HomeMy WebLinkAboutBuilding PermitALL APP/LI�CABLE INNFFO Mll T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! — (f / _ Permit Number:
Building Permit Applicati®n
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fortl lerce FL 34982
Phone: (772) 462-1553 �ax: (772) 462-1578 Commercial ' Residential X
PERMIT APPLICATICh FOR: Mechanical
Address:
Legal Description:
PropertyTaxlDl#:_f_C)cx-�-�
Site Plan Name:
Project Name: r IN, I{
Setbacks Front �_ T Back: Right Side; Left Side:
LIKE FOR LIKE A/C C •-IANGEOUT .5 0
UHVAC L --j �Ilas Tank rL_
Electric lu rnbing
Total Sq. Ft of Constructio `:: _ 7
Cost of Construction $
NameakI . f I ,
Address: y _Z� G� i
City: Fop 4�L-
Zip Code:
�C 8
Phone Na. `
E -Mail;
FIII In fee simple Title Holl
from the Owner listed ab
if value of construction is $2
a
Sas Piping LJ Shutters
Sprinklers 0 Generator
_
Sq, of First Floor: _
Utilities; 0—Sewer OSeptic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
IUB= Name: CHRIS LANGEL
Company: SEACOASTA/C
State: Address: 3108 INDUSTRIAL 31st STREET
ax: _ City; FT PIERCE State: FL
Zip Code: 34946 Fax: 772-466-3053
Phone No, 772.466-2400
on next page ( If different E -Mall: INFO@SEACOASTAIR.COM
State or County License: CMC036421
or more, a RECORDED Notice of Commencement Is required,
DESIGNER/ENGINEER:
_NotApplicable
ZONINGFRONT
MORTGAGE COMPANY: Not Applicable
Name:
VEGETATION
Name:
COUNTER
Address:
REVIEW
REVIEW
Address:
'City: State; _
State:
City:
Zip; Phone:
_
Zip; Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
INITIALS
Address:
City:
Zip; Phone:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucle Count}y( makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure, Pleasleeconisult with yolur Hlome Owners Association Association
drreview your deed for any restrictions which maor
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 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 Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY O F S r Lucie
The far ping instrulnept y as acknowledged before me
this A day of d� z0 �by
CHRIS LANGEL--
(Name of person acknowledging )
f ersonally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
of
OR Produced Identification
EX t`uu� December 6, 2019
gondedihm Notary Pubila Undo Atsm
STATE OF FLORIDA
COUNTY OF sr wcte
The forgoing instruf�entwa acknowledged�efore me
this ZR day of 7 po '/ ( by
CHRIS LANGEL
(Name of person acknowledging )
(S nature of Notary Public- State of Florida )
Personally Known x
Type of Identification
Commission No.
OR Produced Identification
2019
REVIEWS
ZONINGFRONT
SUPERVISOR
PLANS
VEGETATION
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEWTURT
REVIEW
DATE
COMPLETE
INITIALS
:. Z o, �.611
AHRI Certified Reference Number: 9198752 Date : 04-29-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series : 16 SEER AC
Outdoor Unit Brand Name : CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA16NA030*0**A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CNF002L
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 prod ucedl'Pmduction Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ral' g th t mp toed by WAS indicate an' I t ry -rat Th oubli h drating' h along with theE C WAS) rating
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 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.aluldirectory.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;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, A
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.ahridirectory.org, click on "Verify Certificate" link we make life Sena"
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.'' -a '
02019Air-Conditioning, Heating, and Refrigeration Institute -CERTIFICATE-NO..: 13201022856,3690164