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HomeMy WebLinkAboutBuilding Permit ApplicationaLL APPLICABLE INFO Date; /' SV BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number; ' llcat lOn - Building Permlt App Planning and Development Services Building and Code Regulatl n olvlslon 2300 VlrginloAvenue, Fort lerce FI.34982 . Residential X , phone; (772) 462" 553 Fax; (772) 462•y578 Commercial ' PERMIT APPLICATIQ�I FOR' Mechanical ®® Address; Legal Description: Property Tax iD #; Site Plan Name: _ Project Name; C I Setbacks Front, 3 ar LIKE F'OR LIKE AIO -%D Back; Right Side; Left Side: OEouT 3 fa N /pkr^% cl5eer LYJHVAC �. �f as Tank Electric Lj lumbing Total Sq. Ft of Constructiot,�i Cost of construction; Nama Chafi"e5 Address: q q City: rernc Zip Code; Phone No, E-Molh___,_— FIII In fee simple Title H from the Owner listed If value of construction is dertnisperrni�—�a�•u- ❑Gas Piping _Shutters ❑Sprinklers Generator _ S �FtFt'j of First Floor; a d UtIllties;LJSewer�5eptic Block No. ❑,Windows/Doors Roof = Roof pitch eullding Height; ® Name; CHRIS LANGEL ' ,�fa NL /tom- SEA COAST A/C I�DQp Gf Company; `State; r�✓ Address: 3108INDUS7RIAi 31stSTREET City; FT PIEROE State: FL ax; 34946 Fax; 772.466-3063 � O T_ zip Code; y— Phone No, 772"466-2400 oOM n next page (if different . E-Mall: INFO@SEACOASTAIR-C 4M State or County License; ar more) a RECORDED Notice of Commencement Is lame: Ay: 'iPI — — — Not Applicabie MORTGAGE COMPANY: Not Applicable Name; Address; State: __ 'City; State; _ -- zip; Phone; ne: _ �EE SIMPLE E HOLDERt NotApplicaple kddress; �ity, -_______— Zip: ne; BONDING COMPANY: ^NotApplicable Name: Address: City: zip; Phone: I certify that no work or installationhascommenced prior to the Issuance hhof a permit, r St. Lucle County makes no reeprelleab elHoma ownetstAssociatlonl rullesahylawsZor the permit that maydrestrictbor prohibit such which Is in lea Hct with any pp structure, Please consult with your Homeowners Association and review your deed for any restrictions which may apply, In consideration of the granting of this requested permit, I do her and St agree Lucie Co iilll, i Amenall spects, perform the work in accordance with the approved plans, the Florida Building The following building permit applications are exemptfrom undergoing a full concurrency review; room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentlal use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for beforre the first inspection, If you intend to obtain financing, consult withclender or ad and n attoron theney ey before _.^.nrevnavnlirNnticeofCommencement, Signatur� eoYCWner/Lessee/Con gent STATE OF FLORIDA COUNTYOFsr ucla The for�oing Instruent was acknowledged before me this __[_day of CG G______ Cl jar' 20 �by CHRIS LANGEL� (Name of person acknowledging ) of Signature of Contractor/License Holder STATE OF FLORIDA COUNTY 0 F aT ucieas The forgoing Instrumentw afknowlodged before me this �� day of G Y/20 /`ICI by CHRI9 LANGEL (Name of person acknowledging ) of Notary Public -State of Known x OR Produced Identlflcation x OR Producedldentification__ Personally �l ersonally Known T Type of Identif(cation P � - Type of Identlflcatlon Prod P �U6TINA�LHOPRINScoNN6.Ly �— ; Tj;O�Obl �p�gyscoNN s'' My pggiAii CommisslonNo.Fps'ata uAumNtFFs41 commission No, Fr941411 =k� i<� December6,201@ r` StDaoemBer6, HX .__...,._ c�� ..,,.. Revised 07/i5/2014 REVIEWS FRONT ZONING COUNTER REVIEW INITIALS SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW rA+�oi CERTIFIED° www.ahIII directory, org AHRI Certified Reference Number: 201790292 Date : 10-10-2019 Model Status :Active AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX16S361A` Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47D14A` 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, Rl, SD, UT, VT, WA, Vvy, WIC WY, U.S. Territories) Region Nole : 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 regions) for which they meet the regional efficiency requirement. 1"Active" Model Status are those that an AHRI Certification Program Padicipant 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 Certifcation Program Participant is no longer producing BUT is still RaIling or offering for sale. tinnc that aro M,.�.................. ,.,...._ DISCLAIMER uhAHRI does not endorse the Product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no res e protluct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of tilePerformance of the use or possibility for, authorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in theproduct(s), or the directory at www,alirfdlrectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and onfidential 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. Nft CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.afirldirector .or click on "Verify& REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued Certificate" link make life better^ which is listed above, and the Certificate No., which is listed at bottom right e ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFIrATF nln • 1a21e2oosess242877