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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLCABLE Mf0 MU1SY BE COMPLETED FOR APPLICATION TO BE ACCEPTED I Permit Number: Date;— Planning and Development aullding and Code Regulatl 2spo Virginia Avenue, Fort ahnne: (772) 4624553 PERMIT APPLICATI Address; r" ' Legai Description; Property Tax iD #: Site Plan Name: _ Project Name; Setbacks Front LIKE FOR LIKE A/C ElectYlc Total Sq, Ft of Constructi, Cost of Construction; $ Name �5; Grip wilding Permit Applicatl®n pivlslon rcapi, a49az. Residential X x; (772) 4624578 Commercial _ ___ FOR: viieciian)cal Zip Code; 3� Phone No. E-Mal I;_^_-------- Flil In fee simple Title Hal from the owner listed al value of construction Back;r_ _— 1119ht Slde; Left Side; EOUT /.y, .5�oSeer ne un er this perm¢—cnacn arrv• Tank "Gas Piping (('�_�j Shutters nbing L._1Sprinklers Generator Sch Ft, of First Floor; _ Utilities; ll Sewer 1]5eptic Block No, ❑,Windows/Doors Roof A Roof pitch eullding Height; � _ Name; OHRIS (ANGEL ' Scompany: SEA COAST A!C State; �� Address; 3108 INDUSTRIAL 31st STREET City; FT PIERCE State; FL ax: A6 Fax; 77M66-3063 349 Zip Code; 6 —_— Phone No. 772.46&2400 on next page ( if different . E-Mall: INFO@SEACOASTAIR,COM State or County License: CMC03642t ar more, a RECQRDED Notice of Commencement ame: _— ,ddress; p' �NotApplicable MORTGAGE COMPANY: �NotApplicable - Name: Address: _State: 'City; State; zip; Phone: ne; EE SIMPLE TITLE HOLDEm dame: \ddress; yip: Phone'. _NotAla1 c ie BONDING COMPANY: NotApplicable Name; Address: z1p; Phone; I certify that no work or Installation has commenced prior to the Issuance of a permit. St. Lucie County makes no representation that is granting a permit III autj Grize the permit hol*s to build the subject structure sthucturenP�eatsie twiconsult Wfth yolurbHome Ow�eYs Association andrrevlew yqur deed for any rests( tigr s whic�trmay epplyhlbit such In consideration of the granting of this requested permit, I dC des and agree that cie Comity Amendments perform the work in accordance WO the approved plans, the Florida Building The following building permit applications are exemptfrom undergoing a full concurrency review: room additlons, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for nd an the hefo�e the firsttinspectloh plf you ntond to obta n f Want ngnc ns I twi hclendedr or an posted attor ey before _.__.�,.r..,.,,, ,.,nrlr nr recordinR your Notice of Commencement, • signature of Owner/Lessee/Contractor ascent for Owner STATE OF FLORIDA COUNTY OF ucla The f Ding instruOment �ck�owiezgeed gehfore me this � day of gHRIa LANGE4'�' (Name of person acknowledging J ^' of Known X OR Producedldentiflcation Type of �I Commisslgn No. Revised 07/15/201�k REVIEWS INITIALS if s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF srwele The for Ding Instrumentw s acknowledged before ma this day of d�P�,2N�by GHRI9 LANGaL (Name of person ackngwledging j (S nature of Notary Public- State of Florida Personally Known X oR Produced Identification Type of Identification P ��qqyy Commission No. FFe41b t�MrNA, (bNNFFe4� FRONT zONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER KEIREVIEW REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certifed Reference Number : 201203121 Date : 10-08-2019 Model Status :Active Old AHRI Reference Number: 7516611 AHRI Type: RCU-A-C Series : GSX14 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX 140361 K` Indoor Unit Model Number (Evaporator and/or Air Handler) : CA* F3642'6D'+EEP 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 1, 2016 central air conditioners can only be installed in region(s) for f"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."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published. ratnq_is shown along with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the produc[(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the producl(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 Ilsted In the directory at www.ah ridirectory.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 arm part, be reproduced; copied; disseminated; AM 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,afirldirectory.org, click on "Verify Certificate" link we make lire bermes 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 CERTIFICATE NO.: sslso,4ssos1e7sss