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HomeMy WebLinkAboutBuilding Permit Applicaitont_
ALL APPLICABLE INFO MILSTT BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat- Dat
30 '—� I Permit Number:
:
fi
BUilding Permit Application
planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort l plerce FL 34982
phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ' Residential —X—
phone:
PERMIT APPLICATIO FOR; Mechanical
°V
Legal Description: �^
I
Property Tax ID #: I f 0 0 f — Cc cc) � Lot No,
Site Plan Name:J Block No.
Project Name: 'S'4
'fA I ee K c", `�
Setbacks Front i__ Back: RlghtSlde: Left Side:
LIKE FOR LIKE AIC C�IANGEOUT �o
tone wor to e e Orme un er t s permit— c ec a appy:
HVAC CjasTank F]GasPiping _Shutters ❑WIndows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Constructlon _ eS Ft, of First Floor:
Cost of Construction; $ —,' � / C 1 0 Utilities:[]Sewer Septic Building Height:
Name: CHRIS LANGEL
Address: / Z � L%
J J7,- !%_ Company: SEACOAST A/C
Q I State; `� Address: 31081NDUSTRIAL31stSTREET
City: ✓ 1 --
ZIP Code: J S 7 Fax; City; FT PIERCE State: FL
Phone No.
Zlp Code: 34946 Fax; 772-466-3053
E -Mall: Phone No. 772.466-2400
Pill in fee simple Title Holder on next page (if different . E -Mail: INFO@SEACOASTAIR•COM
from the Owner listed ab�ve)
State or County License: CMC036421
If value of construction is $2100 or more, a RECORDED Notice of Commencement is required,
I
7—
5i CONSTRUCTION LIEN' LAW
INF'
RTNl"PLEMENTAL
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 that is granting a �ermit will authorize the permit holder to build the subject structure
structure. Pleasie consult with yofur Home Owners Associationt andrreview your deed focovenants
any restr tions which maor
applyhiblt 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,
accessary 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
rnmmpnring work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFsTLucIE
The forgoing instrument was acknowledged before me
this tq day of MF t W i , 20 _dby
CHRIS LANGEL -L-
(Name of person acknowledging )
ry
P'ersonally Known x
Type of Identification
Commission No. FF941411
Revised 07/15/2014
OR Produced identification ,=
MYW5Si0N A FF 841411
Ex Decembor 8, 2019
Banded Thw Notary PUN10 Urrlenvdiem
Signature of Contractor/License Halder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru t was acknowledged before me
this 902 day of�( 20 1 C1 by
CHRIS LANGEL
(Name of person acknowledging)
of Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Prfidawl .
Commission No.
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.
111111 r 11 1111111 • • • •
AHRI Certified Reference Number: 201300148 Date : 04-24-2019 Model Status: Active
Old AHRI Reference Number: 8004958
AHRI Type: SP -A
Series: GPC15
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GPC1548H41A*
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.
1"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 Ihat are accompanied by WAS indicate an involuntary re -rate. The new published retire is shown alone with the previous (i.e. WAS) rating.
DISCLAIMER
ARM 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.aliridIrectory.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 farm or manner 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.ahridirectory.org, click on "Verify Certificate" link me make lire 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. p.; ;1�r'
©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132005887621381447