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BOWERS PERMIT
ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r j C) Date: - i l� Permit Number: Building Permit Application Planning and Development Services Building and Code Regulati'7n Division 2300 Virginia Avenue, Fort Fierce FL 34982 Phone: (772) 462-1553 ;Fax: (772) 462-1578 Commercial Residential X PERMITAPPLICATIO� FOR: Mechanical Address: Legal Description: LJHVAC I I Cas Tank ❑Electric ❑Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ r R' City: t t- V111 r (' �' Zip Code: t P06 s^ '2, Phone No.. > E -Mail: Fill in fee simple Title h from the Owner listed Left Side: jcinm—uicu�au aNNlY• Sas Piping _ Shutters Sprinklers Generator _SFt. of First Floor: _ Utilities: Sewer ❑Septic Lot No. Block No, ❑ Windows/Doors ❑ Roof = Roof pitch Building Height: F r`.:3 Name: CHRIS LANGEL j'i`lt. x'.t) Company: SEACOAST AIC _ State:r_._ Address: 3108 INDUSTRIAL 31st STREET Fax: City: FT PIERCE State: FL _'J Zip Code: 34946 Fax: 772-466-3053 _ Phone No. 772-466-2400 ar on next page ( if different E -Mail: INFO@SEACOASTAIR.COM ve) State or County License: CMC036421 If value of construction is $2400 or more, a RECORDED Notice of Commencement is required. f r jcinm—uicu�au aNNlY• Sas Piping _ Shutters Sprinklers Generator _SFt. of First Floor: _ Utilities: Sewer ❑Septic Lot No. Block No, ❑ Windows/Doors ❑ Roof = Roof pitch Building Height: F r`.:3 Name: CHRIS LANGEL j'i`lt. x'.t) Company: SEACOAST AIC _ State:r_._ Address: 3108 INDUSTRIAL 31st STREET Fax: City: FT PIERCE State: FL _'J Zip Code: 34946 Fax: 772-466-3053 _ Phone No. 772-466-2400 ar on next page ( if different E -Mail: INFO@SEACOASTAIR.COM ve) State or County License: CMC036421 If value of construction is $2400 or more, a RECORDED Notice of Commencement is required. suPRvr�� cq[,Irucrt�NEN LAwr>��omTao1 f s ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW DESIGNER/ENG[NEER: 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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 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 an attorney before commencing work or recording your Notice of Commencement n Z " as STATE OF FLORIDA CO U NTY OF ST LUCIE The going instrument was acknowledged efore me this - 1 day of _> ` , 20 I by CHRIS LANGEL 1 (Name of person (Signature of Notary Public -State of Florida I Personally Known' "' Type of Identificat MT-6DMM1&SI9Rtf y: %d EXPIRES: December 6, 2019 Commission No. E 6ondedThNN0w BoNI ^MW06t 8 Revised 07/15/2014 Signature STATE OF FLORIDA COUNTY O F ST LUCIE The1p�going instrument waslacknowledgefore me this y r . L—daof f 20 by CHRIS LANGEL (N,ame of person acknowledging ) ! E/ (Signature of Notary Public -State of Florida) l� Personally Known ,=•'t AJ'.�0Pd y_c NELLy Type of Identifica �h d,*edlyCOMMIsslnyyFFg, EXPIRES; December 6, 2019 P Commission No. , \ • Bonded Thnu,yoL lypu �BI�jlnileR --.__ REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 10239684 Date: 04-09-2018 Model Status: Active AHRI Type: RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA037*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CNF002L Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, 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. 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. 1"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 Padlcipanl is no longer producing BUT Is still nafor sale. d by WAS indicate Involuntary r t Th n w published rating i h shown g with the previous (i e WAST atgselin n% for tnoorofferi DISCLAIMER AHRI does not endorse the products) 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.ah rldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprletary 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; AM 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. AIREFRIG RATI N INSTITUTE 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 we 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. " 131677453261762636 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: