HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/14/2020 Permit Number:
1
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: 4200 n highway al 1211
Legal Description:
Property Tax ID #: 1423-501-0187-000-4 Lot No.
Site Plan Name: Block No.
Project Name: alexandros koutsoubis
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE A/C CHANGEOUT 2 ton
14 seer
5 kw
CNRCfICNN�dNI10rf 4�>
- x.
bona wor to e rformed un er is permit—ciec<a appy:
Z✓ HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑Electric El Plumbing []Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: SQ6 Ft, of First Floor:
Cost of Construction: $ 4000,00 Utilities: 0Sewer Septic Building Height:
r
MEGO'NRROTQfj
Name alexandros koutsoubis Name: CHRIS LANGEL
Address: 3870 douglaston pkwy Company: SEACOASTAIC
City: douglacton State: nv Address: 3108 INDUSTRIAL 31st STREET
Zip Code: 113t33 Fax: City; FT PIERCE State: FL
Phone No. 917-373-3408 Zip Code: 34946 Fax: 772-448-4416
E••Mail: Phone No. 772-466-2400
Fill in fee simple Title Holder on next page ( if different E-Mall: INFO@SEACOASTAIR.COM
from the Owner listed above) State or County License: CM0035421
if value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
DESIGNER/ENGINEER _Not Applicable
Name:,
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
Clty:
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 pennit will authorize the permit holder to build the subject structure
structure, Pleasle consult any
ithpyolur Home Owners Associationtandrreview your deed for any resttrictions which may alprohibit such
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. ,yosa }ntend to obtain financing, consult with lender or an attorne�e
rnrr,monrina %AI rlr nr rarn6l n our Notice of Commencement. /1
as ARent for Owner
STATE OF FLORIDA
COUNTY OF st Lucie
The forggoing instrument was aclmowledg��hgefore me
this 14tfdayoffc hrua ,, Zol�oY
STATE OF FLORIDA
COUNTY OF srwcle
The forgoing instrument was acknowledged before me
this,1Q..tjTlay of,february 20�by
CNRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging
ignature of No ary Public- State of Florida) (Sl�tature of Notary Public- State of Florida )
Personally Known x __ OR Produced Identification Personally Known X OR Produced Identification
Type of Identifcation Produced Type of identification Produced
Commission No. GGs4as ,•'"+@'••,; JUSTI i OPKINSCONNELLY Commission No, GGo4o
M JUSTINA , O INSG
MY COMMISSIONOGGW0502 �:`t
�*z MYCOMMISSIONtFG(
„P,n';%°e• Bonded Thru Notary PuNlo UndeWlere '-.,ife `�-SPIRES-Oecem6erl
Revised07/15/2014 „t1110A Bonded Thm Notary Publio L
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• • a •' • • •
AHRI Certified Reference Number : 202286355 Dale : 02-13-2020 Model Status :Active
AHRI Type: RCU-A-CB
Series: 14 SEER W SERIES R410A AC
Outdoor Unit Brand Name: GRANDAIRE
Outdoor Unit Model Number (Condenser or Single Package) : WCA4244GKA**
Indoor Unit Model Number (Evaporator and/or Air Handler) : FMA4P24**AL*
Region : Southeast and North (AL, AR, Do, 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
which they meet the regional efficiency requirement.
}"Active".Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed 6ul 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 r t nq is shown. along with the previous (i.e. WAS) rating.
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AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibilityfor,
the product(sj listed on this Certificate. AHRI expressly disclaims all liability for damages of any khrtl arising out of the use or performance of the protluct(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.ahridirectory.org.
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The information for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we 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.
0202OAir Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: azzslga�sszlsye4l