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Building Permit Application
ate; BE COMPLETED FOR APPLICATION TO BE ACCEPTED permit Number; lanning and 0evelopmer ullding and Code Regula !300 Vfrginlu Avenue, Foi )hones 1772) 4624553 t3ullding Permit Applicatlon Pfvlslon rce pL 34982 . ,(772) 462.1578 ERMIT APPLICATIOr FORT MecMEMcal ddress: �11._._L� egal Description: property Tex ID #: 3 ;Ite Plan Name! ��� DrojectNamW?ct" Setbacks Front,_ IKE FOR LIKE AJC Electric Total Sq, Ft of Constructic Cost of construction: $ city: �3 Zlp Code; p�L Phone No._.,/ e FIII in fee simple Title No) from the owner listed ai of construction Is Commercial Resideritial x 0 Sack; _____--• Right Side! Left Slde; oEouT ,� l q454(/ e(� Jvk(,j 'me undertnispermn—�G�•�, s Tank ❑Gas Piping mhing Shutters Sprinklers Generator S��(( Ft,j of First Floor; _ SCj UtIllties;tJsewer�Sepfilc State;�G on next page (if different l.ot 61ack No, WindowsJDoors Roof = Roof pitch 6ullding Height: �_.- Name; CNRIS LANOEL .r----- Company; SEA COAST A!0 Address: 3f o6 INDUSTRIAL 31st STREET City; Code; FT PIERCE State; FL 34948 Fax; 772"466.3063 Zip Phone No, 772"466.2400 E"Mall: INFO@SEAOOASTAI R,COM state or County Llcensa: CMC036421 ar more, a RECQRDED Notlae of Commencement Is ne: iress; State: Phone: SIMPLE TITLE HOLDER; _ NO Vill caple me: dress; RTGAGE COMPANY: Not Appl(cab e MO . Name: Address; State: City: Phone: BONDING COMPANY: Name: Address: — — y' phone; Zip: Phone; Not Applicable artify that no work or Installation has commenced prior to the Issuance of a permit, r Ilea le Home Owners Assoc atlon ru es by aws or and covenants that may re trlct or pro ibit such Lucie County makes no representation that Is granting a �ermlt ill aut�orize the permit holde to build th$e subject strut ure »ch is In can Ilet with any aP our Home owners Association and review your deed for any restrictions which may apply, ucture, Please consult with yall consideration of the granting of this requested permit, I do her andgreethaucle Coulnity Amendmeentsperform the work In accordance wlth the approved plans, the Florida Building le following building permit applications are exempt from undergoing a full concurrency review: room additions, :e, folio structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another uon'eslde twi twice IARNING TO OWNER: Your failure to Record a Notice of Commencement may resuland posted on t in y playing epo�e the first inspection plf You nt nd to obta n f Want ngnconsul tw(thcle deer or n y befoesite aattorney r ammencin work or recordin our Notice of Commencement, Ignature of Owner/Lessee/Contractor ag7Cgent far Owner ;TATE OF FLORIDA ;OUNTYOFm ucle rhefor oinginstr .ntln�' Uwasa�cowle20J b�foreme this day of VO �j %b Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF sr uola Thefor ggayoftrurpn w a�k�wlAdg�gafhYeme thisd day of �yl,�/___._.—_---`✓� GHRIB LANGEL ;Fiats u,NGa;.-� (Name of person acknowledging Name of person acknowledging) ^ A nl' Known x fypo or ioemui� �ommisslon No. of Notary Public -State of V Personally Known X OR Produced Identification __ _ Typo of Identif(catio Revised 07/15/201/a REVIEWSTFRCONTR ZONING OUNTEREVIEW N ITIALS Commission Na oR Produced Identlflcatlon SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW AHRI Certifed Reference Number : 9194891 Date : 11-05-2019 Model Status : Active AHRI Type: RCU-A-CB Series : 14 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA14NA060*0**A* Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP060L Region : Southeast and North (AL, AR, DC, DE, FL, GA, Hi, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, 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, Wi, WY, U.S. Territories) Region Nole : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 11 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 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 Slopped" 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 involuntary re -rate. The new published rating is shown..alpng with the previous (i.e. WAS1 rating. of 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 data isted on expressly disclaims all liability far damages of any kind arising out ti the use or the erformanc of the product(s), or the unauthorized at alteration rof edata listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridlrectory.org. TERMS AND CONDITIONS This Certificate mid 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 whale 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, AM 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 Ave 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute � CERTIFICATE NO.. 1321745770500487e7