HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
to � t Date: ti Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
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PJ2�POS�NIPRO�EM�NT
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Address:D
Legal Description:
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Property Tax ID tf: C�
Lot No.
Block No,
Site Plan Name:
Project Name:—
Setbacks Front Back: Right Side: Left Side:
DETAIL);3 C?ESGtPT101 Q CORK l�l7llll;il INS
LIKE FOR LIKE A/C CHANGEOLITT La
rtwna wor<to e erorme un ert ispermit—c ec<a appy:
❑✓ HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
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Electric 0 Plumbing ❑Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: Sq, Ft. of First Floor:
Cost Construction: $ 1 Utilities: Sewer Septic Building Height:
of
00NTR5TOR� r
01NNER LESSEE
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Name: CHRIS LANGEL
Nam
_ �" SEA COAST A/C
Addres .S 7 Company:
C- State. Address: 3108 INDUSTRIAL 31st STREET
City:
Zip Code: Fax: City: FT PIERCE State: FL
e�[ ee Zip Code: 34946 Fax: 772-448-4416
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Phone No. ^ o - Q
E-Mail: Phone No, 772-466-2400
Fill in fee simple Title Holder on next page ( if different E-Mail: INFO@SEACOASTAIR.COM
from the Owner listed above) State or County License: CMC035421
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
STRUCTION LIEN LAW INFS3t3MATION
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Applicable:
COMPANY
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MORTGAGE
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Name:ss:
Address:
City:
Zip: Phone:
State:
State:
:
HOLDER:
Not Applicable
BONDING COMPANY:
Applicable
FEE SIMPLE TITLE
_Not
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: 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 will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
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
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
�. nnrihff mnrir nr rArnrrlina vnur Notice of Commencement.
STATE OF FLORIDA
COUNTY OF sT Lucie
_ s
as Agent for Owner Sig e o ontractor/License Holder
STATE OF FLORIDA
COUNTY O F sT LUCIE
The�gr�ing instyu ent as acknowledge fore me
thisc% {day of � 20 by
CHRIS LANGEL 1
(Name of pe rson acknowledging)
Personally Known x
Type of Identification Prc
Commission No. GG94056:
Revised 07/15/2014
State
Produced
OR Identification
JUS�HCPKINS CCNNELLY
MY ISSICN # GG 940582
The for ing instrument was acknowledged efore me
this day of C 20 by
CHRIS LANGEL
(Name of person acknowledging )
n._
�( 'gna ure of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
EXPIRES:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
AHRI Cedifed Reference Number : 201907216 Date : 12-27-2019 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) : XC21-060-230-11
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-048-230*+TDR
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hi, ID, IL, AlIIN, 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 1, 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 Certification Program Participant is currently producing AND ceiling or offering for sale; OR new models that are being
marketed but are not yet being produced."Production Slopped" Modei Status are those that an AHRI Cedifcation Program Participant is no longer producing BUT is still
selling or offering for sale.
Rations that are accompanied by WAS indicate an involuntary re -rate.. The newpuhlished rating is shown sloop with the previous (i.e. WAS) rating.
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unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
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CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ,ve 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, t,
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132219514623033892