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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIUSY, BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ Date; —Z Permit Number: _ Building Permit ,Application Planning and Development Services Building and Code Regulati n Division 2300 Virginia Avenue, Fort plerce FL 34982 phone; 1772) 462-1553 fax; (772) 462-1578 Commercial Residential X _ PERMIT APPLICATIO FOR: Mechanical 1 a p Legal Description: _�- 1 Property Tax ID P: (905 % Lot No, site Plan Name; Block No. Project Name; rGI ✓✓<� setbacks Front —_ Back; Right Side: Left Side: i LIKE FOR LIKE A1C C{-iANGEOUT 3 O (% na wort to n'orme un erY spermit—c ecVAC ❑Windows/Doors TFjGas Plping LJ as Tank _Shutters Electric dumbing [:]Sprinklers � Generator � Roof Roof pitch Total Sq. Ft of Constructiotn; _ S FtFt,j of First Floor; 73 OSeptic Cost of Construction; $ =I_7 �� Utlllties: L2Sewer Building Height; P� Name \OL A Name: CHRIS LANGEL Address: S C 11 Q U L7l C ` ( UN a' Company: SEACOAST A/C ( ((-& I State;LLIf Address: 3108INDUS7RIAL 31st STREET City: �' � � �— Zip Code: 3 yG LY ' Fax; City; FT PIERCE State; FL Phone No, �/ a _ _ 7 J S G Y 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 abbve) State or County License: CMC035421 if value of construction is $2 ,00 or more, a RECORDED Notice of Commencement is required. I SU"PLEMEYNTAL.CONSTRUCT(QN,LIEN LAW IN)FORMATI,OIV: 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 installation has commenced prior to the Issuance of a permit. St, Lucie County makes no representation mat Is glanung d 11011 IID VVIII QU LL VI IL' .: r,.,„,,..,..,., .� ....,•.. ••,..---,__ __ _ ._ _ structure, Pleasie consult withyoiur Home Owners Association Association rules, your deed for any restrictions which rmay appllyhibit 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 additlons, 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 recording our Notice of Commencement. �� s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST Lucie The fnr Ing instru ent was acknowledged before me this %q day of �A• 20 /3—by CHRIS LANGEL �L` (Name of person acknowledging ) of Notary Public -State of I ersonaliy Known x Type of Identification Commission No. FF941411 Revised 07/15/2014 OR Produced Identification EXMM! December 6, 2019 gandedThm Notary Publla UmJeNdiam STATE OF FLORIDA COUNTY OF sTLuc'F The forrrInning instrumtwas knowledgedd before me 141 this, �day of20—� by CHRIS LANGEL (Name of person acknowledging) (S%Anature of Notary Public- State of Florida ) Personally Known x Type of identification Commission No. OR Produced Identification 2019 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 202349756 Date: 04-17-2019 Model Status : Active AHRI Type: RCU-A-CB Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140361 K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT35B14A* 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 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 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 -rade. The new published rating is shownnq with theorevious (Le, WAS) ratina. 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the produces), 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.abridirectory.org. TERMS AND CONDITIONS Tills 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; disseinktated; 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 a REFRIGERATION INSTITUTE The Information farina model cited on this certificate can be verified at www.alirldirectory.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. F ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: '31999826224384152