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Building Permit Application
mning and Developman eliding and code Regula ipovirginlaAl 4v6 A Fo hone; I772) ?RMII FN ICA 6B C� pMpl,FTBO FOR APPI.ICATION TO 13F, ACCFPNurnber: permit �u"Ilding permlt Applica xon plvlslon rae F134932 ' Commercial _ Residential X _— x; (772) 462"078 — Pll Niechanlcal :gal Description; LotNo,,_____-- roperty Tex ID #; Block No, ite Plan Name; .71 N )rojectName, �% RlghtSlde;_----4efCSlde:,T Setbacks Front I-- Back; _ OUT �Aj _IKE FOR LIKE A/O C iANO /O w e orme un er r�n c ec a Windows/Doors 97TaIN/ lIone wor to asping _Shutters Y IHVAC � as Tank � Roof Roof pitch �Blectrlc � �lurnbIng Sprinklers 0 Generator 501 FFt',j of First Floor; Total Sq, Ft of Gonstruetlorj; Utilities; L— sewer It Septic Building Height; — cost of construction; $ ll Name; CHPla tANGEL N (2 �ctN_oL SEA COAST A�0 Name Company, Q� ez%L�c=� 3t061NDUSTRIA1.31st0TRtET Address: J_Statei �G Address: State:P� LAC R ' City; FT PIERCE City; y ' 34946 Fax; 772.468"3063 Zip Code; Z Zip code; Phone No, Phone No. 772"466.2406 E-Meil: B"Mall; INFO@1EAGOA8TAIR3COM a e if different call 421 Fill in fee simple Title Hol er an next p g i State or county License; from the Owner listed abve) if value of construction is $z 6p or more, a RRORDED Notice of Commencement Is required, sNRR/RNG1N > R: NotAppllcable MORTGAGE COMPANY! ^ Not Applicable e: Name: ess; Address; state: City: State; Phone: Zip; Phone: SIMPLE TITLE HOLDER; � NotAppl(cable le: 4ess: 6oNDING COMPANY; ^Not Applicable Name: _ Address: Phone; XIp: Phone; tify that no work or Installation has commenced prlorto the issuance of a permif, Icle County,makes no representation that Is granting a parmitvyIII authorize the permit holdap to build the subject structure i is In o I llct with any appilcabie Home owners Association rulas, bylaws or and covenants that may regtrlct or pro ibit such ture, Pease consult with your Home owners Association and review your deed for any restrictions which mayaloPly- nsdaration of the cordance wlth the approived plans, tof this he Floriduested a Building ding Codes and St, Luciree e County Am ndIn all mentsparform the work 'ollowing building permit appllcativns are exempt from undergoing a full con currency review: room additions, ssory structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use RNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for rovements to your property. A Notice of Commencement must be recorded and posted on the jobsite )re the first Inspection. If you Intend to obtain financing, consult with lender or an attorney before atureof0wner/Lessee/ContractoraAgent forOwner Signature ofContract❑r(LlaenseHolder '1'E OF FLORIDA 1NTY OFSrLu❑le forgo�ing instrume t was acknowledged before me �b i LANGEL� �e of person acknowledging) ' lature of Notary Pubila State of Flarlda ) maliv Known x OR Produced Identlficatlon of nisslon No, Wised 07/7 5/207.� IEWS I FRONT � XONING COUNTER REVIEW STATE OF FLORIDA The forgoing Instrumentwas acknowledged before me this l day of �i ti � , 2a by GHRIB LANGEL (Name otpehs❑n acknowledging) (S/knature of Notary Publlo- State of Florida ) P�(rssonally Known x OR Produced Identification Type of Identification Pnk y 1A11 �I I Commission No. 2oi@ 5 VREVIEWION S REV MRpV REVREWOR � REVIEW I I EWtk �WVE �L5 AHRI Cenifled Reference Number : 201785242 Dale : 07-14-2019 Model Status :Active AHRI Type : RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX16S481A* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A* Region: Southeast and North (AL, AR, DC, DE, FL, GA, Hl, KY, LA, MD, MS, I OK, SO, TN, TX, VA, Al 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, Will 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" Mgdei 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 Involunla_ry 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 products) listed on this Certiflcate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the protluct(s), or the nauthorized alteration of data listed on this Certificate. Cenifled ratings are valid only far models and configurations listed in the directory at www.allrldlrectory,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 m 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 we make life beneN" 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. 132075881105367362 ©2019Air Conditioning, Heating, and Refrigeration Institute IFICATE Ni