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Building Permit Application
ALL APPLICABLE INFO M1J1JST B COMPLETED FOR APPLICATION TO BE ACCEPTED Date: if Permit Number: Building Permit Application Planning and DevelopmentlServices Building and Code Regulati n Division 2300 Virginia Avenue, Fort pierce FL 34982 Phone; (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Mechanical Address: 1 c�' I Legal Description: Property Tax ID #: Site Plan Name: _ Project Name: Setbacks Front LIKE FOR LIKE A/C LYJHVAC I_J Electric Total Sq. Ft of Construct!( Cost of Construction $ 5M -cot/ -ted e; -Nle- Back; Right Side: GEOLIT ll� Jee'r, 5 Residential X Left Side: N/ 10/kL/i Lot No. Block No. rmeo unuerLimpti,illi —Uw a rpry- s Tank❑jjGas Piping nn_ Shutters Q Windows/Doors L,_.1 imbing Sprinklers Generator Roof = Roof pitch Sq, Ft, of First Floor; Utilities;SewerF]Septic Building Height: L Name c %Q 7i r e Name: CHRIS LANGEL Address: 1 a I '�� p Df Company: SEACOAST A/C City:r-4,0`er(f State:% L Address: 3108 INDUSTRIAL 31st STREET q i / Fax: City: FT PIERCE State: FL Zip Code: Phone Na. 0 �' � � ''T9 3 3 / Zip Code: 34946 Fax: 772-466-3063 E -Mail: Phone No, 772.466-2400 Fill in fee simple Title Holder on next page (if different E -Mail: INFO@SEACOASTAI R.COM from the Owner listed abve) State or County License: CMC036421 If value of construction is $2J00 or more, a RECORDED Notice of Commencement is required. Name: Addre! City: _ Zip: _ e: FEE SIMPLE TITLE HOLDER: Name: Address: ('H-%' - Zip. +% - Zip; Phone: _ State: — Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip; Phone: BONDING COMPANY: Name: Address: City: Zip; Phone: - Not Applicable _Not Applicable 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 structure, Please consult with yolur Hlome Owners Association andrreview your deed for any restrictions which restrict aor l. 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. i V s Signature of Owner/Lessee/Contractor as A&m for Owner Signature of Contractor/License Holder STATE OF FLORIDA CO U NTY OF ST LUCIE The forgoing instrument was acknowledged�efore me this 41 ,day of�ge,- , 20 % by CHRIS LANGEL 1 (Name of person acknowledging ) Notary Public- State of Known x Type of Identification Pr( Commission No. FF941411 Revised 07/15/2014 Of Produced Identification _ FF 941411 or 6.2019 STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrum n was acknowledged before me this _ Tl jay of c)'PRr 20 _1.6 by CHRIS LANGEL (Name of person acknowledging ) (S nature of Notary Public- State of Florida ) Personally Known n Type of Identification Commission No. OR Produced Identification 2019 REVIEWS ZONING SUPERVISOR PLANS VEGETATION SEA LE MANGROVE CFRONT OUNTER REVIEW REVIEW REVI W EV EW REVIEW REVIEW DATE COMPLETE INITIALS Wawrinirl 1,011 I'll L AHRI Certified Reference Number: 9200152 Date: 10-10-2018 Model Status : Production Stopped AHRI Type: RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA042*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FZ4ANP060L 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. }"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 prod uced."Production Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Retinas that raccompanied by WAS d at v l l ry r t Th n w a bi h d lino' h wn 'th ih o us (' e WAST rating _ DISCLAIMER AHRI does not endorse the product(s) listed an 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.9hridIvectory.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; entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information forthe model cited on this certificate can be verified at www.abrldirectory.org, click on "Verify Certificate" link we make hic better - and enter 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. 131836791136278774 ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: