HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/11 /2020 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
Address: 14479 CANCUN AVE
Legal Description:
Property Tax lD #: 1308-111-0001-(1(1Q 0 Lot No.
Site Plan Name: Block No.
Project Name: JERRY PACIOREK
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE A/C CHANGEOUT 3 ton
10 kw
�✓ HVAC LJ Gas Tank
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4868,00
15 seer
Piping LJShutters ❑Windows/Doors
nl<lers I Generator El Roof Roof pitch
S . Ft. of First Floor: _
Utiilties:SewerSeptic
Building Height:
C4�aR,AM,T912���`� , i;���^� �j'�x�fy.�
Name Wynne huildinq Corn
Name: CHRIS LANGEL
Address: 12804 sw 122nd ave
Company: SEACOASTA/C
City: mlaml State: fl
Zip Code: 33186 Fax:
Phone No, 772-332-5766
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 _ Fax: 772-448-4416
Phone No, 772-466-2400
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: INFO@SEACOASTAIR.COM
State or County License: CMC035421
If value of construction is $2500 or more, a RECORDED Notice of CommencementIs required,
`SI�J'11 E(f�TAtON3TFZUCTIdN IEN IA�hIN'FQfZMgT
DESIGNER/ENGINEER Not Applicable
IdN? f
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
_
Address:
Address:
City:
State:
City:
State:
Zip:
Phone:
Zip: Phone:
FEE SIMPLE
TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_Not Applicable
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 Count yy makes no representation that is granting a permitwill authorize the permlt holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
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 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 )nspection.,you,)ntend to obtain financing, consult with lender or an attorney gfore
commencing w rk or record nitour Notice of Commencement. /% ,a /
as
STATE OF FLORIDA
COUNTY 0 F sr wcie
STATE OF FLORIDA
CO U NTY O F sr was
The forgoing instrument was aclmowledge��efore me The forgoing instrument was acknowledged before me
this 11thlayof februa zo by this 11tlayeCA y
CNRIS (ANGEL 1 CliRla LANGCL
(Name of person acknowledging) {Name of person admowledging )
7i
Personally Known x OR Produced Identification Personally Known x
Type of Identiflcatlon Produced Type of Identification
Commission No.
Revised 07/IS/20
�CCNNELLY li Commission No,
G0940682
State
OR Produced Identification
MY CCMMIS910N fE GG 9G0562
REVI[WS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
AHRI Cedified Reference Number : 201300136 Date : 02-11-2020 Model Status :Production Stopped
Old AHRI Reference Number: 8004956
AHRI Type: SP-A
Series: GPC15
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GPC1536H41A`
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hi, ID, IL, IA, 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 ail 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.
t"Active" Model Status are those that an AHRI Certihcation 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 eUT is still
selling or offering for sale.
Ratings that are accomaanied by WAS indicate an involuntary re -rate. The. new published rating is shown along with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI does not endorse the product(s) listed ar 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 product(s), or the
nauthorized alteration of data listed oil this Certificate. COrd ratings are valid only for models and configurations listed in the
directory at www,ahrldirectory.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 fertile 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.ahrldirectory.org, click on "Verify Certificate" link we make life berxei••j
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.
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132259266795453006