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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: — — Permit Number: V.O 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 N Address: Legal Description: Property Tax ID #: al4m Lot No. Site Plan Name• Block No. /� Project Name:L.X 1 Jnr Setbacks Front Back: Right Side: Left Side: deEN`IL D SSI 0 LIKE FOR LIKHANGEOUTkov ` n Additional wor toe e orme under tispermit -checka appy: HVAC E] Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors 11 Electric D Plumbing Sprinklers ElGenerator Roof Roof pitch Total Sq. Ft of Construct' o S Ft. of First Floor: F Cost of Construction: $ Utilities: Sewer 0Septic Building Height: NamIf Name: CHRIS LANGEL Address Company: SEACOASTA/C City: r�. State: Address: 3108 INDUSTRIAL 31stSTREET Zip Code: L- -7 Fax: City: FT PIERCE State: FL Phone No. nl�Zip Code: 34946 Fax: 772-466-3053 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW;INFORMATION: FRONT DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: MANGROVE Address: COUNTER City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 County 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 as Agent for owner STATE OF FLORIDA COUNTY OF STLUCIE Ther oing inst um t s ac owledg11Eefore me this day of 20 by d41RiS LANGEL (Name of person acknowledging) State Personally Known x OR Produced Identification Type of Identification Produced Commission N Decembers, 2019 Revised 07 STATE OF FLORIDA COUNTY OF ST LUCIE Thejjor oIng instru n w a knowledge fore me this `� day o 20 My CHRIS LANGEL (Name of person acknowledging ) (Sigry4ture of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Produced N FF 941411 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 201417957 Date: 06-04-2018 Model Status : Active Old AHRI Reference Number: 8655532 AHRI Type: RCU-A-CB Series: GSX14 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L* Indoor Unit Model Number (Evaporator and/or Air Handier) : ARUF29B14A* 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, SO, 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 f"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 selling or offering for sale. Ral'ngs that are accompanied by WAS indicate an Inyc lunlary re -rale. The new Published ralina is shown alone with the previous (i.e. WAS) ratina. 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 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.alirldlrectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Incilvidual, 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. 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 No., which Is listed at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 3172818771912830'