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ALL APP AB INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 3_jb_� Permit Number: Date: a _--- . 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 COrnlllerClal @SIC)@Cl a) X _ PERMIT APPLICATION FOR: Mechanical it PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Property Tax ID #: Lot No. - Block No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: nFT-Al.I FD DESCRIPTION OF WORK: LIKE FOR LIKE CHANGEOUT r CONSTRUCTION INFORMATION; — itiona wor to e e orme un er t is permit — c ec a app Y: — Shutters indows/Doors HVAC _Gas Tank ❑Gas Piping Electric El Plumbing Sprinklers Generator I toof Roof pitch Total Sq. Ft of Constructio S . Ft. of First Floor: Cost of Construction: $ , v Utilities: Sewer [] Se tic Building Height: — Oala/N€. /LESSEE. CONTRACTOR: Name: CHRISTOPHER LANGE Name ` SEA COAST A/C Addres kJ Company: (jp, tate: FL Address: 3108 INDUSTRIAL st ST City: - City: FT PIERCE State: FL Zip Code: Fax: 34946 Fax: 466-3053 Phone No. — — Zip Code: Phone No. 772-466-2400 E -Mail: DANISEACOASTAIRAOL.COM Fill in fee simple Title Holder on next page (if different E -Mail: State or County License: CMC035421 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: — Not Applicable Name: Address:Address: structure. Please consult with your Home Owners Association and review your deed for an restriction City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPA Y: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Ph ne: I certify that no work or installation has commenced prior to the issuance of a permit. FRONT COUNTER St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that the subject structure ay restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for an restriction which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, p rform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. MANGROVE REVIEW 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 anothe non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement m4 result in Nour 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 lemder or an attorney before commencing work or recording our Notice of Commencement. Signature 0 er/Lessee/Contractor as Agent for Owner Signature of Contraciol/( License Holder STATE OF FLORIDA STATE OF FLORIDA i COUNTY OF STLUCIE COUNTY OF sr uaE The fg�going instru t was acknowledgeddhe ore me - E The f oing instr e t was a kno f ^ ledg d e re me 20 Vry this day of . �— 20 y this day of diRIS LANGEL (Name of person acknowledging ) 1 e kl-/ 10 r ' I )A 1A A �//f 1/11 /I (Signature of Notary Public= Sfate of Florida ) Pgsonally Known x OR Produced Identification Type of Identification Produced Commission NX. Revised 07/15/2014 CHRIS LANGEL ; (Name of person ackno ledging) re of Notary Public- State Of Florida ) Personally Known x OR Produced Identification Tvoe of Identification P oduced I JU°TINN L HOPR�na�.�,•,1411 '66 "1 tUN:FF94 ommission Ei�piR S: Dacembef 6, 2019 Borded Th u Notary Public UM w tem �!�{�)i0PKWv&oNNELLY MV CCNMJSS;ON 1 FF 941411 EXPIRES: December 6. 2nio REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW S A TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS ow" WON CERTIFIED` www.atiridirectory.org Certificate of Product Rating AHRI Certified Reference Number : 9192742 Date 03-02-2018 Model Status :Active Old AHRI Reference Number AHRI Type : RCU-A-CB Series : 14 SEER AC Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA14NA024'0'"A` Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : FFMANP024 Furnace Model Number : Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CC, 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. Territorie ) 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 CARRIER 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 : 22800 SEER : 14.00 EER (A2) - Single or High Stage (95F) : 11.50 IEER 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. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown alona 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 t e directory at www.ahridirectory.org. TERMS AND CONDITIONS ANN 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 or in part, be reproduced; copied; disseminat ; 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 Nve 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. -- ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131644960684229043