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Building Permit Application
ALL APPLICABLE INFO Date: I Planning and Development Building and Code Regulat 2300 Virginia Avenue, Fort .Phone: (772) 462-1553 PERMIT APPLICATI Legal Description: Property Tax ID If: 1 5 5S Site Plan Name: Project Name: N f Setbacks Front LIKE FOR LIKE A/C LY�L-JHVAC L 11 Electric Total Sq. Ft of Constructlo Cost of Construction: $ Name A NdF BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application Dlvislon rce Fl. 34982 x; (772) 462.1.578 FOR: Mechanical W >U Commercial Residential X _ - Sa3-�60y- c4sse 11 Back: Right Side: Left Side: GEOUT See( �0 �t-J i orme un er Ps Iias Tank Pllumbing LJ 00 �I �RiG��GN� G =rmic— GOU" OIsa lily' as Piping ^ Shutters :rs L --J Generator 5� Ft, of First Floor: _ Utilities: 0 Sewer 0 Septic City:f 6r i (�ter6� i_ State: rz-- Zip Code: 3v/ q ' Fax: Phone No, E -Mail: Fill in fee simple Title Holc,er on next page ( if different from the owner listed ab�VO) Lot No, Block No, 1-1 Windows/Doors 01 Roof = Roof pitch Building Height: Name: CHRIS LANGEL Company: SEACOAST A/C Address: 3106 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772`466-3063 Phone No. 772-466-2400 E -Mail: INFO@SEACOASTAIR.COM State or County License: CMC036421 f value of construction is $2 00 or more, a RECORDED Notice of Commencement is regu SUAPLEMENTALCaNS,TRUCTION LIEN'LAW 1NFQ4RMATION: � , DESIGNER/ENGINEER: — Not Applicable Name: MORTGAGE COMPANY: ^ Not 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, St, Lucie County makes no representation that is granting a �ermlt will authorize the permit holder to build the subject structure which is In conflict with any applicable Home Owners Assoc ation 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 recordingour Notice of Commencement, 1& \ % "vf/V ?� s Signature of Owner/Lessee/Contractor as�gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA CO U NTY O F sTLumE The forgoing instrument was acknowledged before me this _30 day of 50 4 , 20 tq(by CHRIS LANGEL -1- (Name of person acknowledging) 7( nature of Notary Public- State of Florida ) ersonally Known x OR Produced Identlf[cation Type of Identification Prodrsk�.— Commission No. FF941411 Revised 07/15/2014 STATE OF FLORIDA COUNTY OF sTLuc1E The forgoing instrument was acknowledged before me this ,34 day of �a 20 1, T by CHRIS LANGEL (Name of person acknowledging ) of Notary Personally Known x Type of Identification 1411IE I Commission No. 2019 State of OR Produced Identification REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 201791790 Date: 01-29-2019 Model Status : Active AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX16S421A' Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT49D14A* 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 borers 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. Rations that are accompanied by WAS indicate. an Inyclammy re -rata. The new published rating is shown along 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 preducl(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the meduct(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.alirldirectory.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; ism 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 forthe model cited on this certificate can be verified at www.atirldirectory.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 .rU. �RTIFICATE NO.; 131932566702407198 ©2019Air-Conditioning, Heating, and Refrigeration Institute ,