HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/17/2020 Permit Number:
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34932
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
Address: 563 Daurotis lane
Legal Description:
Property Tax ID #:
Site Plan Name: _
3410-503-0351-000-7
Project Name: rLC p DK—
Setbacks Front Back:
LIKE FOR LIKE A/C CHANGEOUT
Right Side
3 ton, 5 kw, 14 seer
Left Side:
__.
trona wor to jeer Orme
HVAC LJ Gas Tank ❑Gas Piping _Shutters
0— Electric Plumbing ❑Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft, ,I of First Floor: —
Cost of Construction: $ 6571.00 Utilities: 0 Sewer Septic
Address: 563 paurotis lane
City: FT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-468-6622
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: CHRIS LANGEL
Lot No.
Block No,
Windows/Doors
Roof = Roof pitch
Building Height:
Company: SEA COAST A/C
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 _ Fax: 772-448.4416
Phone No. 772-466-2400 T,
E -Mail: I NFO@SEACOASTAI R• COM
State or County License: GMC036421
value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
LIEN�LAWzINFORMA'CION4
�y �Y_ �
°SUPI'LEty1ENTg1L�ONSTRU�`[I`ON
SUPERVISOR
_
,
DESIGNER/ENGINEER:
— Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
REVIEW
REVIEW
Name: _
REVIEW
Name:
Address:
Address:
City:
State:
State:
City:
Zip; Phone:
_
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
T Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
INITIALS
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 Countyy makes no representation that is granting a ppennit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Home Owners Assoclatlon rules, bylaws or and covenants that may restrictorrprohibit such
structure. Please consult with your liome Owners Association and review your deed for any restrictions which Ina 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 firstnspection. 4yo %ntend to obtain financing, consult with lender or an attorney fore
u,�rir nr rarn ✓rl9ntX7our Notice of Commencement
as Agent
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowlecigeyj before me
this 17 day of april 20r2�y_�y
CHRIS LANGEL 1
(Name of person acknowledging )
Wignature of Notary t
Personally Known x
Type of Identification
Commission No. GG041
Revised 07/1S/20
of
OR Produced Identification _
JUSTIW8daIVOPK(NS CONNELLY
MY COMMISSION 9 GG 840582
STATE OF FLORIDA
COUNTY O F sT LacIE
The forgoing instrument was acknowledged before me
this 17 day of april ., 20,)L)by
CHRIS LANGEL
(Name of person acknowledging )
IStattire of Not rr+ Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. 0�- ,, --
,�,: JUSTINA . 0 fINSC<
f;.t ., MYCOMMISSIONSGG
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLF
REVIEW
MANGROVE
REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
_.
ti ■■�� CERTIFIED®
www.ahritlirectary.org
Certificate
Product
AHRI Certified Reference Number : 205174021 Date: 04-15-2020 Model Status : Active
AHRI Type: HRCU-A-CB
Series: GSZ14
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSZ140361 C
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT39C14B*
The manufacturer of this AMANA DISTINCTIONS product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 34000
SEER : 14.00
EER (/
Healin
HSPF
?"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 but are not yet being produced.?Production Stopped? Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
sellng or offering far sale.
R tin ih t pan d by WAS indicate I t ry re -rate. The new p bI' h d rating is shown along with the previous (i.e. WAS) 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 khnd 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.ahridirectory.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,
AIRCONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahrittirectery.org, click on "Verify Certificate" link .e make life better"'
and enter the AHRI Certified Reference Numberand the dale on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right 132314309544373322
Oc 2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: