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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO M 1ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�, z3 Permit Number: Date: __-- Building Permit Application planning and Development Services 9uilding and Code Regulation Division 2300 Virginia Avenue, FortplerceFL34982 Residential Phone: (772) 462-1553 IFax: (772) 462-1578 Commercial ' PERMIT APPLICATION FOR: Mechanical Address: —"L?- q/ Y SIL/P( I�0 Legal Description: _ l_ Property Tax ID #: ,a y Site Plan Name: ��77 + GI__ Project Name: I/O N ✓ t1�� (I - Setbacks Front _J-- LIKE FOR LIKE A/C ClliAI Additional work w oe �e ZHVAC 01 11 Electric Q Total Sq, Ft of Constructi( Cost of Construction: $ _ Name �VIVI'v "/l/ r Orldrp CS: L I l % .S City: t-�, Zip Code; 3 yR Z Phone No.777 E-Mail: Fill in fee simple Title Hol from the Owner listed at I - 00C) 9-00 v Back: Right Side: GEOUT 3 -�U N 1SSe2G� <F 1:�- I,) I Tank 61— L? Left Side: Jut l It i l— 11 cVn un rp•,- Sas Piping _Shutters Sprinklers Generator 5 Ft, of First Floor: utilities;[ISewer 0Septic Lot No, Block No. ❑ Windows/Doors Roof = Roof pitch Building Height: I - i"^-�l�l Name: CHRIS LANGEL / V Company: SEACOAST No State: %L— Address: 31081NDUSTRIAL31stSTREET City: FT PIERCE State; FL Zip Code: 34946 Fax: 772-466-3063 Phone No, 772.466-2400 on next page ( If different E -Mall: INFO@SEACOASTAIR.COM 0 State or County License: CMC036421 value of construction is $2 00 or more, a RECQRDED Notice of Commencement is required. Name: Address: City: Zip; Phone: _ FEE SIMPLE TITLE HOLDER; Name: Address: City: Zip; Phone; Not State: _Not Applicable MORTGAGE COMPANY: — Not Applicable Name; Address: City: State; Zip; Phone: BONDING COMPANY; _Not Applicable Name: Address: Zip: I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Countyymakes no representation that is granting a permit will authorize the permit holder to build the subject structure which Is in conflict with any applicable Homeowners Association rules, bylaws or and covenants that may restrictorpprohibits uch structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. pI . In consideration of the granting of this requested permit, 1 do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucle 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. z. �/w am s Signature of Owner/Lessee/Contractor agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA CO U NTY 0 F sT LuCIE The forgoing instrument was acknowledged pefore me this2,' day of �P� , 20 f by CHRIS LANGEL (Name of person acknowledging) Versonally Known X Type of Identification Prc Commission No. `1`90411 Revised 07/1S/2014 of Oft Produced Identification Bondsd ThN STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrum�jnt was acknowledged before me this L3 day of r� P l ' 20 I ( by CHRIS LANGEL (Name of person acknowledging ) (Snature of Notary Public- State of Florida ) Personally Known X Type of Identification Commission No. OR Produced Identification Wo REVIEWS SUPERVISOR VEGETATION SEA ELE REVIEW MANGROVE UTZONING COUNTER REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 201300136 Date: 04-18-2019 Model Status: Production Stopped Old AHRI Reference Number: 8004956 AHRI Type, SP -A Series: GPC15 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GPC1536H41A* 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, NO, 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. T"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. Ratings that are accompanied by WA5 indicate n involuntary re -rate. re-rate.The new published r t' g is shownIna with the previous (i WAS) raging. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes 110 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 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.al,rid[rectory.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; JIM entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. g, REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information far the model cited on this certificate can be verified at www.atirldirectory.org, click on "Verify Certificate" link we make life batter - and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above, and tate Certificate No., which is listed at bottom right. 132000672451705311 ©2019Air-Conditioning, Heating, and Refrigeration Institute CEF,k �IFICATE NO.: