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Building Permit Application
Planning and Development Building and code Regulatl 2300 Virginia Avenue, Fort Phone: (772) 462-1553 BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application Services m Division alerce FL 34982 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Mechanical Address: — /0 9 30 Legal Description:,_ Property Tax ID #: Site Plan Name:''_ Project Name: V Setbacks Front, Commercial Residential x 9,AO(V Back: Right Side: LIKE FnR I IKE A/C C4' l NNGEOUT n c �. c)N•— seer /0 k � Electric Total Sq. Ft of Constructk Cost of Construction: $ Name V v r'11v r . Address: City: L Zip Code: " Phone No. E -Mail: Fill in fee simple Title Ho from the Owner listed a S Z,yd ls- Left Side: ned under tnls permit —cnu—allYI'". Tank Fj]Gas Piping _ Shutters nbing L_JSprinklers 0—Generator Sq. Jof First Floor: _ i®r) Utilities: LSewer[]Septic State: on next page ( if different Lot No, Block No, Windows/Doors 0- Roof = Roof pitch Building Height; Name: CHRIS LANGEL Company: SEA COAST 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 -M all: INFO@SEACOASTAI R.COM State or County License: CMC036421 If value of construction is $200 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable M0RTGAGECOMPANY: ^NotApplica e VEGETATION REVIEW SEA TURTLE REVIEW Name: Name: Address: Address: State: 'City: State: _ City: Phone: _ Zip: Phone: Zip: FEE SIMPLE TITLE HOLDER: _ Not Applicable BOrNDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip; Phone: I certify that no work or! nstallation has commenced prior to the Issuance of a permit. St. Lucie County,makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure. pleasle consult with yolur Hlome Owners Association andrreview your deed foroany restrictions which rmaor apply prohibit such In consideration of the granting of this requested permit, I do hereby agree that 1 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 '., Mnnrinp work or recording your Notice of Commencement. Signature of Owner/Lessee/Contractor as gent for Owner STATE OF FLORIDA COUNTY OFsTLucIE The � rgoing instru e � a acknowledg0ed14ebfyre me this_dayof ff `I CHRIS LANGEL L (Name of person acknowledging ) of Notary Known x OR Produced identification Type of Identification rroa -- FF941411 fgo �My1NALU58p�NNFF 4N411y Commission No._01�= FxDecember 6,2010 .P _..ybo?' a�.d..AYM1m NnIaNPuhla padenvdlers Revised 07/15/2014 REVIEWS I FRO COUP I N ITIALS s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrume twas�cknowledged before me this /Z day of i>r' '20 LL by CHRIS LANGEL (Name of person acknowledging ) of Personally Known x Type of Identificatlo Commission No. of Florida ) OR Produced Identification 2010 VT ITER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW z 40 N Certificateof Pro AHRI Certified Reference Number: 919B582 Date: 04-12-2019 Model Status: Active AHRI Type: RCU-A-CB series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CAI BNA024*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : F64CNP025L Region : Southeast A IN, KS, MA,and North ME, Mt, MN. MO, MT, ND, NE, NH, NJ, NY, H, OR, PA, Ri, SD, UT, VT, WA, WV, WI, WV IDSL, 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 aproduced.-'Productionthat HRI Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ralin s that are accom anted b WAS indicate an involunla re -rate. The new ublished ratio is shown alon with the reviews i.e. WAS rating. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no represmrtatimis, warranties or guarantees as to, and assumes no responsibility or, le use or part an le pro'duze(d) listed oil on this data listed on on HRR expressly Certificate.disclaims all atingsliability are for agesnly omodels andy kind ri configurations out o ons listed in the ormance of the product(s), or the tills directory at www.abrldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall roily he Use tl for individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminate ndivindividual, or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, entered into a computer database; & REFRIGERATION INSTITUTE personal and confidential reference. CERTIFICATE VERIFICATION we make life better"' The Information for the model cited on this certificate can be verified at www.atvidirectory.org, click on "Verify Certificate" m and enter the AHRI Certified Reference Number and the date on which the certificate was issued, - 131995443782431656 which Is listed above, and the Certificate No., which is listed at bottom right. IFICA, E NO.: ©2019Air-Conditioning, Heating, and Refrigeration Institute S 4vn 1IGSec Certificate of Product Ratings AHRI Certified Reference Number: 9200710 Dale : 04-12-2019 Model Status : Production Stopped AHRI Type: RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA060*O**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP061 L 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, ND, 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 , hi,h heV meet the regional efficiency requirement. Participant is at producing AND selling offering for pain; OR new models that are being f"Active" Model Status are those that an AHRI Certification Program Status are those ththat an AHRI Certification Program gram Participant is no longer producing BUT is still marketed but are not yet being produced."Production Slopped" Model selling or offering for sale. Rahn s that are accom anted b WAS indicate an invelunla re -rate. The new ubiished ratio is shown alon with the revious L e. WAS rahn . 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 or, u e)this certificate' idisclaims all ers arising out of the use or performance of the product(s), or the authorizdlisted on alterationof data listed on this Cerifcate.Certifiedatings are valid onlyfomotleland configurations listed illth¢ directory at www.altridirectory.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 whale or In part, be reproduced; copied; disseminated; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AI REFRIGERATING, HEATING, entered into a computer database; REFRIGERATION INSTITUTE INSTITUTE personal and confidential reference. CERTIFICATE VERIFICATIONr this certificate can be verified at www.ahridirectary.org, click on "Verify Certificate- link we make life better'° The Information forthe model cited a and enter the AHRI Certified Reference Number and the date on which the certificate was issued, 131995448738222585 which Is listed above, and the Certificate No., which is listed at bottom right. , ;� 10'iCATE NO.: ©2019Air-Conditioning, Heating, and Refrigeration Institute