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Building Permit Application
ALL APPLICABLE INFO MOST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _ Permit Number: Building Permit Application Planning and Development iServices Building and Code Regulation Division 2300 Virginia Avenue, Fort' fierce FL 34982 Phone: (772) 462-1553 l=ax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Mechanical Address: V Legal Description: Property Tax ID #: = CJI 1 Site Plan Name: i_ Project Name: — Setbacks FrontBack: Total Sq. Ft of Construction: Cost of Construction: $ _ City: f V Zip Code: _ Phone No. E -Mail: � Fill in fee simple Title H from the Owner listed Right Side: Left Side: nit – checx an tnat appiy: Piping _Shutters nklers ❑ Generator _ S Ft. of First Floor: _ Utilities: Sewer E]Septic Residential X State on next page ( if different If value of construction Is $2$00 or more, a RECORDED Lot No. Block No. ❑ Windows/Doors 0 Roof = Roof pitch Name: CHRIS LANGEL Company: SEACOAST A/C Building Height: Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: Fl- Zip LZip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 F-Ma;l• INFO@SEACOASTAIR.COM State or County License: CMC035421 Commencement is required. DESIGNER/ENGIN.,EER: — Not Applicable MORTGAGE CON Name: Name; Address: Address: State: _ City: City: Zip: Phone: Zip: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING Name: Name: _ Address: Address: _ City:_ City: Zip; Phone: Zip: _ I certify that no work or Installation has commenced prior to the issuance of a permit. St. Lucie CountiyYl,makes no representation that is granting a permit will authorize the perm) strt cture, Pleasecconsult with yolurr Homeownersowners Association lon andrreviewyyour deed foroan in consideration of the granting of this in accordance with the approved plans, the FloridadBuilding Codes and Seby t. Lucie C unity An The following building permit applications are exempt from undergoing a full concurrency accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory us WARNING TO OWNER: Your failure to Record a Notice of Commencement ma' improvements to your property. A Notice of Commencement must be reco before the first inspection. If you intend to obtain financing, consult with le _e._.1. __ --A;- �, nintira of Cnmmencement. %- Signature of Owner/Lessee Contrac oras STATE OF FLORIDA STATE OF FLORIDA COUNTY OF' siLucla COUNTY OF S1 The for oing instr er The omg Inst t v�a�(�d owledge ore me thi ay of thiday of �(ii 2Dry'y CHRIS LANGEL CHRIS LANGEL (Name of person acknowledging (Name of person acknl of Notary Rersonally Known x' OR Produced identification — Personally Known x Type of Identificatio Type of Identification Produced non-residential use ,esuli in r Commission No. osted on the jobsite der ora Sal(INALHOPKINS-00" U- # Ff 941411 mmission Nol :. MY COMMISSION F.XPIRES:DecemlKar8,2O Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS REVIEW :E:COUNTER REVIEW REVIEW INITIALS — Not Applicable _Not Applicable subject structure rict or prohibit such may apply, the work view: roo additions, to anothe non-residential use ,esuli in our paying twice for led and osted on the jobsite der ora attorney before me wrhm OR Pro uced Identification iced_ JUSTI A L HOPKIN$CONNEL MYCOMMJSSIONlIFF941 xx eaembar S, aOt �%lli1�ow,dsd ibm NotaryPublio UrvleM6t N S.ATURTLE MANGROVE RFVIFW REVIEW This combination qualifies for a Federal Energy Efficiency tax Credit when o placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIEDmal Certificate i AHRI Certified Reference Number : 10259414 Date: 03-19-2018 Model Status : Active Old AHRI Reference Number : AHRI Type : RCU-A-CB Series : ELITE EL16XC SERIES Outdoor Unit Brand Name : LENNOX Outdoor Unit Model Number (Condenser or Single Package) : EL16XC1-048-230A** Indoor Unit Brand Name : Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-048-230*+TDR 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, ML MN, MO, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OF, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, VT, WA, WV, WI, VVY, 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, Beqinning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency 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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still opening selling or ring for sale. Returns that are accom anted b WAS indicate an invelunta re -rale. The new ublished ratio is shown alon with the revious i.e. WAS rating. DISCLAIMER AHRI does not endorse the prodUet(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 the directory at www.alirldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. Tills 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; disseminated; entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATIONlick on "Ver we make life better"' The Information for the model cited on this certificate can be verified at www.alirldirectory.org, cify Certificate' link 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. CERTIFICATE NO.: 131659583169939280 ©2018Air-Conditioning, Heating, and Refrigeration Institute