HomeMy WebLinkAboutBuilding Permit Application...............
COMPLETED FOR APPLICATION TO 13E ACCEPTED
L APPLICABLEPBr 15
;permit Numer
)ate:
wilding Permit ypplication
Planning and Developmentulatlservices
n Pivislon
Building and Code Reg
23po virginia Avenue, fort ��''lerce fG 34982 .
phone ;(772jg62.1553 IFax, (772)46
24578
PERMIT APPI,ICATIQ FOR. Mechanical
ttim
Legal .e . .
propertyT�xlD #:
Site Plan Name:
Project Name J
Setbacks Froni
IKI FOR LIKE A1C
�Electrlc
Total Sq, Ft of Constructi,
Cost of Construct,= $
I Na
Zip Code;3
Phone No -
pill in fee simple Title H
from the Owner listed
If value of construction s
it/�1 s
Commercial _ Residential x
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Gas Plpin
bing g shutters
Tank
sprinklers Generator
n
Sol of First Floor;
C, Utilities; I-�Sewer[.]Septic
State;
on next page (if different
81ock No,
Windows/Doors
Roof 4 Roof pitch
Name; CHRIS LANGEL ---�""
Company; SEA COAST A�0
31061NDUSTRIAL M St STREET
Addrass: State: FL
City: FT FIERCE 772.466-3063
Zip Code; 34946 Fax;
Phone No, 772"45B-2400
E Mall: INFO@SEACOASTAIR,COM
State or County License: CMC036421
ar moro, a RECORDED Notice of Commencement
I^PM CIMIIImli;OLL
,SIGNER/ENGINEER. �NotAppllcable MORTGAGE COMPANY: _Not Applicable
Name;
rme: Address:
ldress: State: City; State;
ty; Zip; Phone:
p:Phone;
ilcable BONDING COMPANY: ^Not Applicable
:E SiMPLE TITLE HOLDER: _Not App Name:
ame; Address:
ddress; City:
ity; Zip: Phone;
Ip: Phone;
certify that no work or installation has commenced prior top the Issuance hof a permit,
Lucie Countyy makes no representation that
home Owneanting a atlonl ru�lasabylawszor the permit
covenants that build
ay restrictbor prohibit such
hfch is In can tlictwith any applicable
:ructure, Please consult with your Homeowners Association and review your deed for any rastrictions which may app y,
I do
i1 consideration of the accordance wltih the approveof this d plans, the Floriduested a Building Coders and St Lucie Coulnty Amendments, in all erform the work
he following building permit applications are exemptfrom undergoing a full concurrency review: room additions,
ccessory structures, swimming pools, fences, walls, sigris, screen rooms and accessory uses to another non-residentlal use
NARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
efore the firsttin pection,pIf you intend to obtain f nanc ng, consult hwithclendeer or an attod and rney befon the ore
.,.�nrina work or recording our Notice of Commencement,
—
iignature of Owner/Lessee/Contractor as gent for uwner
STATE OF FLORIDA
COUNTY OF sr Lucie
The forgoing Instrument w�acknowle2g0ed �ahfyre me
this �dayof ALA—
CHRIS LANGEL �"
(Name of person acknowledging )
!&'i
( nature of Notary Public - state of Florida j
ersonally Known x OR Produced Identification
Type of Identification Prod , S u 4HOPKINS�CONNe L
Commission No.FFeaik�+ 91=kr4�'r "� �X(pecemhers,zolB
Revised 07/15/20J.�
REVIEWS7c!oUNTEROREVI W
' �•` s
Signature of Contractor/Llcense Holder
STATE OF FLORIDA
COUNTY OF srLucle
Theforgol instrumentwasacknowledge pi afore me
this Z day of � f 20 (( by
GHRIB LANGEL
(Name of person acknowledging) ^
of Notary Puhllc- State of Florida
Known x OR Produced Identification
Typo of
Commission No.
SllPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW TEVIEW REVIEW
INITIALS
This combination
qualifies
for a
Federal
Energy Efficiency tax Credit when
placed in service
between
Feb
17,2009
and Dec 31, 2016.
Certificate of Product Katin
AHRI Certifed Reference Number : 201667885 Date : 06-24-2019 Model Status :Active
Old AHRI Reference Number: 8331287
AHRI Type: HRCU-A-CB
Series: GSZ16
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSZ160421 B`
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47D14A`
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 : 39000
f"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.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI does not endorse the products) 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 ford amages 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.ahrldlrectory.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; ism
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except forthe 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 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.
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02019Air-Conditioning, Heating, and Refrigeration Institute �( TIFICATE NO., ,,,