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Building Permit Application
r 77�tyr- Planning and Developmem Building and Code Regulat, 2300 Virginia Avenue, Fort Phone: (772) 462-1553 PERMIT APPLICATI Address: Legal Description: Property Tax ID #: Site Plan Names Project Name: Setbacks Front_ LIKE FOR LIKE A/C I LL fie. HVAC 11 Electric E] Total Sq. Ft of Construct!( Cost of Construction: $ L 'M"11; BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application Services )n Division �lerce FL 34982 ax: (772) 462-1578 Commercial Residential X FOR: Mechanical — cnecK a Tank "Gas Piping F-1 Left Side: I K -Lo Shutters Sprinklers L _1 Generator _ Sq. Ft. of First Floor: _ Utilltles:SewerSeptic Address t -1A Q_ (�Ukj— City: �ef c�7e-- Stat _ Zip Code: 3 l=ax: Phone No. E -Mail: _ Fill in fee simple Title Haloer on next page ( if different from the Owner listed ab�ve) Name: CHRIS LANGEL Lot No. Block No. Windows/Doors Roof = Roof pitch Building Height: Company: SEACOAST 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 $2100 or more, a RECORDED Notice of Commencement is required. 777777777777777777777777=- ;,hM��N�At C�NSTJtUCTIQ�I t ISN LAW INS � 7 RMT Nw RP 1 .-,Yr,rf., �f .� F .i. ...d ,; •,, ,,» e' ,� VEGETATION REVIEW SEA TURTLE REVIEW -,.�,...r N���s., .,-v1--. DESIGNER/ ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: COMPLETE 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 yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure stlructure. Pleasiecconlsult with yolur Hlome Owners Association tI ndrreviewyyour deed or any restrictionss or and covenants whichtrmay al. prohibit such 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 our Notice of Commencement. s Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE The oing instr ent s acknowledg fore me this day of , 20y QJ STATE OF FLORIDA COUNTY OF STLuaE The foraping instruy� ent was a�ckn ledge0fore me this day of _�/ `. J 20 by CHRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) ^ of Notary Public -State of Personally Known x Type of Identification Commission No. FF9414ii Revised 07/15/2014 OR Produced Identification MyWS3jQN B FF 941411 EX December 6, 2019 Bonded Thou Notary PubiiDUrrleM*m 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 ti ■�i CERTIFIED° www.ahridirectory.org Certificate Product Ratings AHRI Certified Reference Number: 201792715 Date : 08-07-2018 Model Status : Active AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX16S481A* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A* 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 Codification 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 Ratings that are accompanied by WAS indicate an involuntary re -rate. re-rate.The new Published rating is shown alonH with the previous (' e A 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 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.al,ridirectory.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; Aim entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for tine user's Individual, AIR,CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information far 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. "",'' 131781133101646624 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: