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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE %INFO UJIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / / _ i__ Permit Number: Building Permit Application Planning and Development ISerVlces Building and Code Regulation Division 2300 Virginia Avenue, Fort I(' lerce FL 34982 phone: (772)462-1553 IFax: (772)462-1578 PERMITAPPLICATIO� FOR: Mechanical Commercial ' Residential x Address: 5 O N�_wa Z 7 Le alDescrlption: ��'Gc7-Ls �'S vDA (-0 r Z-C(c z rte„ Property Tax ID #: ,S0 S'00 9Z; —C%w-� Site Plan Name: Project Name; GR F�\ 47I Setbacks Front --J_- Back; Right Side: LIKE FOR LIKE A/C Cti1ANGE0UT Z o uJ Additional worl(to bene] ormeu u HVAC LJ ;as Tank 11 Electric El Plumbing Total Sq. Ft of Construction,;_ Cost of Construction: $ _I"/J Left Side: )ermi— cnecrcau WcU. dPPiy: gas Piping _Shutters Sprinklers 11 Generator SgFtj of First Floor; _ fr Utilities: []Sewer Septic Address: '>001 NFit/; 57. City; ! G N i State;O/ Zlp Code: _ L% Fax: Phone No.�— E-Mail: _ Fill in fee simple Title Holder on next page ( if different from the Owner listed abbve) if value of construction is $2100 or more, a RECORDED Notic Name: CHRIS LANGEL © A Lot No. Block No. Windows/Doors Roof = Roof pitch Building Height: Company; SEACOAST A/C Address: 3108 INDUSTRIAL 31st STREET _ City: FT PIERCE State: Fl- Zip LZip Code; 34946 Fax; 772-466-3053 Phone No• 772-466-2400 E -Mail: INFO@SEACOASTAI R. COM State or County License; CMC036421 of Commencement Is required, ]NEER: _Not Applicable Name: Address: City: Zip; Phone: State MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip; Phone: FEE SIMPLE TITLE HOLDER: ^ Not Applicable FRONT COUNTER BONDING COMPANY: _Not Applicable Name: PLANS REVIEW Name: Address: MANGROVE REVIEW Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Luc! eCounty 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 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 commencin worl<or recordin aur Notice of Commencement. s Signature of Owner/Lessee/Contractor assent for Owner Signature of Contractor/Ll cense Holder STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instruent was knowledged before me a this day of �/ / `� 20 // yby CHRIS LANGEL i - (Name of person acknowledging) of Notary f ersonally Known X Type of Identification Commission No. `F9 1411 Revised 07/15/2014 State of Florida ) / I OR Produced Identification U ,, )USTINALHOPKINS•CONNELLY �,., MY�ISSIONRFF94141t . < EX Dacember6,2019 ls'b1..hk 6ondcd Thm Notary Pubilo Urdemdlem STATE OF FLORIDA COUNTY OF sTLUCIE The fo(rr oing instrum�jntwas acknowledged before me this / day of h Imo• , 20 / -7by CHRIS LANGEL ;Name of person acknowledging of Notary Public- State Personally Known x OR Produced Identification Type of Identification Prad {Fed Commission No. 2019 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. AHRI Certified Reference Number: 200945843 Date: 04-09-2019 Model Status: Active Old AHRI Reference Number: 6892357 AHRI Type: SP -A Series: GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1436H41D* 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 which they meet the regional efficiency requirement. f"Active" Model Status are those that an AHRI Codification 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 seting or offerinta=me R tin thatd by WAS I d' t an in i l ry -r t Th n a bl' h d ting h w o 'th th pr vi (' WAS) Fg 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 AHRL 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 mariner or by any means, except for the user's Individual, 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,altrldirectory.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. > u ' - ©2019Air-Conditioning, Heating, and Refrigeration Institute L� RT[FICATE NO.: 131993055600111138