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Building Permit Application
Hama ��a�-�•�� �� . .-U Address:`Qy— aza C City; ��`-- Zip Code; 3 Phone Na, E-M311; e if different Fiji in fee simple Title Hol ar on next pag from the Owner listed abut.) y nen Nntice o Nam IAN0�.1- SEA COAST ADO ompanyl ___-_-- Address; 31o61NOUSTRIAI 31stSTR�E State,EG City, FT Pltj�IERCE 772„466.3063 3A9446 Fax; Zip Code, ---- Phone No, 772"4 i fff! 0 p.MaIL' INFO@SSAGOASTARCOM State or County i icense' CMC038/+2f f Commencement Is if Value of canstructlon is $2 1110 aY more, a ne; dress; State:,.__.__. !' Phone: Not Applicable SIMPLE TITLE HOLDER, _ me; .dress:, MORTGAGE COMPANY: Not Applicable Name: Address; State; City, p; Phone: Zi 60NDING COMPANY; Name; • — phones .y' Not Applicable ;erkify that no work or Installation has commenced prior to the Issuance, of a permit' permit holder to build the subject sucture y a Ilce� (e Home owners Assoc ation ru es, y aws or and covenants that may res�trlct or pro ibis such iLuc h Is InoqquonrliGtwith any prpse tatlon that Is granting a permitv�lll abut�orr d the p ucture, Pleasa consult with your Home Owners er soclation and review your deed far any restrictions whit may apply, Codes and St. Lucie County Amendments, consideration of the granting of this requested parmlt, I do hereby agree that 1 will, in all respects, perform the war accordance with the approved plans, the Florida Building le following building permit applications are exempt from undergoing a full concurrency review, room additions, Use le Poll ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anotheron r ae5ine ice for nmeneament may result In RecolARNING TO OW our re, ertyuA NotirO to ce of Cammencem g, consult twthclendd a Notice Of COreeraor and n attorney pefooesite nprovements toy P p efore the first inspection If you vIntend u rNotice of Comlmencement. Ignatur� ner/Les aras genttoruwner TAT' OF FLORUDA ;OUNTY OF the for oing instrylnent as acknowledged ma hisday of >r •�'� s 5lgnature of contractor/License Holder STATE OF FLORIDA COUNTY OF sTLuciE The forgoing Instrume was a know) 2 gedr��ye me thl" Idayof CHRIe LANGaL HRIs LANGEL (Name of person acknowledging ) Name of person acknowledging) (S nature of Notary Public- State of Florida ) nature of Notary public" State of Florida) personally Known x OR Produced Identification x Oft Produced ldentlflcation Type of Identification PrUd .rsonally Known _ _, . _ ,,,,,,,�.�..- '�'_�—,e 111t4jm, ype of I ;ommisslon No. Revised 07/15l207•`� REVIEWS I FRONT ZONING COUNTER REVIEW Commission No. SUPERVISOR PLANS VEGETATION S R VIEWLE MREV �WVE REVIEW REVIEW REVIEW VITIAL5 This combination qualifies for a Federal Energy Efficiency tax Credit when ®o placed in service between Feb 17,2009 and Dec 31, 2016. i i i AHRI Certified Reference Number: 10259478 Date: 09-13-2019 Model Status : Active AHRI Type: RCU-A-CB Series: MERIT 14ACX SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : 14ACX-036-230A** Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-036-230*+TDR Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, to, 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 fegion(s) for which they meet the regional efficiency requirement. 1"Active" Model Status are those that an AHRI Certifcation 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 Certifcation Program Participant is no longer producing BUT is still II'ng o ng for sale. R t n thatfferia mp d by WAS indicate ninvoluntary re -rate. The new published rating is shown along with the previous fl 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 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.ahrldIrectory.org. TERMS AND CONDITIONS Personaland This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, p 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 form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information fertile model cited on this certificate can be verified at wwwabridire toryarg click on' Verify Certificate" link we make life beuer� 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 r ghL CERTIFICATE N�.: 13212872380686297E ©2019Air-Conditioning, Heating, and Refrigeration Institute