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Building Permit Application
ALL APPLICABLE FO MLI BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: _— — Permit Number: Building Permit Application Planning and Development I Services Building and Code Regulation Division 2300 Virginia Avenue, Fort plerce FL 34982 Phone: (772) 462-1553 IIFax: (772) 462-1578 Commercial ' Residential X PERMITAPPLICATI0FOR: Mechanical Address: I "I Legal Description: Name Address: �� Name: CHRIS LANGEL Company: SEACOAST A/C City: f Zip Code: Phone No. ate: Fax: L�Y Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772.466-3053 E -Mail: _ Fill in fee simple Title Holder on next page ( if different Phone No. 772-466-2400 E -Mail: INFO@SEACOASTAIR.COM from the Owner listed ab6ve) State or County License: CMC036421 If value of construction is $2$00 or more, a RECORDED Notice of Commencement Is required Name Addre City: _ Zip: _ Phone: State FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: _ Address: City: _ Zip: _ MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone:. Not Applicable Not Applicable I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count yY makes no representation that is granting a permit will authorize the permit holder to build the subject structure strlucture. Pleaslec consult w with applicable lome Owners Associationers Association ndrreviewyyour des or ed for any covenrestrictions nts which ma or prohibit such Y apply. In consideration of the granting of this requested permit, 1 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 5 Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA CO U NTY OF ST LUCIE COUNTY OF sr LUCIE The oing instru jet a a knowledg fore me The oing instru ent w ack owledLV�� fore me this ft f 20 by thisdayof 20 by CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) ^ ature of Notary P Personally Known x Type of Identification Commission No. EE841411 Revised 07/15/2014 of Florida OR Produced Identification EXAM! December 6,204 Bonded TIM Notary Public Umie redlem of Notary Public- State of Florida Personally Known x Type of Identification Commission No. OR Produced Identification 2019 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS . •7 1111pliq 1111 I' • AHRI Certified Reference Number: 9200494 Date: 07-09-2018 Model Status : Production Stopped AHRI Type: RCU-A-CB Series : 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA048*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FZ4ANP048L 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, T. 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 Participant is no longer producing BUT is still sellng ar offerinm d by WASindicate an' lu tary re -rate. Th n published tig Is h 1 na with the previous (i.e. WAST ratingRatings Ut DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees safe, and assumes no responsibility for, the produchs) 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.alirldirectory.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, In any form or manner or by any means, except farina user's individual, personal and confidential reference. AIR-CONDITIONING, INSTITUTE 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 bens," and enterthe 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. . "%'z 131756326248244306 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: