HomeMy WebLinkAboutApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/10/2020 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: 1106
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front
GTI ll:1: 111111
barbara/richard buck
Back: Right Side: Left Side:
LIKE FOR LIKE A/C CHANGEOLIT 4 TON, 16 SEER 10 KW
UHVAC LI Gas Tank
11 Electric 1:1Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6793.00
Lot No,
Block No.
jerrna— cneaae❑ LNUL apply:
Sas Piping _ Shutters ❑ Windows/Doors
Sprinklers Generator Roof = Roof pitch
S Ft. of First Floor:
Utilities: []SewerOSeptic Building Height:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name barbara/richard buck
Name: CHRIS LANGEL
Address: 1106 driftwood lane
Company; SEACOASTA/C
city: FT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-240-1853
Address: 3108 INDUSTRIAL 31stSTREET
City: FT PIERCE State: FL.
Zip Code: 34946 Fax: 772-448-4416
Phone No, 772-466-2400
E.—Mall;
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 Commencement is required.
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 permit will authorize the permit holder to build the subject structure
which is in Conflict 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 inspection. K yoo-jntend to obtain financing, consult with lender or an attorney�TR�fore
as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
STATE OF FLORIDA
CO U NTY 0 F sT LUCIE
The forgoing instrument was aclmowiecligc,�( JJ��efore me The forgoing instrument was acknowledged before me
this 10 day of AUG ,20( by this 10dayof AUG 20�by
CHRIS I -ANGEL 1. CHRIS LANGEL
(Name of person acknowledging I (Name of person acknowledging I i
Public- State of
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced .
rr.r
Commission No. Gcs4osn �ti'�+a �• JUSTIWwOOPKINSCONNELLY Commission No. GGsao
_; JUSTINA . (CONNELLY
:. ;„ MYCOMMISSION#GG040582
it ' MY COMMISSIONiRGG900502
;i9 �4` EXPIRES:Decem6nr17,2025� "`
••,,,P, ftOO Bonded Thm Notary Pubib UndoWtars -�.,.,°r `` ERPIR .: ecem of 2023
Revised 07/15/2014 ff Bonded Thru Nolarypubllo Underwrilore
REVIEWS
FRONT
ZONING
SUPERVISOR
DESIGNER/ENGINEER:
_ Not Applicable
SEA TURTLE.
MORTGAGE COMPANY:
_ Not Applicable
Name:
REVIEW
REVIEW
Name:
REVIEW
_
Address:
REVIEW
DATE
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in Conflict 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 inspection. K yoo-jntend to obtain financing, consult with lender or an attorney�TR�fore
as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
STATE OF FLORIDA
CO U NTY 0 F sT LUCIE
The forgoing instrument was aclmowiecligc,�( JJ��efore me The forgoing instrument was acknowledged before me
this 10 day of AUG ,20( by this 10dayof AUG 20�by
CHRIS I -ANGEL 1. CHRIS LANGEL
(Name of person acknowledging I (Name of person acknowledging I i
Public- State of
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced .
rr.r
Commission No. Gcs4osn �ti'�+a �• JUSTIWwOOPKINSCONNELLY Commission No. GGsao
_; JUSTINA . (CONNELLY
:. ;„ MYCOMMISSION#GG040582
it ' MY COMMISSIONiRGG900502
;i9 �4` EXPIRES:Decem6nr17,2025� "`
••,,,P, ftOO Bonded Thm Notary Pubib UndoWtars -�.,.,°r `` ERPIR .: ecem of 2023
Revised 07/15/2014 ff Bonded Thru Nolarypubllo Underwrilore
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE.
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy Efficiency Tax Credit when
placed in service between 1/1/2015 and 12/31/2020.
AHRI Certified Reference Number: 201755242 Date: 08-10-2020 Model Status : Active
AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX16S481A'
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A'
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, 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.
t"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
selling or offering for sale.
Rating that mp n'
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 Idnd 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.ah rldlrectory.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 orin part, be reproduced; copied; disseminated; a IMAM
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 & REFRIGERATION INSTITUTE
The Information far the model cited on this certificate can be verified at www.alirldlrectory.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 rr,,..32415335195023839
�
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: