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HomeMy WebLinkAboutBuilding PermitI_ ALL APPLICABLE INFO WII1ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I_— Permit Number: _ Building Permit Application Planning and Development Services Building and Code Regulation oivislon 2300 Virginia Avenue, Fort lerce FL 34982 phone; j772) 462-1553 Fax; (772) 462-1578 Commercial ' Residential X _ PERMIT APPLICATIO FOR, Mechanical I, Address: q ESQ LA 3-S S Legal Description: Property Tax ID #: % � � � Lot No. Site Plan Name: I_ Block No. Project Name; ��NCGaI ,( - Setbacks Front �__ Back; RightSlde; Left Side: �� I LIKE FOR LIKE AIC Cy1ANGEOUT �'� Additrona wor(to e e 'orme under tspermt-check aappy: (� 'as I_.I windows/Doors ❑`jGas HVAC Tank Piping _Shutters Electric Flumbing OSprinklers Generator L1 Roof Roof pitch Total Sq. Ft of Construction!_ S Ft, of First Floor: Cost of Construction; $_/ tillties:OSewer DseptIc Building Height; I Name G G..S S54 1) %,iJ Name: CHRIS LANGBL ' "(� L A) ('"0 %Cp= Company: SEA COAST A/C Address: D P y' Clty: r �/,/ _ State; L Address; 3108 INDUSTRIAL 31stSTREET /FT PIERCE State: FL Zip Code: � Gl q 5' '. Fax: _ City: Phone No. - %I Zip Code; 34946 Fax; 772-466.3053 E-Mall; _ Phone No. 772-466-2400 'er Fill in fee simple Title Hol on next page ( if different E-Mall: INFO@SEACOASTAIR.COM from the Owner listed abvt:) State or County License: CMC035421 i If value of construction is $2J00 or more, a RECDRDED Notice of Commencement Is required. i Name: Address: City: zip: P FEE SIMPLE TITLE HOLDER: Name; Address: City: Zip: Not ApplicableMORTGAGECOMPANY: ^Not Applicable Name: Address: State: _ 'City: State: _ Zip: Phone: _ Not Applicable BONDING COMPANY: —Not Applicable Name: Address: City: 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 permit will authorize the permit holder to build the subject structure structure, Please consult with yolur Home Owners Association Association ew your deed for any restri ctaons which maor apply prohibit 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 Signature of Owner/Lessee/Contractor aunt for owner STATE OF FLORIDA CO U NTY 0 F sr LucIE The forgoing Instrument was acknowledged before me this L! day of 20. ZJby CHRIS LANGEL-�' (Name of person acknowledging ) Versonally Known x Type of Identification Prc Commission No. FF941411 Revised 07/15/2014 of OR Produced Identification SSiON 6 FF 941411 December 6, 2019 Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instru e t was acknowledged before me this r/ day of� 20 /7 by CHRIS LANGEL (Name of person acknowledging ) (S' nature of Notary Public- State of Florida ) Personally Known x Type of Identificatlo, Commission No. OR Produced Identification 6.2019 REVIEWS SUPERVISOR PLANS VREVIEWON SEREV EWTLE MANGROVE REVIEW COUONNT TER ROEVNING IEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 5831067 Dale : 05-02-2019 Model Status: Active Brand Name: BARD Model Number: W42A2-AfW42L2-A Rated as follows in accordance with the latest edition of ANSI/AHRI 390-2003: Performance Rating of Single Package Vertical Air -Conditioners and Heat Pumps and subject to rating accuracy by AHRI-sponsored, independent, third party testing: AHRI Program: Single Packaged Vertical Air -Conditioners Hertz :60 Cooling Capacity95F :40000 EER 95F'9.50 f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling cr 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 ratino is shown alone with the previous (i.e. WASI 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 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.ali rldlrectory.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, 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.afirldirectory.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. r ©2019AIY-Conditioning, Heating, and Refrigeration Institute ICATE NO.: 132012996967185401