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Building Permit Application
BE COMPLETED FOR APPLICATION TO BE ACCEPTED ALL APPLICABLE INFO MYIIST Date: 3. Permit Number: _ - Building Permit Application Planning and Development Services Building and Code Regulatipn Division 2300 Virginia Avenue, Fort Phone: (772) 462-1553 lerce FL 34982 Fax: (772) 462-1578 CommercialResidentia PERMIT APPLICATIO FOR: Mechanical Address: 3 00 0 u5- r ccflI 8tle-, Legal Description: _ 1 Property Tax ID #: _ I I 0 ~ Lot No. Site Plan Name: �_ \, Block No. P'1 O� ' X M P(� UG Project Name: Setbacks Front I__ Back: Right Side: Left Side: I'II 1 LIKE FOR LIKE A/C CIIIANGEOUT .7 ON lH 50er' a� hi trona wom to e e 'orme un er t s permit— c ec a appy: H Piping ❑ Windows/Doors HVAC las Tank n❑Gas _Shutters Electric Plumbing ❑Sprinklers 11 Generator Roof Roof pitch Total Sq. Ft of Constructlor��•: _ S�Ftj. of First Floor: [I 01septic Cost of Construction: $ _�3 � Q Utilities: Sewer Building Height: Name_S L'IAGI e C�t Iy r V Name: CHRIS LANGEL Address: 23(9U V' f 5 '• N ci a tz e Company: SEA COAST A/C City: FDy'% {0" Q rC 4t, State: /Address: 3108 INDUSTRIAL 31st STREET Zip Code: 3 H '�2 Fax: City: FT PIERCE State: FL �--_ 772 % y 4946 -466-3053 Phone No. � Z E -Mail: _ Phone No, 772-466-2400 Fill in fee simple Title Holder on next page ( If different E -Mall: INFO@SEACOASTAIR.COM from the Owner listed abbve) State or County License: OMC035421 If value of construction is $2 00 or more, a RECORDED Notice of Commencement is required. Sli"Pt EMEfVTAL CONSTRU,CTION.;L�EN LAW=INFORMATION`' 7<x DESIGNER/ENGINEER: — Not Applicable , MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: 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. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in co I Ict 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 WARNI NG 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�tor as Agent for Owner STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me this fZdayof /yMafCl.. , 20 LCI by vv ya(' s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF sr wcle The forgoing instrument wap acknowledged before me this / Z day of �ylC 20 L by CHRIS (ANGEL 1 CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging) ^ of Notary Public- State of f ersonally Known X Type of Identification Pre Commission No. FF941411 Revised 07/15/2014 OR Produced Identification MYOSSiON k FF 941411 EK December 0,2019 aonded Thm Notary PUI)TO UffJenvnlers of Notary Public- State of Florida ) Personally Known x Type of Identification Commission No. OR Produced Identification 2019 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 202349756 Date: 03-12-2019 Model Status: Active AHRI Type: RCU-A-CB Series : GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140361K' Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT35B14A' 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. 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. Ratings 'th t r pini d by WAS Indicate voluntary re -rate The new published rating is shown along with the previous (i.e. WAS) ralina. 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.afirldirectory.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,EFRIGRATIINSTITUTE CERTIFICATE VERIFICATION &REFRIGERATION INSTITOTE The information forthe model cited on this certificate can be verified at www.ahridlrectory.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. r ,=P� ' ©2019Air-Conditioning, Heating, and Refrigeration InstituteITIFICATE NO.: 1aleeasloaoeas7o7c