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Building Permit Application
ALL AP yC1�ABL[ FFfx 0 Mf. COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I( /l /l Lii Permit Number: Building Permit Application Planning and Development) Services Building and Code Regulation Division 2300 Virginia Avenue, Fort iIlerce FL 34982 Phone: (772) 462-1553 (rax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR; Mechanical Address: U Legal Description: Property Tax ID ##: Site Plan Name, r_- Project Name: 4- Setbacks Front LIKE FOR LIKE A/C Back; Right Side: Left Side: \NGEOUT LQ S�� ►2 >rs L.J Generator Total Sq. Ft of Constructiori:/^��/�, S Ft, of First Floor: Cost of Construction: $��- l l_J Utilities: 0Sewer Septic Building Height: Lot No, Block No. Windows/Doors El Roof = Roof pitch IL' City:1� Stat e: f(� Zip Code Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed abbe) Name: CHRIS LANGEL Company: SEACOASTA/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 $2$00 or more, a RECORDED Notice of Commencement is required. ��17P'PL�fV�j��UTAL CONSTRUC IOJ�IJ-SEN L,A1N 1J�JF�Q`�aUTA�TfON � ; �k-� SUPERVISOR PLANS VEGETATION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: REVIEW Name: REVIEW Address: REVIEW 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 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 comme��nc%ii�n work or recordingour Notice of Commencem�enntt.. LAW Signature of Owner/Lessee/Contractor ash, gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA CO U NTY O F ST Lucie STATE OF FLORIDA COUNTY OF ST LUCIE Ther Ing inssr knowledg efore me Th f oing ins u ent s cknowlEd !fore me this today o 20�.by thisn day of 2 by CHRIS LANGEL 1 I CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) of N Personally Known x Type of Identification blic- State of Florida) Commission No. FFe41411 Revised 07/15/2014 OR Produced Identification k FF 941411 fiber 6.2019 ature of Notary Public -State of Personally Known x Type of Identificatio Commission No. FF9 OR Produced Identification rosIUN # FF 941411 DaCember6, 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. AHRI Certified Reference Number: 201384392 Date: 09-10-2018 Model Status: Active Old AHRI Reference Number: 8242082 AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX160481 F" Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A` Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, 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 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 ting th at.. a a ni d by WAS indicate n involuntary re -rate. The new published rating' h wn alorm with the Previous (i.e. WAS) 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.afirldirectory.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; 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,EFRIERATI(HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.altridirectory.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.?'" '"" "' G. 731820803237978491. ©2018Air-Conditioning, Heating, and Refrigeration InstituteCi2TIFICATE NO.: