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ALL APPLICABLE INFO M IJST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7- 7,5-114 I Permit Number: Date: —__r-- Building Permit Application Planning and Development Services Building and code RegulatlI n Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 IFax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Mechanical Address: 3 y 1 S b_k /40TAJ �' NE Legal Description: Q L PropertyTBxID4: Site Plan Name: I y5Q Project Name: 27 /�iU L 4 r Setbacks Front I_- Back:_Right Side: LIKE FOR LIKE A/C Cl� L_1HVAC11 LJ Electric Total Sq. Ft of Constructk Cost of Construction: $ _ Name D aN A L Q Address: 3 y ' y S ' City: Fd re,`Q( LQ Zip Code: Phone No. % 7 2 E -Mall; Fill in fee simple Title Hol from the owner listed at if value of construction Is $; EOUT T6A G Residential x Left Side: "P' 23" file Lot No. Block No, rmed under inls perrmm—UIMU1%Oil VV -Y' sTank ❑Gas Piping _Shutters ❑windows/Doors robing ❑Sprinklers Generator Roof Roof pitch Sq, Ft, of First Floor: r Sewer []Septic Building Height: iI� 7 O o Utilities: LJ dS 9 Name: CHRIS LANGEL i help IV f-5 Company: SEA COAST A/C State:/ Address: 3106 INDUSTRIAL 31st STREET Fax: --- City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466.3063 Phone No, 772-466-2400 on next page (if different E -Mail: INFO@SEACOASTAIR,COM State or County License: CMC036421 0 or more, a RECORDED Notice of Commencement is required, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION �DESIGNER/ENGINEER: FRONT COUNTER Name: _ liable NotApp MORTGAGE COMPANY: Name: Not Applicable Address: MANGROVE REVIEW Address: City: Zip: Phone: State: City: Zip: Phone: State: _ FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: Not Applicable 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 structure. Pleasle consult withpyolurrHlome Owners Association Iandrreviewyyour dws eed for any restrictions which maor aprohibit such Inconsideration 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 he 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 our Notice of Commencement. ?��s Signature of Owner/Lessee/Contractor as7±gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrume t was acknowledged efore me this L day of �¢�. 20/ by CHRIS LANGEL'1 (Name of person acknowledging ) Mersonally Known x OR Produced Identification Type of Identification Prodrmftr---- Commission No. FF941411 Revised 07/15/2014 MyOSSION k FF 941411 EX December 6, 2019 BondadThm NolaryPubl!o U OMFItem STATE OF FLORIDA COUNTY OF STLUCIE The for oing instrument was acknowledged/ before me this day of /9 S. 20 _qby CHRIS LANGEL ;Name of person acknowledging ature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Pr{Fp Commission No. 2019 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE 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. Certificate of Product Ratings q AHRI Certified Reference Number : 201384321 Date: 02-25-2019 Model Status : Active Old AHRI Reference Number: 8242079 AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX160361F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47D14A* Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, L. 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. The manufacturer of this AMANA DISTINCTIONS product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), bluh : 35000 SEER: 16.00 EER (A2) -Single or High Stage (95F) :13.00 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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing 13U'Iis still selling or offering =pled Ratin th t re bv WAS indicate n involuntaw re -rate. re-rate.The new o bli h d retire is -shown alone with the pre i u (i WAS) recap. DISCLAIMER AHRI does not endorse the producl(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 produchs), 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 ridiroctoty.org. TERMS AND CONDITIONSFl This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and .._sig confidential reference purposes. The contents of this Certificate may not, ht whole arm part, be reproduced; copied; disseminated; ,� �. rm ,3 f entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, 11 personal and confidential reference. AIR CONDITIONING, iiiAHNO, CERTIFICATE VERIFICATION & REFRIGERATION INSIMITC The Information forthe model cited on this certificate can be verified at www.abrlmlectory.org, click on "Verify Certificate" link „r. ;nalce lith Senur^• 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131955712413185693