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Building Permit Application
I� ALL APPLICABLE INFO M1I151f BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' I_— Permit Number: Building Permit Application planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort iplerce FL 34982 phone: (772) 462-1553 IFax: (772) 462-1578 Commercial Residential - PERMIT APPLICATION FOR; Mechanical Address: ShD Legal Desc�r]iption: ) I U' J Li ( 7 �j 06, -ow % • Cyo " Lot No, Property Tax ID #: � 7 _ Site Plan Name; Block No. Project Name: Setbacks Front _ Back: Right Side; Left Side: i !1K!EF!0R LIKE A/C C-IANGEOUT � I,�-k � 2 lobi 1&5ee I .Q "Itionawortto e e Orme underthis permit -c ec a appy: HVAC Cas Tank❑jGas Piping Shutters Q Windows/Doors Electric Pllumbing ❑Sprinklers 01 Generator Roof Roof pitch Total Sq, Ft of Construct! : Sq, of First Floor; Cost of Construction: $ 7 G q .00 00 Utilities: []Sewer Septic Building Height: r I Name �� l!S /7 Gti ' ` Name: CHRIS LANGEL Address: 5� CDC T-N)C `Q' f�) 11 C1 Nc>? LIy Company: SEACOAST A/C City: GO �I� el-ce I_ State; GL Address: 3108 INDUSTRIAL 31st, TREET Zip Code: �� Fax: City: FT PIERCE State: FL Phone No. %% C/. Zip Code: 34946 Fax: 772-466-3063 E -Mail: Phone No. 772'466.2400 Fill in fee simple Title Holler on next page (if different E -Mall: INFO@S EACOASTAI R. COM from the Owner listed ab�VO State or County License; CMC036421 i If value of construction Is $2100 or more, a RECORDED Notice of Commencement is required, i :J SUPPL`RMENTAL�CONSTRUCI�ONLIEN LAWIN-�O`RMATIQN �'` "' onally Known x OR Produced Identification U DESIGNER/ENGINEER: _ Not Applicable Name: OR Produced Identification MORTGAGE COMPANY: Name: _ Not Applicable Address: _ Address: JU6TINALHCPKINS•CGNNELLY MY,,��QQlM���44��SSiGNq FF941411 City: State: Zip: Phone: - y�' dU6MN��{QIP,�q�S-0ONN4LI,' °E MYCGMAt!$,I City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: u; PFF 941411 ` ,e UP,IS: December6,2019 ,.. BONDING COMPANY: Name: _Not Applicable Address: Address: City: COMPLETE 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 contlict 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 commencing work or recording your Notice of Commencement, le& �& ?�� S Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA CO U NTY OF 5T LUCIE The forgoing instrument was acknowledged before me this _ day of r—e 20 Eby STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me this _ day of r—? , 20 ) C�by CHRIS LANGEL'U CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) 7nature of Notary Public- State of Florida) 0 (S nature of Notary Public- State of Florida ) onally Known x OR Produced Identification U Personally Known x OR Produced Identification Type of Identification Prod SEA TURTLE Type of Identification Pr _ 'AMM, Commission No. FF941411 -a; .._ JU6TINALHCPKINS•CGNNELLY MY,,��QQlM���44��SSiGNq FF941411 Commission No. FF9414 - y�' dU6MN��{QIP,�q�S-0ONN4LI,' °E MYCGMAt!$,I ;� ..pq nf,„of�o` EXf�IRk`5!December 6, 2019 BondodThN NoWryPublla UnJernrilers REVIEW u; PFF 941411 ` ,e UP,IS: December6,2019 ,.. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. AHRI Certified Reference Number: 10259374 Date: 02-16-2019 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-024-230A** Indoor Unit Model Number (Evaporator andlor Air Handier): CBA27UHE-024-230*+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, D. IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NO, 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. 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. Ratings that are accompanied by WAS Indicate an involuntary re -rate. 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 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. ah rldIrectory.erg. 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 arm 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 forthe 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.„n - 02019Air-Conditioning, Heating, and Refrigeration Institute CEi2T1F1CATE NO.: 131948006267793701 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. AHRI Type: RCU-A-CB Series: MERIT 14ACX SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : 14ACX-030-230A" Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-030-230'+TDR 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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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. t"Active" Model Status are those that an AHRI Certification Program Participant is curren0y producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Slopped" Madel 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 -rale. 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 pain, 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.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; AM entered into a computer database; or otherwise utilized, In any form or manner or by any means, except fertile 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.allridlrectory.org, click on "Verify Certificate" link we make life bene,^ 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. <r ©2019Air-Conditioning, Heating, and Refrigeration Institute C�RTIF'ICATE NO.: 131948006612595835 „ )OA G , III B AHRI Certified Reference Number: 10259376 Date: 02-16-2019 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-030-230A" Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-030-230'+TDR 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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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. t"Active" Model Status are those that an AHRI Certification Program Participant is curren0y producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Slopped" Madel 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 -rale. 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 pain, 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.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; AM entered into a computer database; or otherwise utilized, In any form or manner or by any means, except fertile 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.allridlrectory.org, click on "Verify Certificate" link we make life bene,^ 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. <r ©2019Air-Conditioning, Heating, and Refrigeration Institute C�RTIF'ICATE NO.: 131948006612595835