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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03/06/2018 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 Reside PERMIT APPLICATION FOR: Mechanical Address: 5307 FOURWINDS WAY Legal Description: Property Tax ID #: 1410-502-0089-000-0 Site Plan Name: Project Name: MARIE/RAYMOND VAN MEERTEN Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CHANGEOUT 15 SEER, 3 TON, 5 KW )NSTRUCTION 1NFORMA7 Iditional work to be erTormea HVAC Gas Tank ❑ Electric ❑ Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 5200.00 (X Lot No. Block No. under this permit — check a app y: F]Gas Piping � Shutters a Windows/Doors 11 Sprinklers ❑ Generator ❑ Roof Roof pitch Name MARIE/RAYMOND VAN MEERTEN Addratt 5307 FOURWINDS WAY SFt. of First Floor: Utilities:n Sewer Septic Building Height: City: FT PIERCE State: FL Zip Code: 34949 Fax: Phnna N,_ 772-519-0962 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: CHRIS LANGEL Company: SEACOAST A/C Address: 3108 INDUSTRIAL 3 st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 E -Mail: DANISEACOASTAIR@AOL.COM State or County License: CMC035421 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL COW DESIGNER/ENGINEER: Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone: _ Not Applicable State Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. Not Applicable Not Applicable 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, p rform 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: rooi,n 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 your 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 ar attorney before commencin>; work or recording your Notice of Commencement. Signature of Owner/Lese/Contractor as Agent for Owner Signature of Contractor/Li secense Ho der STATE OF FLORIDA COUNTY OF ST LUCIE Theor oing ins t s ledge re me this L day of ���20 CHRIS LANGEL 1 (Name of person acknowledging ) (Signature JT Notaf•y Public- State of Flo Personally Known x OR Produced Identification Type of Identification Produced Commission No. F Revised 07/15/ JJSTINA L HOPKINS-CONNELLY MY CCMM1S&ON # FF 941411 Bonded Thru Notay Public Underwriters STATE OF FLORIDA COUNTY OF ST LUCiE Theoing instrument as ack led g efore me this day of , 20 by CHRIS LANGEL (Name of person acknowledging ) A . 1 ure of Notary Public- StateTf Florida ) Personally Known x OR Pro uced Identification Type of Identification Produced Commissi �Nq =PIRES 03e .'f 1 9Bonded inwl-laiy REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy fficiency tax Credit when placed in service between Feb 17,2009 and bel 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number : 201300140 Date : 03-05-2018 Model Status 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 sale; OR new models that are being marketed but are not yet being prod uced."Prod uction Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sellinq or offering for sale. ,,,,,,,.,. , , ,tio ,,,o,,;,,, r o \A/Asl —t— DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or perfo unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in th 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 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, personal and confidential reference. CERTIFICATE VERIFICATION 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. which is listed above and the Certificate No., which is listed at bottom right. assumes no responsibility for, rmance of the product(s), or the ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: AM AIR-CONDITIONING, HEATING. & REFRIGERATION INSTITUTE we make life better"' 131647619106461573