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Building Permit
ALL APPLICABLE INFO M(I SY BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date; Building Permit Application Planning and Development Services Building and Code Regulati n Division 2300 Virginia Avenue, Fart l plerce FL 34982 Phone; (772) 462-1553 Fax; (772) 462-1578 PERMIT APPLICATION FOR; Mechanical Address: � 6l4'II'ler I/V d 1 Legal Description: _1^ Commercial ' Residential x Property Tax ID #CY1 : s �%3 (�U Lot No, Site Plan Name: Block No, Project Name; I%Pr��_( i ✓ Sf�r Setbacks Front I__ Back; RlghtSlde: Left Side: LIKE FOR LIKE A1C C�•1ANGEOUT ., i itiona wor<to e e or un ert spermit—c ac a appy: ®HVAC Gas Tank ❑jjGas Piping _Shutters ❑Windows/Doors Electric �P�lumbing LJ Sprinklers Generator Roof pitch Total Sq. Ft of Constructlo6: _ �tS Ft, of First Floor: Cost of Construction; F> / t' 0 0' Utilities: Sewer [ ]Septic Building Height; Name K01 brc•" Address: City: T77 Zip Code; 3 c Phone No, 777-' E - Mail -Fill in fee simple Title h from the Owner listed er State; on next page ( if different if value of construction Is $2100 or more, a RECORDED I Mama- CHRIS LANGEL Company: SEA COAST A/C Address: 3108 INDUSTRIAL, 31st STREET City: FT PIERCE State: FL _ Zip Code; 34846 Fax: 772-466-3053 Phone No, 772.46&2400 F-nnall- INFO@SEACOASTAIR,COM State or County License: CMC036421 of commencement Is required, rAddress: IGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable me: Name: Address: :State: 'City:State: Phone: Zip; Phone: FEESIMPLE TITLE HOLDER: _.Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City. City: Zip: Phone: Zlp: 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 permit will authorize the permit holder to build the subject structure structure, Please consult with yolur Home Owners Associatioan andrreview your deed for any restrictions which may alprohibit 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, 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. s Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA CO U NTY O F Sr Lucie The forgoing instrument was acknowledged I efore me this __(_ day of20 t `j by CHRIS LANGEL 1L (Name of person acknowledging) of Notary Public- O'ersonally Known x Type of Identification Commission No. FF941411 Revised 07/15/2014 OR Produced identification 2019 STATE OF FLORIDA COUNTY OF STUME The forgoing instrument was acknowledged before me this _j_day of / 20/,?by CHRIS LANGEL (Name of person acknowledging (S nature of Notary Public- State of Florida ) Personally Known x OR Produced Identification Type of Identification Pr FFe414 JUNA V. Commission No. klyCpMS �hSNeKsaai REVIEWS ZONING SUPERVISOR PLANS VEGETATION SEA LE MANGROVE CFRONT OUNTER REVIEW REVEW REVI W 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. .iii 111 11 • . AHRI Certified Reference Number: 201384321 Date: 05-01-2019 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, 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, WJ, 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 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 that are accompanied by WAS indicate an involunlary re -rate. The new published rating is shown along with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the products) 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 riot, in whole or In part, be reproduced; copied; disseminated; hem 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, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we 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.- s r ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1320119BO119597746