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ALL APPLICABLE INFO�iM I)ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I �l C o I� Permit Number: c Building Permit Application Planning and Development Services Building and Code Regulatl n Division 2300 Virgin la Avenue, Fort IerceFL34982 Phone: (772)462-1553 Fax: (772) 462.1578 Commercial Residential X _ PERMIT APPLICATIO FOR: Mechanical Address: a63 �yj e�t_,`SG-1i6U Legal Description: I I Property Tax ID P: 1 10 - 70 D " 00 1� S -000 r' Lot No. Site Plan Name: Block No, Project Name: �e0 �� ++ �4T Setbacks Front` ,,—^ Back: Right Side: Left Side: LIKE FOR LIKE 1A/C C I.iANGEOUT Additional wor<to bfeje 'ormed under t spermt-check a apply: �HVAC iasTank []Gas Piping _Shutters El Windows/Doors LIElectric 0fllumbing OSprinklers Generator Roof Roof pitch ,- Total Sq. Ft of Construction:_ S Ft. of First Floor: 1-1 Cost of Construction: $ � SC .00 Utilities:�Sewer Septic Building Height: I Name ELOY( 1e �a ��/ Name: OHRISLANGeL Address: ' ? N Ll r 1 Dr Company: SEACOAST A/C City: ()r�` 11"Q `�— State;ON Address: 3108 INDUSTRIAL 31st STREET L 3V 1 9 1 �N4d9 FT PIERCE FL Zip Code: Fax: City: State:_ Phone No. 7 %a - i,,ff-1q S Zip Code: 34946 Fax: 772.466-3053 E-Mail: J�-N @Sea aS,/Q:r GOy) Phone No. 772.466-2400 Fill in fee simple Title Holder on next page ( if different E-Mall: INFO@SEACOASTAIR,COM from the Owner listed ab ve) State or County License: CMC036421 If value of construction is$2 00 or more,a RECORDED Notice of Commencement is required, I i i SUPpL`EMEN�TAi CONSTRUCTION~LIEN'LA1N INF;ORMATION� .. 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which Is In con, with any applicable Home Owners Assoclation 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 our Notice of Commencement. s Signature of Owner/Lessee/Contractor as 7Cgent for Owner Signature of contractor License Holder STATE OF FLORIDA STATE OF FLORIDA j CO U NTY OF sT LUCIE CO U NTY O F sr LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 3/dayof Oec. 201-F—by this 31dayof meet". 20 JBby 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) ersonally Known X OR Produced Identification Personally Known x OR Produced Identification Type of Identification Prod Type of Identification Pr ept JUSTINA L HOPKINS-CCNNELLY , Itlaxgp Commission No. FFe41411 =; M�SSICN9FF941411 Commission No. FF941a •' : JUptlNAt H�pigy'ScoNN6Cty -rf4 'e�,. BondodihIuNpryPbbounlemdIas --.-�8: MYCpMAAgU�S��mNNaFF941411 - K� ryS:Dacember6,w1a Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS . CERTIFIE[o www.alirldirectory.org Certificate of Product Ratings AHRI Certified Reference Number:9193673 Dale: 12-31-2016 Model Status:Active AHRI Type:RCU-A-CB Series: 14 SEER AC Outdoor Unit Brand Name:CARRIER Outdoor Unit Model Number (Condenser or Single Package):CA14NA036*0**A* Indoor Unit Model Number(Evaporator and/or Air Handler):FB4CNF036L+TXV 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. The manufacturer of this CARRIER product is responsible for the rating of this system Combination. Rated as follows In agcordanice with the latest edition of ANSI/AHRI 2101240 with Addenda 1 and 2,Performance Rating of Unitary Air Conditioning,&Air-Source Heat Pump Equipment and subject to rating accuracy by AHR)-spopsored,independent,!third p6o testing: Cooling Capacity(A2)-)Single or High Stage(95F), Dub 33200 j SEER:14.00 +irItll 'tVi EER(A2) Single or High Stage(85F) : 12.00 f"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 III' marketed but are not yet being producedl'Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Rafnms that are accompanied by WAS Indicate an involuntary re-rate. The new published ration is shown Gloom 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 products)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.alirfdirectory.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, 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.alvitlirectory.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, 1319076199e684e103 ©2018Air-Conditioning, Heating,and Refrigeration Institute CE#2 IFICATE NO.;