HomeMy WebLinkAboutBuilding Permit ApplicationALL APPTICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 12-29-.2015 Permit Number:
q,s'tRww$wMMh
lluildinrg Permit Application
Planning and Development Servrces
Building and (.ode Regulotion Division
2300 Virginia Avenue, Fort pierce FL 3498.2
Phone: (772'tr462-1.553 Fax: (772) 462-1,578 Commercial Residential x
PERMIT APPLICATIoN FoR: To select from dropbox, click arrow at the end of line
PROPOSED I M PROVEM ENT LOCATION :
Address: 4250 N 41A 908
Legal Description:
Property Tax lD #:
Site Plan Name:
1423-501-0072-000-ti
Lot No.
lllock No.
Project Name:
Setbacks Front
DETAILED T)ESCRIPTION OF WORK:
Flight Side:Left Side:
LIKE FOR LIKE CHANGEOUT
(1) 2.5 TON 14 SEER 5 KW
I-
Address:PO BOX 331428
ronat worK to rlormed un tl perrntt - ctn tsTr
I0 rt
Zr Gas Tank
Plumbing
Gas Piping
Sprinklers
appty:
S h utte rs
Generator
CONTRACTOR:
Name: JOHN V LANGEL
l-l *'noows/DoorsHVAC
Electric
owN ER/LESiSEE:
1136-lsJOHN SCURTIS
T
Comoanv: SEA COAST tuC
I
Address: 2601 INDUSTRIAL AVE 3
Roof
City:lVlAMl State: FL
7in Coda' 33233 Citv: FT PIERCE trl5tate: I L
phone 11o. 305-586-1 B0B ZiP Code: 34946 p6y. 466-3053
phone 11s. 466-2400
Fill in fee simple Title Holder on next page ( if different
from the Ownerr listed above)
E-Mait : TLSEACOASTAI R@AOL.COM
State or County License: CACO16446
lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRUC-IION I N FORMATION :
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN
Name:
NEER:_ ttJot Applicable MORTGAGE COMPAITIY:
Name:
_ Not Applicable
Ad d ress:Ad d ress:
City:State:City:State:
Phone:Phone:
FEE SIMPLE ITLE
Name:
_ l'lot Applicable BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Phone:Phone:
lcertifythat no worl< or installation has commenced priorto the issuance of a permit.
St,, Lucie.County makes no representation that is granting a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with any a'pplicable Home owners,As5oclation rulesfnyii-ws;i;;d;irv;;;;t; th;i fri'v ruriri.i?I"prohibit suchstructure. Please consult with'iour Home c)wners asioCiltion ana revi6w'voiji,I;ed'fo;;nt';;,;i-ri.iidri;iJriiirr'iil"v"rdpfv.
In consideration of the granting of this reqLrested permit, I do hereby agree that lwill, in all respects, perform the workin 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-residentiar use
Signature of tractor/ Lice nse
STATE OF FTORIDA
COUNTY Qf srrucre
The forgoing instrument wers acknowledg e me
this 2e day of DEcEH'rsrn _,20
JOHN V LANGEL
(Name of
(Signature of Nota blic- State of
Personally Know OR Prod ldentification
Type of ldentifi P rod u ced
Revised
NTY OFs;r
ing instr
te of Floridi: )
R Produced ldentifiration
Type offi entifir:ation Pr
edging )
, TRACY KAY LANGEU
MY COMMISSION #FF1 48072
(407) 398-01 53
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPE RVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTI-F:
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for
Efficiency Tax Credit when
between Feb 17, 2009
AHRI Certified Reference Number:
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7894912 Date: 1212812015
Product: Split System: Air-Cooled Condensing Unit, Coilwith Biower
Outdoor Unit Model Number: CA16NAO60*0**4
lndoor LJnit Model Number: FX4DN(B,F)061
Manufacturer: CARRIER AIR COND|TIONIt{G
Trade/Brand name: CARRIER AtR COND|TIONING
Bggigl' Q9u!!e99t_qn9-l,tgltl _(4!,_4E,-Pc._QF,_l!, c4, Ht, Ky, LA, MD, MS, Nc, oK, Sc, TN, TX, VA
s5, gg, gI, tp, tL,.lA, tN,5S, UA, ME, Mt, t\[N,'MO; MT; ND, NE, NH, Nj,
NY, OH, OR, pA, Rl, SD, UT, VT, WA, WV, Wl, Wy, i.l,s.'teriitori'es; ',
Regio_n Note:.Central air conditioners manufactured prior to January 1,2015, are eligible to beinstalle.d in all regions untilJune 30,2016. Beginnin! July 1,2016,6entratair conditjonerscan only be installed in region(s)for which they meelthe regiionat'efficiency requirement.
Series name: 16 SEER PURON AC
Manufacturer responsible for the rating of this system cornbination is CARRIER AIR cONDITIONING
Rated a:; follows in accordance with AHRI Stand ard 2101240-2008 for Unitary Air-Conditioning and Air-SourceHeat Pump Equipment and subject to verification of rating aceuracy by AF1 lil-sponsored, inAEpenOent,lttiraparty te:lting:
Cooling Capacity (Btuh):
EER Rating (Cooling):
SEER Rating (Cooling):
IEER Rating (Cooling):
' Ratings followed by an asterisk (.) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate.
DISCTAIMEFI
AHRI does not endorse the product(s) listed on this Certiticate and makes no representations, warranties or guaratrtees as to, and assumes no responsibility ior,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 produci(s), or ineunautllorized alteration of data listed on this Certificate. Certified ratirrgs are valid only for models and configurations listed in the
directory at www.ahlldlrectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This certificate shall only be used for individual, personal and
confldential reference purposes. The conterlts ofthis Cedificate may not, in whole of in pad, be reproduced; copied; disseminated;
entered into a computer database; or othefwise utilized, in any form or manner or by any means, except for the user's individua.,
personal and confidential reference.
CERTI FICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahrldlrectory.ofg, click on "Verlty Certlflcate" link
and enterthe AHRI Certified Reference Number and the date on which ihe certificate was issued.
52500.
'13.50
16.00
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which is listed above, and the Certificate No., which is listed at bottom right.
@ 20L4 Air.Conditioni ng, Heatin g, and Ref rigeration Institute CERTIFICA,TE NO.:1 3095800258091 1 409