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HomeMy WebLinkAboutBuilding Permit,Li, ApPLICABLE INFO
pate; 20 ,�/N
BR COMPLETED FOR APPLICATION TO BE ACCEPTED
permit Number:
Planning and Developmer
Building and Code Regula
2300 Virginia Avenue, Foi
Phone; (772) 462"1553
building Permit Application
Dlvls(on
ra6FL34982. Residential X.
x; (772) 462.1.578 Commercial
PERMIT APPLICATION FOR; Mechanical
Address:
Legal Description:
Property Tax ID #: �
site Plan Name;
Project Name; K G!
Setbacks Front,_
LIKE F'OR LIKE A/C Cti
�ElectYlc
Total Sq. Ft of Constructic
cost of construction; $
Address: � �?d
City: �5
Zip Code; 31
Phone No, 772
&Maih�
FIII in fee simple Title H
from the Owner listed
5 � - ©ai 1 -000
. Block No,
Back; Right Side; Left Side:
Tank uGas Piping
�mhing Sprinklers U Generator
S Ft, of First Floor;
0 d utlllties;L—sewerUseptic
on next page (If different
Windows/Doors
Roof Roof pitch
euildingHeight;
Name; CHRIS (ANGEL '
Company: 5EA COAST AJC
Address: 310E INDUSTRIAL 31at STREET _
City; FT PIERCE State;
ZIpCode; FL
34946 Fax; 772"46_ _6"3063 --
Phone No, 772.466-2400
E,Mall: INFO@a SEACOASTAIR,COM
State or county License: CMC036421
IL {valua of construction is $2 06 ar more, a RECORDED Notice of Commencement is requires,
lame:.
address;
:ity: — —
'ip: — — —
Not Applicable MORTGAGE COMPANY: �NotAppilcabie .
Name;
Address; state;
__State: _ 'City: Phone:
one: zip'
TE SIMPLE TITLE HOLDER;
dame;
address; ___---
ZipA Phone:
Not Appllcapie
BONDING COMPANY: ^NotApplicak, a
Name:
Address:
zip; Phone:
I certify that no work or Installation has commenced prlorto the Issuance of a permit,
St. Lucire
a County makes no representation that is granting a �ermit WIII aut�orize the permit holder to build the subjects Y uct su
strucfiure�con
le sle conisult Wlth yolurbHome Ow owners Asociation andrr leviewyour deed for any restrl tlons whic�trma or
prI ibit such
iin consideration of the n accordance wikh the approved plans, tof this he Floriduested a Building lding codes and St. Luciree a county Amendments. In all erform the work
w: room
The following building permit aPlc8tI0ns are plools, fences, wells,t from screen going a full rooms and accessorency ry uses too another nonitionsi
res
accessary structures, swimmingg p ldentlal 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
or aand n attorney befon the ore
before the first inspection, lf,you intenint o0 of Comimencement,
Signature of Owner/Lessee/Contractor as gent for owner
STATE OF FLORIDA
COUNTY 0 F sr Lucie
The for oing Instru an w�sacknowledge I�ehfore me
this IL, day of E77 L
CHRIa LANGEL'�
(Name of person acknowledging) ^
Personally Known x OR Produced identification
TypeofltlnProd�. . Ik•FjUST1NALNs0PKINNSCIsw
commission Nov PF0414tt Decembal
Revised 07/15/2014
REVIEWS COUNTER REVIEW
INITIALS
s
Signature of contractorAlcense HGlder
STATE OF FLORIDA
CO UNTY 0 F er Lucie
Tha fof/ oing instrumentw s a knowledge fore me
this /� day of Pr , 20 by
CHRIe LANGEL
(Name of person acknowledging )
(S1�nature of Notary
Personally Known x
Type of Identification
Commisslon Nov FF94'
State
oR Produced Identification
ESE
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGRQVE
REVIEW REVIEW REVIEW REVIEW REVIEW
AHRI CertiTed Reference Number: 201907214 Date : 10-11-2019 Model Status :Active
AHRI Type : RCU-A-CB
Series: DAVE LENNOX SIGNATURE XC21 SERIES
Outdoor Unit Brand Name : LENNOX
Outdoor Unit Model Number (Condenser or Single Package) : XC21-048-230-10
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-048-230*+TDR
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, Wit WY, U.S.
Territories)
Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in ali 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.
}"Active" Model Status are those that an AHRI Cedification Program Participant is curren8y producing AND selling or offering far sale; OR new models that are being
marketed but are not yet being produced:'Protluclion Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
R
I Ior offering for sale. t'ng that mpani d by WAS indicate inv I nl ry -rate The new published rat no 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 Certificate. AHRI expressly disclaims all liability for damages of any Nand 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.ahrid bectory.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; AM
entered Into a computer database; m otherwise utilized, in any form or manner or by any means, except for the user's individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
C&REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectery.org, click on "Verify Certificate" link III make life bener^
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.
13215295412471 g782
©2019Air conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: