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HomeMy WebLinkAboutBuilding Permit ApplicationAPPLICA��� B�'LE IN ((FO N ;t'0 �/, � llatpg andCode uodeRegulatl lldin !300 Virginia Avenue, Fort )hone; (772) 462-3553 ERMII APPLICATIO ddYess:,.tx� � egal Description: )roperty Tbx ID ;Ito Plan Name; Dralect Name; ik r Setbacks Front BE COMPLRTED FOR APPLICATION TO BE ACCEPTED Permit Number; �u'llding permit Application plvls(on rce FL 34982 . x; (772) 462A578 _IKE FOR LIKE PJC C FOR; Mechanical �Electrlc �� Total Sq, Ft of constructio cost of construction; $ Address: City: Zip Code; --3 C�iq-��S Phone No, 1- 7 G - Fill in fee simple Title H from the Owner listed If value of construction is Commercial _ Residential Right Side; Left Side; -. UT 7 N `me un er hlsperma—c��°�""' _5huttars s Tank LiGas Plpinn mbing Sprinklers Generator S�Ft, of First Floor; _ ;tliltles; L ISewer 0.septic I�,la3.C� ,�i�_State: ri -f ax;.` - - or on next page (if different V(h) 00 or more, a RECORDED Notic I fic Lot Biock No, Windows/Doors Roof = Roof pitch L Name: CHRIs LANGE--------� Company; SEA COAST WO Address: 3108 INDUSTRIAL 31 at STREET FT PIERCE State: FL City, Code: 34946 Fax; 772'466.3063 Zlp Phone No. 772-4661,2400 E,Mall: I NFOWEACOASTAI R, COM State or County Llcensa: CMC036421 of Commencement is requires, ne: Phone; A SIMPLE TITLE HOLDER: me: dress; _— -- r y; _Poo �Llll�lulc!�'ar—_.-_ NotAppllcable , Not Applicable MORTGAGE COMPANY: Name; Not Applicable Address, State; •City; Phone: zip: 90NDINGCoMPANY: Not Applicable Name: Address: City; zip; Phone; ertify that no work or installation has commenced prior to the Issuance of a perm , itt at may restrict or pro uct such to ild ect s Ilca letion that Is Noma owners Associng appatlon ruWWes,� yarmit raws or and covenants th V p Lucie Countyy makes no repr ouraome OwnersAsstac Association and relvlew youorir deed fore the t niy restrictionsuwhl hemay)applYuc ure dch I$In ontlict with anY app ucture• P�easa consult with y consi,accoderation nce of the the approved f this ansrthe Florida 6u ding Codees and agree Lucie Coulnity AmendIn all meentsperformthe work a full w; room ie following building permit apploegsl fences, exempt from screen going and accessrory ses toe nother non-residential use :cessory structures, swimming p our paying twice for and nprDveJARNING TO OVVNER: Y❑ur (allure to Record a Notice of commencement may result in your ant he lobsite efore tme first to your property, Intend Notice of Commencement mustt ns I twith lendeer or an attorney before efore the first ins1.pection, �fIYQu,rNotice of Comimoncement• ignatur net/Lessee/C n ar as7 gent far owner STATE OF FLORIDA :O U NTY O F aT wcla the forgoing Instr�nen was acknowledged b fare me this �'sc ay of IHRIS IANGaL'� Noma of parson acknowledging) n ^ ( nature of Notary Pub State of Florida i arsonally Known x OR Produced Identlflcation_._ --- rype of Identiflcatlon Prod �U6T1—ppKiNy' u" i9SI�NHFF841411 ommisslon No. FF94141t ki ` 2 y peoamtera 8018 u�ian pu6tla VmJeiwAels Revised 07/15/20L/� REVIEWS FRONT zONING COUNTER REVIEW NITIALS •�� s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF sr uolaPool The forgoing lnstrumentw � � ❑wle2dged afore me thlswd d of ©� y CHRIB LANGEL (Name of person acknowledging) ^ of Notary Pubilc-State of � x oR Produced Identlflcation Personally Known peal Identiflcatlon P Commission Nos El3E S REVIEWOR REVIEW VREVIEWON S REV EWLE MREV �WVE ti ■�I CERTIFIED° f www.alit! dire ctory.a rg AHRI Certified Reference Number: 201907209 Dale : 10-28-2019 Model Status : Active AHRI Type: RCU-A-CB Series: DAVE LENNOX SIGNATURE XC21 SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : XC21-036-230-10 Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-036-230*+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, Al IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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. T"Active" Model Slalus 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 Certifcation Program Participant is no longer producing BUT is still RII'ng o ffering for sale. tinlh t r p niedd by WASindicate aninvoluntary re -rate. re-rate.The w published rating is shown along with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the prodUet(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility torp the product(;) 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.ah rid Irectory, Org. TERMS AND CONDITIONS This Certifcate 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 utllixed, lit any form or manner or by any means, except for the user's Individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.akrli irectory.org, click on "Verify Certificate" link we make life betwr 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. CERTIFICATE NO.: 132167561758056705 ©2019Air-Conditioning, Heating, and Refrigeration Institute