.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. 131974093444696532
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: