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UTZ PERMIT
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED gg � 1 Date: € N C:I__ Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort l�ierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical Address:^ Legal Description: Property Tax ID #: Site Plan Name: -e _ Project Name:_, , Setbacks Front Back: Right Side: Left Side: ,-w 1 LIKE FOR LIKE A/C CHANGE0U1 J I I ❑✓— HVAC Gas Tank Electric 0 Plumbing Total Sq. Ft of Construct' Cost of Construction: $ Na City: r"_.. d State: ki— Zip Code: Fax Phone No. J,4_ a 5 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Lot No. Block No. Windows/Doors Roof = Roof pitch Building Height: ,Company: SEA COAST A/C Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 E -Mail: INFO@SEACOASTAI R.COM State or County License: CMC035421 If value of construction is $2900 or more, a RECORDED Notice of Commencement is requ QR E META Oka 1IRL -M -'N FRONT 'S' SUPERVISOR 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in coNict 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 yo u intend 00 bftain financing, consult with lender or an attorney before commencing work or recording your N 0 t�i ce 0 Commencement. W� S Signature of Owiner/Lessee/ContractoNsAgent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The r oing lnstru,�ept wqs knowledg efore me "I thi rt day of —412 17 OrVy CHRIS LANGEL � (Name of person acknowledging j�tqnature Or ricnary rut 4sonally Known x Type of Identification Pr( , rJ ....... 1 1 Commission Revised 07/15/2014 OR Produced Identification EXPIRES: Dwomber STATE OF FLORIDA COUNTY OF STLUCIE The fpqgoi'ng instru N ent was acknowledge I Piifore me th isH day of —iAi —Xi—f—, 20 by CHRIS LANGEL (Name of person acknowledging I gnature of Notary Public- State ot Florida Personally Known x OR Produced Identification Type of Identificati JUSTINA L HOPKINS-CONNELLY ", -ar'p'� , Commission No. FF 441 MYCOMNSSI,�� rilffJ414119 �e. Bonded Tom Notary PubliD Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE___ INITIALS • 07org-ruw1aaw AHRI Certified Reference Number: 9192742 Date : 04-11-2018 Model Status : Active 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 Model Number (Evaporator and/or Air Handier): FFMANP024 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. 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 producedl'Production Slopped" 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 alone with the previous (i.e. WAS) retina. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes he representations, warranties or guarantees as to, and assumes no responsibility for, the products) listed on this Certificate. AHRI expressly disclaims all (lability 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.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; PM entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except far 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.alirldirectory.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 Nb., which is listed at bottom right - ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131679308534005214