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HomeMy WebLinkAboutBuilding Permit ApplicationgpUCAst� F ate: 'lan in g g ulidinand Coda 81g lad 3 ?300 Virginia Avenue, For phone, (772) 462-1553 )FRMH hr 11 CA' \ddress: � _egal Descrlptlon: --- TED gE CO1Mpl.BTEO FOR AMICATIONTO BE CEit Number: Property lox site plan Name: — Project Name",� Setbacks Front ----- FOR LIKR Aft building permit Application pNlsion Yoe FI. 34982 . x: (772) 462-1576 Back:__ --- ` Lv IHVAC I� as Tank Electric L.J �lumbing Total5q, Ft of Constructlol�� cost of construction; $ �I Commercial _ _ —Residential X is permit-- cnn�� a Gas Piping _Shutters Sprinklers Generator _ S , FtFt,jj of First Floor: r UtIlltles;t�Sewerseptic l.ot No,�--- Block No. Windows/Doors Roof 4 L�J Roof pitch Building Height; �---- Name; cHRls IANGEI Name efcr ( vrc Company: SEA COAST lmo Address: �/ir 31D61NDUSTRIAI 31stsTREET '� Address: �F ¢ p, State;,_ State:P� el�C �-- — FT PIERCE Clt 772 466.3D63 3A9A6 Fax;3053 — city,_-------r Zlp Code; I'ax, Zip Code, 34940 — 711% f S d 772•A66.2A00 Phone No, Phone No. E-Mail: E•MaII: INFO@SEAOpASTC0364 State or County llcense: CMCO35/+21 Fill in fee simple Tit] e Hai ar on next page (if different from the Owner listed ab ve) If value of construction Is $2 IDD ar more, a RECQRPED Notice of Commencement is required, n e: jress;IL State: _ Phone; SIMPLE TITLE HOLAER; ^ Not Appl(cable me; dress: 11/IORTGAGECOMPANY: Not Applicable Names Address; City: state; Zip; Phone: BONDING COMPANY: ^Not Applicable Name: Address: y Phone: zip, p �rdfy that no work or installation has commenced prlorto the Issuance of a permit, Lucie Countmakesno representation that Is granting a permitwill aut orixe the permit holdep to build the subject structure cture�Pleafsle consult with your bHlome Owners Association andrrevleWyyour deed faws or or any restrf tlons whichtrmay applyhibit such iccordance wlih the approved plans, tof this he Floriduested a Building CodI do es and agree County Arrndmaentsperform the work following building permit applications are exemptfrom undergoing a full concurrency review: room additions, essory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use ARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for provements to your property, A Notice of Commencement must be recorded and posted on thejobsite fore the first inspection, If you Intend to obtain financing, consult with lender or an attorney before nature of owner/Lessee/Contractor as AgenT for Owner Signature of Contractor/License Holder ATE QF FLORIDA UNTY DF sr Lucie e forgoing Instrument was acknowledged before me Is jday of� , 20 l�Cby 21S LANGEL-� Ime of person acknowledging) • gn gnature of Notary Publ(c-State of Florida ) sonally Known X OR Produced Identification le of Identification Prod emission No. evised 07/15/2074 FRON STATE OF FLORIDA COUNTY 0;~ sTLuciE e forgoing instrumentwas acknowledged before me Th thls?�dayof CHRI9 LANGEL (Name of person acknowledging ) Notary Known X oR Produced Identlflcat(on Typo of Commission No, :VIEWS SREVIEWOR VREVIEWON SREVEWLE MREV`WVE COUNTER REVIEW REVIEW fE A PLETE 1ALS Certificate of Product Ratin AHRI Certified Reference Number : 201630179 Date : 06-25-2019 Model Status :Active Old AHRI Reference Number : 7493727 AHRI Type: HRCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RP1436AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): RBHP-21 The manufacturer of this RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 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 : 34600 SEER : 14.00 }"Active" Model Status are those that an AHRI Certification Program Participant is curren8y 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 Padicipant is no longer producing BUT is still Racling or offering for sale. fincs Nat are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown alono with the previous (Le. WAS) 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 products) 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.ahridirectory.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, AM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited an this certificate can be verified at www.ahrldirectory.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.-„- ©2019AIr-Conditioning, Heating, and Refrigeration Institute i i1CATE NO,; 132059646161088025