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Building and Code Regulatl
2300 Virginia Avenue, Fort
.Phone;(772)462-1553
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number;
Building Permit Application
olvlslon
-rce FL 34982
x: (772) 462-9.578
PERMIT APPLICATION FOR; Mechanical
Address: .2 o
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
i:1:22N —
Setbacks Front ..
Commercial ' Residential x
,'r
AN -SON
Back: Right Side:
Left Side:
Empoommom 1=1 LIKE FOR LIKE A/C C�dANGEOUT �. 7-0 Iv, % S �i�% ��
Utilities:
Name ID:QNe Do _ oN_
Address: 3d g S �/A eU''e� J Pj a65
State:
ZlpCode: 31611f ' Fax:
Phone No, % ' Q L
Fill in fee simple Title Holc,er on next page I if different
from the owner listed ab�ve)
J Generator
of First Floc
Sewer 11
septic
Lot No,
Block No,
Windows/Doors
Roof = Roof pltch
Building Height:
Name: CHRIS LANGEL
Company: SEACOAST AIC
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772.466-3063
Phone No, 772-46�—
E -Mall: INFO@SEACOASTAIR.COM
State or County License: CM0036421
of construction Is $2 joo or more, a RECORDED Notice of commencement
®HVAC
L.
Electric'
Total Sq. Ft of Construe
Cost of Construction: $
Utilities:
Name ID:QNe Do _ oN_
Address: 3d g S �/A eU''e� J Pj a65
State:
ZlpCode: 31611f ' Fax:
Phone No, % ' Q L
Fill in fee simple Title Holc,er on next page I if different
from the owner listed ab�ve)
J Generator
of First Floc
Sewer 11
septic
Lot No,
Block No,
Windows/Doors
Roof = Roof pltch
Building Height:
Name: CHRIS LANGEL
Company: SEACOAST AIC
Address: 3108 INDUSTRIAL 31st STREET
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772.466-3063
Phone No, 772-46�—
E -Mall: INFO@SEACOASTAIR.COM
State or County License: CM0036421
of construction Is $2 joo or more, a RECORDED Notice of commencement
SURP
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77
N NTRL CONSTRUCTION
ZONING
I IEN LAW
LIVE RMA I,ONi:
„ .
DESIGNER/ENGINEER:
Name:
Not Applicable
MANGROVE
IVIORTGAGECOMPANY: Not Applicable
Name;
Address:
REVIEW
REVIEW
Address:
City:
Zip: Phone;
State:
REVIEW
City; State;
Zip; Phone:
FEE SJMPLE TITLE HOLDER: ^
Name:
Not Applicable
BONDING COMPANY: _Not Applicable
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
which with any applicable Home Owners Assoclatlon 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 recording your Notice of Commencement.
6& �_/&4 - S
Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
CO U NTY OF ST LCCIe
The forgoing Instrument was acknowledged before me
this 10 day of �4 N 20 _.by
STATE OF FLORIDA
CO U NTY 0 F ST Lucie
The for oing instrumentwas acknowledged before me
this W day of ZaN, 20 tgby
CHRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
2( nature of Notary Public- State of Florida I
2snature
Known X OR Produced Identification _
Type of Identification Prod
4:e •� 8-T
1N
FF941471 F '.*' MYWSSIONkFF94101
Commission No. _ ., Kx December 6. 2019
Revised 07/15/2014
re of Notary
Personally Known X
Type of Identification
Commission No.
of Florida )
OR Produced Identification
2010
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
■ e o IT,
•
oo M
AHRI Certified Reference Number: 9193673 Date : 01-09-2019 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) : F84CNF036L+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.
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 that are accompanied by WAS Indicate an involuntary re -rate The new published rating is shown along with the previous (i.e. WA51 rating.
DISCLAIMER
AHRI does not endorse the products) 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.allridIrectory.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; NM
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.ah rid lrectory.org, click on "Verify Certificate" link we make lire better^'
and enter the AHRI Certified Reference Number and the date on which the cerifflcate was issued,
which is listed above, and the Certificate No., which is listed at bottom right. r
OO 2019Air-Conditioning, Heating, and Refrigeration Institute ERTIFICATE NO.: 131915416727014901