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Building and Code Regulat
2300 Virginia Avenue, Fort
Phone: (772) 462-1553
PERMIT APPLICATIC
Address: 1, 1
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
rvrces
Division
,rce FL 34982
x: (772) 462-1578 Commercial ' Residential X
FOR: Mechanical
3ack: J Right Side: _
LIKE FOR LIKE A/C Cl-iANGEOUT-bon /� t
t j ) ice✓
✓
I
HVAC Gas Tank
Electric F-1 Plumbing
Total Sq. Ft of Constructio _
Cost of Construction: $ —
Nam
City: LI L' [ c
Zip Code:
Phone No.
E -Mail:
Fill in fee simple Title I
from the Owner listed
If value of construction is
Left Side:
aermic– cnecKau inai apply:
Sas Piping _ Shutters
Sprinklers E] Generator
SFt, of First Floor: _
I
Utilities: Sewer[]Septic
Lot No,
Block No.
Windows/Doors
11 Roof = Roof pitch
Building Height:
I Name: CHRIS LANGEL
Company: SEA COAST A/C
State: K, Address: 3108 INDUSTRIAL 31st STREET
:ax: City: FT PIERCE State: FL
(' Zip Code: 34946 Fax: 772-466-3053
Phone No. 772-466-2400
on next page ( if different E -Mail: INFO@SEACOASTAIR.COM
State or County License: CMC036421
or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applica
Name:
Address:
City: State
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone.-
BONDING
hone:BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:.
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
_Not Applicable
St. Lucie Countyy 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
commencing work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as— gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY O F ST LUCIE
The f Ing instru t acknowl d before me
this day of ,�2by
STATE OF FLORIDA
COUNTY OF STLUCIE
TheSinginstr ent sacknowledg fore me
this day of 20 by
CHRIS LANGEL'L I CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
Notary
Personally Known X
Type of Identification
Commission No. FF941411
Revised 07/15/2014
-State of Florida) /� (S/g nature of Notary Public -State of Florida )
OR Produced Identification U Pe�rJsonally Known x OR Produced Identification _
Type of Identification Pr _ _
4 rB� JU$TINA L HUPKINS•OONNELLY Wutl315tlklu4KgMgYqywyy
` b" FF9414 JWltNA
,: MY MON 941411 Commission No. y �' S-0DNNELI,�
a< EX�December6, 2019 t� My CUA9 �IVtY FF 941411
`, Bonded Thou Notary Pu" Underedleis •U, � , pP"IRES: December6, 2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
AHRI Certified Reference Number: 201850512 Date: 08-13-2018 Model Status: Active
AHRI Type, RCU-A-CB
Series : GSX14
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX140361K*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT39C14B*
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 regions) 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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Fatima that are accompanied by WAS indicate an involuntary re -rate. The new published patine is shown alone with the Previous (i.e. WAS) retina.
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 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.ah ridlrectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and a�,
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
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.ahrldirectory.org, click on "Verify Certificate" link we make lire better^
and anter the AHRI Certified Reference Numberand the date on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
(92018Air-Conditioning, Heating, and Refrigeration Institute RTIFICATE NO,: 131786518072168867