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HomeMy WebLinkAboutBuilding Permit Application-- ---- - L APPLICABLE 1�NPQ M"}5 CgMPLRTED r0R APPIIGATIgNTQ B permit PNumber; gate; >0�'•11�.�------I"..-- ' Planning and Develop Building and Code Regulai 230o virginia Av62ue553 For phone;1772) h PERMIT APP(ICA' Address; Legal Description: Property T8x ID #: __1_ site Plan Name: L�10 project Name; setbacks Front,_ LIKE FOR LIKE A/C building Permit Application pivis(on rce Fi. 34982 . x; (772) 462.I578 FOR; Mechanical Electric Total sq. Ft of Construe Cost of construction; $ Address; City; Zip Code; 3 1 �� Phone No, E-Mall;_------ FIII in fee simple Title H from the Owner listed Of value construction is COrnrnerClal _ -- Residential X Block No, ack: ____--- Right Side: ___.--Left Woe; B � ert sperm'—crec ali apPwaWindoWs/Doors rme un _shutters s Tank UGas Plping Roof pitch umbing Sprinklers 1.1 Generator Roof s Ft, of First Floor; g p sa �file Building Height; --- t/ (Outilities; sewer _ NamNam®Ris LANGEL ---"—" �C G er — SEA COAST WC (/d Company: �a 3f 08 INDUSTRIAL 31 st STREET state; %G Addrass: State; FL City; FT PI772-466.3063 ax: Zip Code; 34946 Fax; Phone No, 772.466.2400 if different .E•Mall:INFOa@Slp--=TM.cO36M an next page ( License: CMC038421 State or County ar more, a RECORDED Notice of Commencement is raqulred, 1me: ,_----- idress�-=— ty. Phone: p' --- NotApplicable MORTGAGE COMPANY: Name: Name: Address; State; _ State: City: Zip' Phone; — iE SIMPLE TITLE HOl_DRR; _Not Applicable ame:_ ddress; ity: _ Ip: Phone; BONDING COMPANY; ^NotApplicable Name: Address: City: zip; Phone: certify that noworkor installation has commenced priorto the Issuance Hof a permit, r l ich (s Inoquo flic with any aprpllcablelHome owne stAssoclatlonl ruliesabylaws or the permit that mey rehgtrlCtbor prohibit such :ructur I Please consult with your Home Owners Association and review your deed for any restrictions which may apply, In all 1 accordance iratswith the approveof t d plans, this he Floriduested a Building codI do es and St. Lucia couree that I nty Am ndmeentsperformthe work e following building permit applications are exemptfrom undergoing a full concurrency review: room additions, hen he Poll ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use suit in your paying twice for NARNING TO OWNER: your failure to Record a Notice of commencement may reon the efore the first tinspection property. mend to obtain n financ ngotice of , consult t mustwi h lender or ae recorded and n attorney ey before nln+loa of Commencement. 31gnature of Owner/Lessee/Contractor as gent for owner STATE OF FLORIDA COUNTY 0 F sr Lucia The forgoing Instrument was acknowledged b�gfore me this 04, day of ice— Zo. l `lby cFlRls LANGEL 1' (Nemeofpersonacknowledging) ^' of i�rsonally Known x _ Type of Identiflcat(on Prc Commission No, FF041411 Revised 07/15/20J� REVIEWS CO � TER ING REVIEW 5lgn8ture�o1 �Contractor/Llcense Holder STATE OF FLORIDA COUNTY OF srwcle The forgoing instrumentwas acknowledged ji_afore me this ;Z // day of c__ k I V <- x0 7 by CNRI6 LANGRL (Name of person acknowledging ) of Notary Puhlic-State of FI Commission No, SUPERVISOR PLANS VEGETATION SEATURTI.E MANGROVE REVIEW REVIEW REVIEW Y R�VIEW T REVIEW INITIALS This combination qualifies for a Federal Energy Efficiency tax Credit when o placed in service between Feb 17,2009 and Dec 31, 2016. Cerfificate 0A Plao0duct R atings AHRI Certified Reference Number: 201384674 Date : 06-23-2019 Model Status :Active Oid AHRI Reference Number : 8242117 AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: FRANKLIN Outdoor Unit Model Number (Condenser or Single Package) : GSX160301 F* Indoor Unit Model Number (Evaporator andlor Air Handler) : ASPT37C14A' 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, Very, 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 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" Modei Status are those that an AHRI Cedifcation Program Participant is no longer producing BUT is still RIlinr offering far sale. t ng olh t a mpan d by WAS indicate involuntary re -rate. The w published ting is shown along with the previous fie WAS) ra mi. 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.alirldlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whale or in part, be reproduced; copied; disseminated; AM entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except farthe user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahridbectory .org, click on "Verify Certificate" link we make life beuer 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 s listed at bottom right '" 132057707244108222 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: