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Building Permit Application
\PPLICABLF INFO P e;l—? anntng and Developmen allding and Code Regulai 3oo Virginia Avenue) For hone$1772,)462.1553 ERMII Ar N ,gal Doscriptlan: property Tax iD #: site Plan Name: 3rolect Name: lt Setbacks Front BE CoMpl,~TBD FOR APPl.1CATIONTo Sli CCiP PeNumbar; wilding permit Application p(vlslon rcc FL 84982 . x; (772) 4624S78 Commerclal _ _ _ Residential X }I Right Slde; _ Lei Side; Back; — — LIKE FOR LIKE A/C CNIANOEOUT & le r <6 ne un ert spermiz--cr Tank LGas Plpl119 Electric � plumbing Total Sq, Ft of Gonstruc Cost of construotion; $ Zip Code: 3_— S 7 Phone No, is z p E-Maih______.---- PIII in fee simple Title I from the Owner listed if value e of construction is jer on next page Vol D0 or more, a MaW I .I Generator First Floor;,� Utilltios: L�sewer Septic I.ofi No•�— Block No, ❑Windows/Doors Roof = Roof pitch 8ullding Name: --"'—'— SEA COAST AlO company, — — 3108 INDUSTRIAL 31st STREET State; 4' Address; State: FL City: FT PIERCE 3 i9A6 Fax; 772"466.3063 Zip code, ; --- �— 772•46&2400 Phone Not "J INFO@SEACOASTAIR,COM °different . E0Mall; 6MCo36421 State or county License: nen Nnt�r.e of Commencament Is required• Not e: ass; Skate: Phone; 9iMPLE TITLE HOLDER; _Not te; Tess: IVIORTGAGECOMPANY: �NotAppllcable Name; Address; City: State: Phone: 80Ix COMPANYI Namer Address; Phone; Zip; Phone; _Not Applicable tify that no work or Installation has commenced prlorto the Issuance Hof a permit', ucle County makes no reprel�cablelHome Owners Assoclstitlnl rulelsabylawsxor endpcovenentsthat build ay re$tri tbor prohibit such h is i,' gea la conch any app h yapply. :ture, Please consult.with your Homeowners Association and review your deed for any restrictions whit may :cordance with the approved plans, tof this he Floriduested a Building CodI do es and St. Luciree a County Am ndmentsperform the work following building permit applications are exemptfrom undergoing a full concurrency review: room additions, :ssory structures, swimming pools, fences, walls, sigris, screen rooms and accessory uses to another non-resldential use ANING TO OWNER; your failure to Record a Notice of Commencement may result in your paying twice for movements to your property. A Notice of Commencement must be recorded and posted on the Jobslte ore the first inspection. if you Intend to obtain financing, consult with lender or an attorney before ature of OwnerOwner/Lctar aunt far owner Signature of Contractor/License Holder aTE OF FLORIDA STATE OF FLORIDA UNTY OF sr Lucia COUNTY OF BTLuom ;for Ding Instru��t ant was acknowledged before me The forgoing Instru ntwas ack oowledged b re me dayof fC��1 = 20 %may thist��dayof. i— 20 Y a LANGEL-�` CHRIe LANGEL Tie of person acknowledging) (Name of person acknowledging ) _ n I n ., n nature of Notary ru onally Known x r of Identification Fri mission No. FF141411 vised 07/15/207.�k of Notary oli Produced ldentlflcation U Personally Known X y -----�--�-e Typaofldentitfcatlo Commission No, oR Produced Identlflcatlon /IEWS S VREVIEWION S REV cvv MRE EWVE CO o TER REVIEW REVIEWOR REVIEW IPLETE ALS 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: 201299529 Date : 08-28-2019 Model Status :Active Old AHRI Reference Number: 7984223 AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: FRANKLIN Outdoor Unit Model Number (Condenser or Single Package) : GSX160601 F* Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT6l D14A* 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, NO, 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 ail regions until June 30, 2016, Beginning July 1, 2016 central air conditioners can only be installed in region(s) for {"Active" Model Status are those that an AHRI Certihcaiien Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being prgduced:'Productlon Stopped" Model Status are those that an AHRI Certifcalion Program Participant is no longer producing BUT Is still (ling or offering for sale. R ting th t r a ma nl d by WAS Indicate an Involuntary re -rate. Thenew Published ratio I 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 an this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the prodUet(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,ahrldirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRL 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; AM entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, AIR-CONDITIONING, HEATING, personal and confidential Yeference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can he verified at wanvol ridirectory.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 132114903097191221 ©2019Air-CondO.: itioning, Heating, and Refrigeration Institute CERTIFICATE N