HomeMy WebLinkAboutBuilding permit application-- -
.L APPLICA6LE INFO W S1f BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ff Permit Number;
)ate:
planning and Developmen
Building and Code Regula
2300 Vlrglnia Avenue, for
phone: (772)462-1553
i3ullding Permit Application
Division
rceFL34982. Residential
x; (772) 462.1578 Commercial _ ___
PERMIT APPL,ICATIQ POE: Mechanical
Address;
Legal Description;
Property Tax ID #;
site Plan Name; D
Project Name
Setbacks Front.
LIKE FOR LIKE AIC C
Electric
Total Sq, Ft of Constructic
Cost of Construction'o $ _
I Na
Back; Right Slde; Left Side;
�1ANGE0UT ��
pe un eYthls permic—cna�n arrr•
Tank ❑Gas Piping j _� Shutters
nbing 05prinkiers Generator
_ S��Ftjj of First Floor; _
UtIIItles;LJSewer�5eptic
City; f v" � •p'� �r ��-------'-State;o
Zip Code; 3
Phone No,
E Mall;
Fill In fee simple Title Hal or on next page ( if different
from the owner listed abpue)
00
Lot No,�_
Block No.
Windows/Doors
Roof = Roof pitch
Building Height;
Name OHRIS LANGEL
Company, SEA COAST j>/O
Address: 3108 INDUSTRIAL 31 st STREET
City, FT PIERCE State;
Code; FL
34946 Fax; 772`466.3053
ZIp
Phone No. 772`466-2400
Mall: INFO@SEACOASTAIR.COM
State or County License: CMC036421
If value of construction is $2
aY Marc, a RECORDED Notice of
Commencement
ime:
idress;
ty: State:
p; Phone:
:ESIMPLE TITLEH(AUM _Not Applicable
ame:
ddress:
ity:
ip:
e:
MORTGAGE COMPANY: Not Applicable
Name:
Address;
City: State;
zip: Phone:
6oNgING COMPANY: ,_NotAppllcable
Name; _
Address:
Xlp: Phone:
certify that no work or Installation has commenced priorto the Issuance of a permit,
Lucie Countyy makes no representation that Is granting a ppermlt WIII authorize the permlt holde to build the subject structure
ich Is in conflictwlth any applicable Home owners Assodation rulas, bylaws or and covenants tat may regtrict or prohibit such
:ructure, Please consult with your Home owners Association and review your deed for any restrictions which may apply,
i accordance wifh the approlved plans, tof this he Floriduested a Build) g CodI do es and St. Luciree e County Amendments, In all respects, the work
he following building permit applications are exemptfrom undergoing a full concurrency review; room additions,
ccessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
NARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
mprovernents to your property. A Notice of Commencement must be recorded and posted on the jobsite
)efore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
3ignatureofOwn er/Lessee�toras gent for Owner
STATE OF FLORIDA
COUNTY 0 F sr Lucia
The forgoln Instrument was acknowledged before me
this day of i u N 20 �bq
CHRIS LANGEL-A-
(Nameofpersonacknowledgingi
s
Signature of Contractor/License Holder
STATE Or FLORIDA
COUNTY QF 6TLUCIE
The forgoing rostrum wa acknowledge afore me
this day of , 20 by
CHRia LANGEL
(Name of person acknowledging )
of
l�rsonally Known x OR Produced Identification `� Personally Known X
Typo of Identlflcat(on Prod �`�"��` Type of identif(catlo
V •, JU871NALHDPKINsrGUNNE Ly
to
�Qp ssInN 6 FFs41411
Commission No. rFeata++ `:.. EXyf�Decembsr8, 2oi8 Commission No. rFs
Revised 07/]5/20i4
State of Florida )
OR Produced Irlentlficat(on
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Certificate of Product Ratings
AHRI Certifed Reference Number : 201641761 Date : 06-24-2019 Model Status : Active
Old AHRI Reference Number: 7995112
AHRI Type: HRCU-A-CB
Series : GSZ14
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSZ140301 K*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A*+TXV
The manufacturer of this AMANA DISTINCTIONS product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 27600
}"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
Iling or offering for sale.
Rat�that are accomoanied by WAS indicate an'nvoluntary re -rate. The uhli h d ratina is shownI with the or (i WAS) retire.
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.ahrid lrectory.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.all rid lrectury.org, click on "Verify Certificate" link Ave 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. ,-G.„
02019Air-Conditioning, Heating, and Refrigeration Institute TIFICATE NO.: 132058717612302326