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HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/29/2020 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierre FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical Address: 4880 river oak In Legal Description: Property Tax ID #: 2430-502-0029-000-7 Site Plan Name: Project Name: georgiana polk Setbacks Front BaCIC Right Side: _ Left Side: LIKE FOR LIKE A/C CHANGEOUT 3.5 ton, 10 kw, 14 seer Lot No. Block No. OnaI Work to De errormeo FI unaer in is permit — cnecic all nGas n apply: Shutters ❑ Windows/Doors HVAC Gas Tank Piping _ City: FT PIERCE State: FL Address: 3108 INDUSTRIAL 31st STREET Electric El Plumbing OSprinklers 11 Generator Zip Code: 34946 Fax: 772-448-4416 Phone No, 772-466-2400 Roof = Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 6148.00 S. Ft. of First Floor: Utilities:SewerL]Septic Building Height: If value of construction 15 52500 or more, a RLCURMU Notice or colnmencemenc is requneu. Name georglana polk Name: CHRIS LANGEL Address: 4880 river oak In Company: SEACOASTA/C City: FT PIERCE State: FL Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State:rL Zip Code: 34981 Fax: Phone No. 772-464-1478 T 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 E -Mail: INFO@SEACOASTAIR.COM State or County License: CM0035421 frown the Owner listed above) If value of construction 15 52500 or more, a RLCURMU Notice or colnmencemenc is requneu. TALGrOI��TRlTCT�01��1:_1`EN�I�AW�IN�ORMA�[70�at z - r �; � �^, y��- i-° FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW �- ' GINEER: _Nat Applicable STATE OF FLORIDA MORTGAGE COMPANY: �__ Not Applicable r The forgoing instrument was acknowledged before me 29 day ZO QL by this 29 day of MeY 20( �Y Name: CHRIS LANGEL-L CHRIS LANGLL (Name of person acknowledging) (Name of person acknowledging Address: of +(Satr6re of Nota Public- State of Florida ) of Notary Public- State of Florida) State: Personally Known X OR Produced Identification City: State:Phone: Commission No. cGe4os ,,•''::+b"'•-,; JUSTI OPKINSCONNELLY < M Commission No, ccnao JUSTINA RO INSCONNELLY MYCOMMISSION tlGG940582 e Zip: Phone: xpE IRES,Decem FEE SIMPLE TITLE HOLDER: Not Applicable INITIALS 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. Lucle Countyy makes no representation that Is granting a pennit will authorize the permit 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 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�nspection. �yop )ntend to obtain financing, consult with lender or an attorney fore r1, nr r.,n✓nvn6 rffni Ir Nnfira of Commencement. i7 ,1 l 11 IU FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW Signature w er/Lessee/Contractor as Agent for Owner Signature f ntractor/U enIe Holder STATE OF FLORIDA STATE OF FLORIDA CO U NTY OF ST Luce CO U NTY 0 F sT Lade The forgoing instrument was acl<nowl edg}�e.fore me The forgoing instrument was acknowledged before me 29 day ZO QL by this 29 day of MeY 20( �Y this of _Kay ..�, CHRIS LANGEL-L CHRIS LANGLL (Name of person acknowledging) (Name of person acknowledging of +(Satr6re of Nota Public- State of Florida ) of Notary Public- State of Florida) Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. cGe4os ,,•''::+b"'•-,; JUSTI OPKINSCONNELLY < M Commission No, ccnao JUSTINA RO INSCONNELLY MYCOMMISSION tlGG940582 e ; MYCOMMIS910Na 09406 2 xpE IRES,Decem o+; — '•r.P,r.f.` Bondedihtu Notary Whlk WdeWters '"'1P fN0,'0� Bondod Thm Nokrypuhib WdeLwlitore Revised 07/15/2014 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE _ INITIALS AHRI Certified Reference Number: 9507413 Date: 05-29-2020 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) : WCA4424GKA** Indoor Unit Model Number (Evaporator and/or Air Handler) : WAPL424A*+TXV Region : Southeast and North (AL, AR, DC, 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, 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 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 CeNfication 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 selling or offering for sale. Ralin s that are accom anied b WAS indicate an involuntaryre-rate. The new Published ratings 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 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 www.a It ridhectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and _ ,y ,..,.. ..-- confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated; entered Into a computer database; m otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. AIF -CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we make life betteC' 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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132352330940125771