HomeMy WebLinkAboutBLIGH PERMIT.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/16/2022 Permit Number:
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° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
APPLICATION FOR
PPERMIT
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Address: 10117 CROSBY PL
Property Tax lD #: 3327-710-0015-000-1 Lot No._
Site Plan Name: Block No,
Project Name: ROBERT BLIGH
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LIKE FOR LIKE AC CHANGE OUT 3.5 TON, 16uSEER 9 KW
New Electrical Meter Second Electrical Meter. (Affidavit required)
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Additional work to be performed under this permit - check all that apply:
XMechanical _Gas Tank _Gas Piping _Shutters JWindows/Doors _Pond
Electric Plumbing _Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9,788.00 Utilities: _ Sewer Septic Building Height:
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Name ROBERT euGH Name: Christopher Langel
Address: 10117 CROSBY PL Company:Sea-CDaSJA/C and Sh et Mehl Inr
PT ST LUCIE State: FL Address: 3108 INDUSTRIAL 31ST STREET
City:
Zip Code:34986 Fax: City: FT PIERCE State:FIL
954-464-6530 E- zip code: 34946 Fax: 772448-4416
Phone No,
Mail: Phone No 772-466-2400
Fill in fee simple Title Holder on next page if different E-Mail INFO@SFACOASTAIR.COM
from the Owner listed above) State or County License CMC035421
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLRM�NTA_GO(STRIGTJON LIEN LAW IN'wapRMATfQN it
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
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:
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and Installation as Indicated,
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencine work or recordine vour Notice of Commencement,
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Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to (or affirwA ubscribed before me of RX Physical Presence or. Online Notarization
this 16 day of 20 22 by
CHRISTOPHER LANGEL
Name of person making statement.
Personally Known
—X_ORProducedIdentification.
Type of Identification Produced
L) o �n ? �(11(L f L/� it, o
'22-t
( nature of Notary Public- State olt Florida)
q(J,/1�'� ) i'rti°Y''- JUSTINAL,HOPKINSCONNELLY
Commission No n Seal ��tt °ko
r—u: f s MYCOMMISSIONN00940602
!t1l.„e EXPIRES:Dec9mb8117,R023
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
—
COMPLETED
Rev 10/12/21
Eligible for Federal Tax Credit
• • 0 • !• •19
AHRI Certified Reference Number : 202540662 Date : 03-16-2022 Model Status :Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: ELITE EL16XCl SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : EL16XC1-042-230A"*
Indoor Unil Model Number (Evaporator and/or Air Handler) : CBA25UHV-048-230--*"
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
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Territories)
Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in ail 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.
f"Active" Model Status are those that an AHRI Cedifcatlon 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 Cedification Program Participant Is no longer producing BUT is still
Reating or offering for sale.
etinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) retina.
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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 responsibility for,
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unauthorized alteration of data listed on this Certificate. Certified ratings are valid only far models and configurations listed in the
directory at www,ahridirectory.org.
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02022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1329102762328481118