HomeMy WebLinkAboutBuilding Permit ApplicaitonCCEPTED
INFW S1' BE COMPLETED FOR APPIICATIQNTQ S permit Number:
� 5- � _
ate;
�lanning and Develop ulatl11
Building and Code Reg
2gppVlrg77*2A4vlluet
� phone; �62 1553
:3RRMIT APPUCAT10
Address;—
Legai Descrlptlon;
Pro PertV I Dx1D##;
Site Plan Name:.^ ---
project Name `
Setbacks Front.
wilding Permit Applica ron
Residential x — --
—
Back; _-- Right Side;
LIKE FOR LIKE A10 0 iANOEOUT g
Co. eer
c ec a "aPpY
un er t s parm
e orme _t ana wor to e Gas Piping Shutters
ZI VAC as Tank 13 Generator
0- iumbing Sprinklers
Electric S , Ft, of First Floor: ,.._
Ft of Cons ; Sewer �Septic
iTotal Sq, Utilities;
Cost of Constructlon; $
rc
City; 6 L% 4 5 Paw
ZIP Code:'
phone No,7
E-Mall; a a(if different
Fill it fae simple Title Hal er on next p g
b uta)
Lot No,�---
Block No.
Wlndaws/Do
Roof
Roof pitch
BuIlding Nelght;
Nam�sLANGEL
Company: SEA COAST At
Address; 31oe INDUSTRIAL 31st STREET State; FL
City; FT PIERCE 772.466.3053
Zlpcode; 34 Fax; —_-----
Phone No, 772m 46&2400
P Mali; INFO@SEACOASTAIR,COM
State or County License: CMC035421
from the owner listed a
Notice of Gammencement Is
of construction Is $2 Do or more, a RECORDED —
' Phone:
SIMPLE l.o'R;
me:
dress•
ORTGAGE COMPANY' Not Applicable
MOR
Name:
Address,
Slat Clty' Phone:
Zip' — --
Not Appllcable
BONDING GOMPANV;
Name; ________--
Address;
'
:y;—
Phones
Not Appllcable
artify that no work or installation has commenced prlorto the Issuance of a permlt'ermit hoide to build the subject structure
Lucie County makes no representation that Is granting a permitwwlll y law or
the p
,ich is in conflict with any applicable Home owners Assoc atlon rules, yaws de and covenants restrictions may restrimay ct a prohibit such
uct rePeconsult with your of he grant) g of thlsmequested permie owners t IlOn and review yourdo he eby agr e that I willed 0In ail respr any ctsperformhthe work
considerationIng Codes and St.
accordance with the approved
ad plans, the
applications Florida Build undergoing a full lconcurr ncy review: e county room additions,
,e following building p pplools, fences, walls, slgns, screen rooms and accessory uses to another mencement may result in non-aeside tlslce for
use
,cessory structures, swimming p
1ARNING TO OWNER: Your falurre to
oR, of Commencement emnc must be recorded
With der or an attoney before
postedJecord a Notice of Corm
on the
obt
nprovements to your property.
efore the first ins1.pectionrlf you Ilrl nteNotice of Comm ncement,
Ignature of Owner/Lessee/Contractor as'}Cgent ror uwu
TAT' OF FI.ORiDA
;OUNTY OF
fhe forgoing Instru ant was acknowle20e! before me
,his` 5Ldayof '
�NRIe LANGEL 1' ,
Namaofparsonacknowledging) ^ A
nature of Notary Publ(c-State of Florida) / j
rsonally Known x OR Produced Identification
ype of Identification Prodlig
`a1 �U671NA1 HOP
;ommisslon Not
Revised 07/15/2014
REVIEWSTFRONT
UNTER R'Vi W
5lgnature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF en•ucia
The forgoing Instru entwas acknowindg � 4by e me
this ZS- day of j
CHRIB LANGaL
(Name of pePson acknowledging) n ^
(S nature of Notary Public -State of Florida )
Personally Known x OR Produced Identification
Type of identification Pr ---`
JU INA L NOFtgM"ONNRl' Y
Commission No. FFa414 _ � ° s h 'M OA #FFa4NIMI
oaw _ OU IN,,... _ ._._
S REVIEWOR RE EW VREVIEWON 5 REV EWkE MREV�EWVE
VI71AL5
Certificate of ProdUCt Ratin
AHRI Certified Reference Number : 202024448 Date : 09-23-2019 Model Status :Active
AHRI Type : RCU-A-CB
Series: 16 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA16NA037*0**B*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, 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 11 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
}"Active" Model Status are those that an AHRI Certifcation Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced:'Produclion Siopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT Is still
selling or offering for sale.
Ratinos that are accompanied by WAS indica(e_an. Involuntary. re -rate. The. new published rating is shown alone with the previous (i.e. 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 prgduct(s), or the
unauthorized alteration of data listed on this Certificate, Certified ratings are valitl only for models and canfigurations listed in the
directory at www.ahrldirectary.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, NM
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The Information forthe model cited on this certificate can be verified at www,aItridirectory.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.
0
2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 13213737e237132734