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Building Permit Application
ALL APPLI ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' O Permit Number: s 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 Residential X PERMIT APPLICATION FOR: Mechanical i�"POS IMP730UE EN � �� T' r„ Address: Legal Description: Property Tax ID M Lot No. Site Plan Name: Block No. Project Namech7 Vn > Setbacks Front Back: Right Side: Left Side: ->.""w=�-�-, �.s='o.✓��-.� rr.�r.»-,moi' _... .:.�. �,_---,,.:-='-= r.—, ;�.-'-f.:�r-,�'�✓.._;�;w,r,-�-,..,;;. ;',,.,.-..ti, - 1�E� AIL D��DES�R�P,-TIt�J�1�0 µ LIKE FOR LIKE A/C CHANGEOUT � �� � � LV1�- �7 - iUona war to e erorme un ert ispermrt—c ec a appy: ❑✓_ HVAC Gas Tank ❑Gas Piping Shutters F—] Windows/Doors Electric Plumbing Sprinklers Generator 0 Roof Roof pitch Total Sq. Ft of Construction: �S Ft. of First Floor: Cost of Construction: $ ') �l"'1 1 oO Utilities:'nSewer 0Septic Building Height: 0111111-1,_11 %L - Nam 1119 . GO'1106IS111 Name: CHRIS LANGEL Addres Company: SEACOAST A/C City: �, State: _ Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: F� Zip Code: 34946 Fax: 772-466-3053 Zip Code: r -7L Faxx: Phone No. f a�' �a[ E -Mail: Phone No. 772-466-2400 Fill in fee simple Title Holder on next page ( if different E -Mail: INFO@SEACOASTAIR.COM 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. fALCO1�IJGTI�I L1N1 R.9 ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE GINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable r REVIEW Name: REVIEW REVIEW DATE Address: State: City: State: Phone: COMPLETE Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: INITIALS 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 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, 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 t00 obtain financing, consult with lender or an attorney before commencingwork or recordingour Notice of Commencement. , s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COU NTY O F ST Lune Theng instru e a nowledg fore me this ay of 20 by CHRIS LANGEL 1 (Name of person personally Known x Type of dentificatlori.Lq Commission No. FFe ?iir °9 Revised 07/15/2014 State OR Produced Identification EXPIRES: December6, 2019 Bonded Thiu Notary PON: UnderWters STATE OF FLORIDA COUNTY OF sTwc,E The r ng instru a ac nowledg efore me thiay of 1.20 by CHRIS LANGEL (Name of person acknowledging ) Personally Known X Type of Identificatio Commission No. OR Produced Identification MY coMR98p81f)F 941411 EXPIRES: December 6, 2019 Bonded Thro Notary Public Undemf ters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS rI III, CERTIFIED° www.aBridirectory.orgCertificate of Product Ratinqs AHRI Certified Reference Number: 9192749 Date: 04-23-2018 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 Handler) : FB4CNF024L 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 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. Retinas that are accompanied by WAS indicate an involuntary re -rale,. The new published rating is shown along with the previous tie 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the produagst 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; AM entered into a computer database; or otherwise utilized, III 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 foe the model cited on this certificate can be verified atwww.ahridirectory.org, click an "Verify Certificate' link we make life beuerr'" 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.: 131689726218756447 i