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Building Permit Application
ALL APPLICABLE INFOlST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3— f) , l�__ Permit Number: Building Permit Application Planning and Development) Services Building and Code Regulatipn Division 2300 Virginia Avenue, Fort (pierce FL 34982 Phone: (772) 462-1553 1 -ax: (772) 462-1578 Commercial ' Residential X PERMIT APPLICATION FOR: Mechanical Address: 1-7 % " Legal Description: Property Tax ID #: Site Plan Name: Project Name:�I �P' Setbacks Front LIKE FOR LIKE AIC ZHVAC L 11 Electric Total Sq. Ft of Construe Cost of Construction: $ 70Z O/ Back: Right Side: GEOUT 3.5�w iZ/ SPel- W /_i_J Left Side: ng "Shutters :rs F-7Generator I tion: _ 3q. Ft, of First F oar, Name 1' 1- `L i LsJ0 rvJc'r v Address: 3 -/5 4, 9- erry G/ . Utilities: []Sewer Septic City: /o5 Z__ State: f'L Zip Code: 3 Oq S I:ax:_ _ . zz� 33� Phone Non- E-Mall: _ Fill in fee simple Title Halcjer on next page ( if different from the Owner listed abhve) Name: CHRIS LANGEL Lot No. Block No. Windows/Doors 1-1 Roof = Roof pitch Building Height: Company: SEACOAST A/C Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-466-3053 Phone No. 772-466-2400 E -Mail: INFO@SEACOASTAI R.COM State or County License: CMC036421 value of construction is $2Sa,00 or more, a RECORDED Notice of Commencement is required. SU^PLEMBNTALCaNSTRlJCT11�N LIEILAININFORMATION FRONT DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: MANGROVE Address: COUNTER City:State: Zip: Phone: REVIEW '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. 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 commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LuaE The forgoing instrument was/acknowledged before me this /r day of ) BOG1 20 � by CHRIS LANGEL -- (Name of person acknowledging FYrsonally Known X Type of Identification Pr( Commission No. FF941411 Revised 07/15/2014 lie -State of Florida ) OR Produced Identification FF 941411 ere. 2019 STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instru ent was a knowledged before me this /p day of 20 _�y by CHRIS LANGEL (Name of person acknowledging ) (S/nature of Notary Public- State of Florida ) Personally Known x Type of Identification Commission No. OR Produced Identification December 6, 2019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE 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: 200587619 Date: 03-18-2019 Model Status: Discontinued Old AHRI Reference Number: 4635467 AHRI Type: SP -A Series: GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1448H41AC The manufacturer of this GOODMAN 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), btuh : 46000 SEER: 14.00 EER tModels with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown 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.ahridlrectory.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; entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, PM personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model tiled on this certificate can be verified at www.ahridirectory.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. ©2019Air-Conditioning, Heating, and Refrigeration Institute