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ALL APPLICABLE INFO M T BE COMPLETED FOR APPLICATION TO BE ACCEPTED � .Date: 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 PROPOSED IMPROVEMENT LOCATION: ylAddress: Legal Description: Property Tax ID#: . — — Lot No. Site Plan Name: Block No. Project Narne: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE CHANGEOUT 1 CONSTRUCTION INFORMATION: Additional work to be e orme un er t is permit—c ec a app y: ZHVAC Gas Tank Gas Piping _Shutters indows/Doors ❑Electric ❑ Plumbing []Sprinklers Generator E R of Roof pitch Total Sq. Ft of Construction:w ' St of First Floor: Cost of Construction: $ J�`�' Utilities:Sewer[]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name: CHRISTOPHER LANGEL Addre ed Q_Ill� ompany: SEA COAST A/C City: State:FL Address: 3108 INDUSTRIAL 31 t ST Zip Code: Fax. City: FT PIERCE State:FL Phone No. of Zip Code: 34946 ax: 466-3053 E-Mail: Phone No. 772-466-2400 Fill in fee simple Title Holder on next page ( if different E-Mail: DANISEACOASTAIR@AOL.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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: 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 y ur paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF ST LUCIE The forgoing instr (n t was,acknowledgeo�b�efore me Th r oing inst ackno ledg d before me this day of L-J 20 L�by t day of r me t was 20 by C?iRIS LANGEL CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Si ature 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 k� I �S MINALMOPKINSCONNELL 414 Commission Ne' ��� CCMMISSiON4FF941411 C. mission No ,LS�j; L HOPKINS�ONNELLY EXPIRES!December 6,201 _,� �.% MY COMMISSION#FF 941411 f ;XPIRES:December 6,2019 Uj4-:�Yhru Notary Pubic ewers Revised 07/1 S/2014 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 EnergyEfficiency tax Credit when ir it "Imp placed in service between Feb 17,2009 and Dec 31, 2016. Ross MEAN CERTIFIEDO www.aliridirectory.org Certificate of Product Ratings AHRI Certified Reference Number :201300140 Date:02-20-2018 Model Status Active Old AHRI Reference Number :8004956 AHRI Type :SP-A Series :GPC15 Outdoor Unit Brand Name : FRANKLIN Outdoor Unit Model Number (Condenser or Single Package) :GPC1536H41A' Indoor Unit Brand Name : Indoor Unit Model Number(Evaporator and/or Air Handler) Furnace Model Number : 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,MT, NC, ND,NE, NH, NJ,NM,NV,NY,OH,OK,OR, PA, RI,SC,SD,TN,TX, UT,VA,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. The manufacturer of this FRANKLIN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, 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 :35600 SEER : 15.00 EER(A2)-Single or High Stage(95F) : 12.00 IEER : t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sal OR new models that are being marketed but are not yet being produced."Prod uction Stopped"Model Status are those that an AHRI Certification Program Participan is no longer producing BUT is still selling or offering for sale. Ratio s that are accom anied bv WAS indicate an involuntary re-rate. The new pubhshed rating is shown alona with the Previous I. .WAS ratio . DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and issurnes 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 perfo mance 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 N d; confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced:copied;disseminate 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 for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better" which is listed above,and the Certificate No.,which is listed at bottom right. -- - - -- ------ - -- ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131636313202502172