HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MdJSY BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' / t — Permit Number:
•� q
- Building Permit Application
planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, portlpierce FL 34982
Phone; (772) 462-1553 IF= (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR; Mechanical
Address:
Legal Description:
Property Tax ID r9: J
Site Plan Name: _
Project Name: Z57 C,
Setbacks Front_
LIKE FOR LIKE A/C C
70 -5'0 //�3
Back; Right Side:_
{1ANGEOUT -77, S /o N
/0�kw
4HVAC LJ6asTank
Electric Plumbing
Total Sq, Ft of ConstructICA _G G
Cost of Construction: $ D 0
Nam
Left Side:
JCI IIIA — LI ICU, ap vVfl y.
Sas Piping _Shutters
Sprinklers Generator
_
Sq. of First Floor: _
Utilities: 0—Sewer Oseptic
Address: 3S� SAfea' /%9IlacJ /- /U
City: 5 I State; _o�L
Zip Code: Z Q S1=ax:
Phone No. 77 Z -2-
E-Mail: E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed ab6ve)
If value of construction is $2800 or more, a
U
Lot No,
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
Name: CHRIS LANGEL
Company: SEACOAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3063
Phone No, 772.466-2400
E -M a I l: I NFO@SEACOASTAI R.COM
State or County License: CMC03642i
D Notice of Commencement is required.
SUF,PLEMENTAL,CONSTRUCTIQN.LIEN LAW INFORMATION;
FRONT
COUNTER
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: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip; Phone:
Zip: Phone:
I certify that no work or! nstallation has commenced prior to the Issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. please pleasle conlsult with yolur Hlome Owners Association Association
drreviewyyour deed for any restrictions which rmaor
aprohibit such
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 jobslte
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordinour Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent far Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY 0 F ST Lucie
STATE OF FLORIDA
COUNTY OF sT wcIE
The forRoine Instru ent wa acknowledged before me The forgoing instrum t as acknowledged before me
this _ t `l , of p�', 20 / 26y this _ /5 _Jy of 7J �_I 20 � by
CHRIS LANGEL -i- CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging) ^
ature of Notary
Versonaliy Known x
Type of Identification
Commission No. FF9a941t
Revised 07/15/2014
of Florida
OR Produced Identification
FF
re of Notary
Personally Known X
Type of Identification
1MIlid Commission No. FFe41
2010
State of Florida )
OR Produced Identification
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
AHRI Certified Reference Number: 8215487 Date: 04-18-2019 Model Status: Active
AHRI Type: SP -A
Series: R410A AC SPP
Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS
Outdoor Unit Model Number (Condenser or Single Package) : PA4ZNA024000—"
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, L. 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.
The manufacturer of this BRYANT HEATING AND COOLING SYSTEMS product Is responsible for the rating of this system combination.
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.
Ratings that are accompanied by WAS indicate an involuntary re rate The new published ration is shown ninon with the previous (i.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 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.ahrid]rectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal antl
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, PM
personal and collfldential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we make fire betmr-
antl 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. ����ATE NO.: f3200090362137692A
-
@29'I9AIr-Conditioning, Beating, and Refrigeration Instituto