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Building Permit Application
ALL APP BLJSy' BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: jl\Sj]_ 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 Il:ax: (772) 462-1578 Commercial ' Residential X _ PERMIT APPLICATION FOR: Mechanical Address: Legal Description: Property Tax ID #: Lot No. Site Plan Name: Block No. ProjectNamAullm, l Ll Setbacks Front I-- Back: Right Side: Left Side: LIKE FOR LIKE A/C d-1ANGEOUT trona wor<to e e orme underthis permit—c ec<a appy: eas ❑ HVAC Tank Piping Shutters Windows/Doors I❑]Gas _ ❑Electric ❑ ❑ Generator ❑Roof Roof P�luinbing L (Sprinklers pitch Total Sq. Ft of Construction: _ S Ft. of First Floor: Cost Construction: $ I Utilities:E5ewer ❑Septic Building Height: of i, Name Name: CHRIS LANGEL j _ Address: Y;, SEA COAST A/C City: Address: 3108 INDUSTRIAL 31st STREET Zip Code:e :- 1=a�� City; FT PIERCE State: F� Phone No. � 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 from the Owner listed ab ve) State or County License: CMC035421 If value of construction is $25'00 or more, a RECORDED Notice of Commencement is required. ENGINEER: Name: Address City: Zip: _ FEE SIMPLE TITLE Name: Address: City: Zip: Phone: Not Applica State HOLDER: Not Applicable one: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: _ Address: City:_ Zip: I certify that no work or installation has commenced prior to the issuance of a permit. Phone: 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 recordine your Notice of Commencement. � s Signature of Owner/Lessee/Contractor ams tgent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LuclE STATE OF FLORIDA COUNTY OF sT Lucie The or oing ins t wledg fore me The f rgoing inst m nt w a mowledg fore me this � day of 20 y this day of . 20 by CHRIS LANGEL -" I CHRIS LANGEL (Name of person acknowledging I (Name of person acknowledging ) 2( nature of Notary Public -State of Florida) (S�nature of Notary Public- State of Florida ) ersonally I(nown x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Prod MANGROVE Type of Identification Pr _.. _ Commission No, FEeat4tt rB�'s: JU6TMALIiDPKINSCONNEILY €>: �= MY SSi0N9FF941411 Commission No. FFeaja �ti JUb"fINA {t�,�H{ ..��qqyy .' +``MYCDMAt�9�f6Ns REVIEW ;Y EX�December 6,2019 ,,I Bonded Thn Notary Public Onjemrters DATE .� NFP 941411 T qF �FXFiIRtrS: December 6, 2019 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratin AHRI Certified Reference Number: 9162516 Date: 09-05-2018 Model Status : Active AHRI Type: HRCU-A-CB Series : 14 SEER HP Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CH14NB036*0**B* Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L 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 AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 34400 SEER : 15.00 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. Ratings lh t r a ma d by WAS indicate v lunlary re -rale The new published retina's shown along with the orevious (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 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.afirldlroctory.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 Grin part, be reproduced; copied; disseminated; Pin entered Into a computer database; or otherwise utilized, in any farm or manner or by any means, except far 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.abrldirectory.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 CRRTIFICATE NO.: 318oszeass7zaso4z