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Bullding and Code Regulat
2300 Virginia Avenue, Fort
.Phone: (772) 462-3.553
PERMIT APPLICATIO
Legal Description:
property Tax lD #:
Site Plan Name: _
Project Name: P6
Setbacks Front_
LIKE FOR LIKE A/C
Id jHVAC I
11 Electric E
Total Sq, Ft of Constructk
Cost of Construction: $ _
BE COMPLETED FOR ARPLICATIONTO BE ACCEPTED
Permit Number;
Building Permit Application
vices
Division
rce FL 34982
x: (772) 462.7.578 Commercial ' Residential X
FOR: Mechanical
GEOLIT
Tank
ng
Lot No,
Block No,
�;a.S- To / /�/. 5 sc el1 l0/tL-J
7err11L—WMUN ou Nrr
.Sas Piping _Shutters
Sprinklers 0 Generator
_ 5 Ft. of First Floor: ,
Utilities:11Sewer 11 Septic
Name u .la j kf F
Address: ? / 0 � I & E`^' L)r
City: s Z [U Q C ri — State: S
Zip Code: � q -76 Fax:
Phone No,
E -Mail: —
Fill in fee simple Title Holder on next page ( if different
from the owner listed ab�ve)
Windows/Doors
Roof T Roof pitch
Building Height:
Name: CHRIS (ANGEL
Company: SEACOAST AIC
Address: 3106 INDUSTRIAL 31st STREET
City: PT PIERCE State: PL
Zip Code: 34946 Fax: 772.466-3063
Phone No. 772.466.2400
E -Mail: INFO@SEACOASTAI R,COM
State or County License: CM0035421
value of construction Is pjoo or more, a RECORDED Notice of Commencement is
�UPPLEMENT4L,CONSTRUCTiIQN 41ENI LAW INIFJRMA; I,QNr
.,
DESIGNER ENGINEER: NotA Applicable / .T pp
Name:
MORTGAGE COMPANY; Nat Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone;
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER; _ Not Applicable
Name:
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.
whichnls lnCCOntll ct with anyappliccablelHome Owners Asgocfatlonl rules abylaws or and•covenants that build 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:
Signature of Owner/Lessee/Contractor as gent for Owner
Signature of Contractor/License Halder
STATE OF FLORIDA
STATE OF FLORIDA
CO U NTY 0 F ST LUCIE
COUNTY OF eT Lucie
The forgoing Instrument was acknowledged before me
Zad11. f`�by
Theforgoing Instrument was acknowledged before me
1C/y. Jby
this day of 20
this/1 dayof. 20
CHRIS LANGEL
CHRIS LANGEL
(Name of person acknowledging)
(Name of person acknowledging)
nure of Notary Public -State of Florida)
atonally
Pers
(S nature of Notary Public -State of Florida)
Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of identification Prod
Type of Identification Pr
X8TINALHOPKINS•CONNELLY
Commission No. FF941411 EMXY�11
December 6, 2019
Commission No. FF9414 JUSYINA
-• �YOp P 'ScCNN&44Y
M � liFF9g1A11
"•%P';q'��f'b�h eandednru Notary Pubto bwowrlers
f;.
`��-``��'' e . MfdIRpS; December 6, 2019
Revised 07/15/2014
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
COMPLETE
INITIALS
L61
AHRI
AHRI Certified Reference Number: 5732787 Date : 01-09-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series: MERIT 14ACX SERIES
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : 14ACX-041-230`
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBX25UH-042-230-`
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
which they meet the regional efficiency requirement.
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
marketed but are not yet being produced." Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
R ting lh t mp d by WAS i di t n in t ry -r t Th p bl' h d r tin h l a with fh o f WAS) rating
DISCLAIMER
AHRI does not endorse the product($) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibllity 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.abrldlrectory.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; AM
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 forlhe model cited on this certificate can be verified at www.afirldirectory.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. '
(N019AIr-COndltioning, Heating, and Refrigeration Institute-RTIFICATE NO„ 131916301838424339