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Building Permit Application
ALL APPLICABLE INFO M� III)ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date; Z - / � , l f_�I—_ Permit Number: MM - Building Permit Application planning and Development Services Building and Code Regulatlon Division 2300 Virginia Avenue, Fortlplerce FL 34982 Phone: (772) 462.1553 Irax: (772) 462.1578 Commercial ' Residential X PERMITAPPUCATIO� FOR; Mechanical Address: q -1p Legal Description: Property Tax ID #: O �Q 0 ao — Lot No, Site Plan Name:_ �— Block No. Project Name: lO M 1 Cd N NL Setbacks Front �_- Back: Right Side: Left Side: NMIi �I L LIKE FOR LIKE AIC C 1ANGEOUT �7 UN, y SGC4ZI✓ i trona wortto 7eeormeri ert spermt—c ecta appy: HVAC as Tank ❑nGas Piping _Shutters O Windows/Doors Electric �PIlumbing ❑Sprinklers Generator Roof Roof pitch Total Sq, Ft of Construction;/_�—_ 5 Ft, of First Floor: Cost of Construction: $ _I— / 0 % 7 Utilities: Septic Building Height: 7eme l alT 4 S G d1j//jit z Name: CHRIS LANGEL Address: q /0 -/y_ ''`r Company: SEA COAST A/C City: Ps /-- State:Ez-- Address: 3108 INDUSTRIAL 31st STREET Zip Code: 3 G/ qSL' Fax: City: FT PIERCE State: FL _-� Phone No. % y�" � "3 —q---- Zip Code: 34946 Fax; 772.466-3053 E -Mail: Phone No, 772-466-2400 SEACOASTAIR.COM Fill in fee simple Title Hall on next page ( if different E -Mall: INFO @ from the Owner listed abt ve) State or County License: CMC035421 if value of construction Is $2 00 or more, a RECORDED Notice of Commencement is required. SUP;PLEMEN7gL CONS,TRU" CT10N LIEN'LAWIN," FRONT 1\M N SUPERVISOR DESIGNER/ENGINEER: Not Applicable SEA TURTLE MORTGAGE COMPANY: Not Applicable Name: REVIEW REVIEW Name: REVIEW Address: REVIEW DATE 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. LucieCountyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in con tlict with any applicable Home Owners Association 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 o'r rec0rdin our Notice of Commencement; x� �/�~ s Signature of Owner/Lessee/Contractor ascent for owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST waE CO U NTY 0 F aT wclE The for oing Instrume t was acknowledged before me The forgoing instrument was acknowledged before me this / day of %2 20 Lby this /Zday of Yep. 20 by CHRIS LANGEL CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) of Notary Public- State of ersonally Known x Type of identification Commission No. FF941411 Revised 07/15/2014 OR Produced Identification 9ondedThm FF 84M I or 6.2010 of Notary Public- State of Florida ) Personally Known x Type of Identificatlo Commission No. OR Produced Identification 2010 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Auk Cieftificate AHRI Certified Reference Number: 9194891 Date : 02-12-2019 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) : CA14NA060*O**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP060L 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 Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. R t a th t a d by WAS indicate n in Iu t ry r. -rate. Th w p bl' h d rating 1shown alone 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 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,ahridirectory.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 fertile user's Individual, I HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on "Verify Certificate" link we make life better' and enter Ute 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. 1115144776138887816i: ©2019Air-Conditioning, Heating, and Refrigeration Institute