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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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. � cx Legal Description: PropertyTaxlD#:I'�c��— fl Site Plan Name: Project Name: Setbacks Front Back: LIKE FOR I A/C CHANGEOUT Right Side: Left Side: Lot No. Block No, Itlonalworktobe ertormea unaertmspermn—cnecrcau apNiy• �HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric El Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construct�ionn] Cost of Construction: $ l(p /1Al _1v S Ftof First Floor: , Utilities:Sewer Ll Septic Building Height: ;`OWNER/LESSEE,CONT(ACTOR Name' '� l� Name: CHRIS LANGEL SEACOAST A/C Addre Company: Address: 3108 INDUSTRIAL 31st STREET Stat City: City: FT PIERCE State: FL Zip Code Fax: Zip Code: 34946 Fax: 772-448-4416 Phone No Phone No. 772-466-2400 E-Mail: E-Mail: INFO@SEACOASTAIR.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CMC035421 If value of construction is 52500 or more, a ntcurcutu ivouce or wrnrnenceuicuL 1� I=yu11=U• Name: Address: City: State: _ Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ _ NotApplicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: Not Applicable INCHING COMPANY: _Not Applicable Name: _ Address: City:_ 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 permit will authorize the permit holder to build the subject structure structure. Please consult w thpyolurHlome Owners Association Association drreviewyy your daws eed or any restrict restrictions at whichtrmay apply. 161t 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 firstJnspection. yo-yneyntend to obtain financing, consult with lender or an attorfore o ,.,Arle nr rc+rn✓rlin6 sr it Notice of Commencement. Signature STATE OF FLORIDA COUNTY OF sTwcie as Agent for Owner The going instru w owledgef��efore me this day of 20Q&�uY STATE OF FLORIDA CO U NTY O F sr �ucle The going in nt�'y'a pFknowledged before me thisdayo VV 20e�% by CNRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) ignature of No ary Public- State of Florida) (Sj�nature of Notar}Public- State of Florida ) Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced JUSTI OPKINSCONNELLY Commission No. GGsao H Commission No. P' `� MYCOMMSSIONYGG940562 • fi, JUSTINA .NOPKINSCONNEL0 GG9405 MY COMMISSION# GG 940562 Revised 07/15/201 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number : 201791790 Date : 03-02-2020 Model Status :Active AHRI Type : RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX16S421A* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A* Region: Southeast and North (AL, AR, DC, DE, FL, GA, IT, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, Al IN, KS, MA, ME, MI, MN, MO, MT, ND, NE; NH, NJ, NY, OH, OR, PA, RI, SO, 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 11 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; Oft new models that are being marketed but are not yet being produced:'Produclion Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still Rclingnp or offering for sale. fih t amed by WASindicate an i I t ry re -rate The new published rating is shown along with the previous (i e. WASI rating. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) 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 waimahridirectory,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 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www,aliridirectory.org, click on"Verify Certificate" link Ave make life benerI and enter the AHRI Certified Reference Number and the dale on which the certificate was issued, which is listed above, and the Certificate No, which is listed at bottom right 132276570610876787 ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: