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Building Permit Applicaiton
t_ ALL APPLICABLE INFO MILSTT BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dat- Dat 30 '—� I Permit Number: : fi BUilding Permit Application planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort l plerce FL 34982 phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ' Residential —X— phone: PERMIT APPLICATIO FOR; Mechanical °V Legal Description: �^ I Property Tax ID #: I f 0 0 f — Cc cc) � Lot No, Site Plan Name:J Block No. Project Name: 'S'4 'fA I ee K c", `� Setbacks Front i__ Back: RlghtSlde: Left Side: LIKE FOR LIKE AIC C�IANGEOUT �o tone wor to e e Orme un er t s permit— c ec a appy: HVAC CjasTank F]GasPiping _Shutters ❑WIndows/Doors Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch Total Sq. Ft of Constructlon _ eS Ft, of First Floor: Cost of Construction; $ —,' � / C 1 0 Utilities:[]Sewer Septic Building Height: Name: CHRIS LANGEL Address: / Z � L% J J7,- !%_ Company: SEACOAST A/C Q I State; `� Address: 31081NDUSTRIAL31stSTREET City: ✓ 1 -- ZIP Code: J S 7 Fax; City; FT PIERCE State: FL Phone No. Zlp Code: 34946 Fax; 772-466-3053 E -Mall: Phone No. 772.466-2400 Pill in fee simple Title Holder on next page (if different . E -Mail: INFO@SEACOASTAIR•COM from the Owner listed ab�ve) State or County License: CMC036421 If value of construction is $2100 or more, a RECORDED Notice of Commencement is required, I 7— 5i CONSTRUCTION LIEN' LAW INF' RTNl"PLEMENTAL 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 County makes no representation that is granting a �ermit will authorize the permit holder to build the subject structure structure. Pleasie consult with yofur Home Owners Associationt andrreview your deed focovenants any restr tions which maor applyhiblt such 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, accessary 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 rnmmpnring work or recording your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OFsTLucIE The forgoing instrument was acknowledged before me this tq day of MF t W i , 20 _dby CHRIS LANGEL -L- (Name of person acknowledging ) ry P'ersonally Known x Type of Identification Commission No. FF941411 Revised 07/15/2014 OR Produced identification ,= MYW5Si0N A FF 841411 Ex Decembor 8, 2019 Banded Thw Notary PUN10 Urrlenvdiem Signature of Contractor/License Halder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instru t was acknowledged before me this 902 day of�( 20 1 C1 by CHRIS LANGEL (Name of person acknowledging) of Notary Public- State of Florida ) Personally Known X OR Produced Identification Type of Identification Prfidawl . Commission No. 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. 111111 r 11 1111111 • • • • AHRI Certified Reference Number: 201300148 Date : 04-24-2019 Model Status: Active Old AHRI Reference Number: 8004958 AHRI Type: SP -A Series: GPC15 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1548H41A* 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 which they meet the regional efficiency requirement. 1"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 BUT is still selling or offering for sale. Ratings Ihat are accompanied by WAS indicate an involuntary re -rate. The new published retire is shown alone with the previous (i.e. WAS) rating. DISCLAIMER ARM 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.aliridIrectory.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 farm 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 for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link me make lire 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. p.; ;1�r' ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132005887621381447