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ALL APPLICABLE INFO M i ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort lerce FL 34982
Phone: (772) 462-1553 ilFax: (772) 462-1578 Commercial Residential X _
PERMIT APPLICATION FOR: Mechanical
Address:
i
Legal Description:
I
i dd
Property Tax ID H: t Lot No.
Site Plan Name: Block No,
Project Name: I
Setbacks Front Back: Right Side: Left Side:
LIKE FOR LIKE A/C C6ANGEOUT
Additional wor<to e e rmed under t ispermit—c ec<all apply:
ZHVAC alas Tank E]Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Constr t'o _ S Ft. of First Floor:
Cost of Construction: Utilities:[]Sewer Septic Building Height:
Elm=i
1
Name L \C _ 0 Name: CHRIS LANGEL
Addr s Company: SEACOAST A/C
City: Stat Address: 3108 INDUSTRIAL 31st STREET
Zip Code: '_ Fax: City: FT PIERCE State: FL
Phone No. _0 - Zip Code: 34946 Fax: 772-466-3053
E-Mall: _ Phone No. 772-466-2400
Fill in fee simple Title Holder on next page ( if different E-Mail: INFO@SEACOASTAIR,COM
from the Owner listed above) State or County License: CMC035421
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
SI�PP N ftt f C(?�1 7RUG710x�LIEN LAIN ifi JRJYIATION r N
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
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 County 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 to obtain financing, consult with lender or an attorney before
commencingwork or recordin g your Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST waE COUNTY OF ST LucIE
The ing instru a0knowledge `� ore me The ohgIng instr m s knowle before me
thi day of 20 by thisay of 2 by
CHRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging)
( nature of Notary Public-State of Florida) (S nature of Notary Public-State of Florida)
rsonally Known x OR Produced Identification Personally Known x OR Produced Identification ''...
T Type of Identification Pr _ ce
Type of Identification Prod ..e...+..ad..a"
w:rl�,_ JUSTINA L HO iO N0 FF 941411 ,y : JU�PIN
Commission No. EEBaia MYCOh4
Commission No. PF941411 e., .,,i MY SSiONRFf941411 Qf'.l(IMSCONNEU,y
EXmDecemher6,2019 •e: t� �FF941411
+rRAf�,ik Bonded hWN0leryPubI1c UnJei flI0 I .. � HES;Docember6,2019 '...
---- —! .; illry fdv
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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CERTIFIED
Certificate of Product Ratings
AHRI Certified Reference Number:9177134 Date:08-27-2018 Model Status:Production Stopped
AHRI Type:RCU-A-CB
Series: PERFORMANCE 17 AC
Outdoor Unit Brand Name:CARRIER
Outdoor Unit Model Number (Condenser or Single Package):24ACB736A*031*
Indoor Unit Model Number(Evaporator and/or Air Handler):FV4CN(B,F)005L '..
Region: All(AK,At,AR,AZ,CA,CO,CT,DC,DE,FL,GA,IT,ID,IF,IA,IN,KS,KY,LA,MA,MD, ME,MI,MN, MO,MS,
MT,NC,ND,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,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.
The manufacturer of this CARRIER product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary
Air Conditioning,&Air Source Heat Pump Equipment and subject to rating accuracy by AHR) sponsored,independent,third party testing:, l
Cooling Capacity(A2)-,Single or High Stage(95F),btuh 36000: i
SEER:17,00
EER(A2)-Single or High Stage(95F) :13.50
Iv
c
}"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.
Ratings that are accompanied by WAS indicate an involunlary re-rate. The new published ratine is shown alone with the previous(i.e.WAS)retire.
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 producus),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 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 whale or in part,be reproduced;copied;disseminated; Pin
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 betted"
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. 131798777846369507
GRTI�ICATE NO.:
92018Air-Conditioning,Heating,and Refrigeration Institute
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