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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01 /13/2020 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical Address: 3360 old edwards rd Legal Description: Property Tax ID #: 2429-214-0001-000-7 Lot No. Site Plan Name: Project N ame: Terry Maheuron Setbacks Front_ Back: Right Side: LIKE FOR LIKE A/C CHANGEOUT 3 TON 10 KW 16 SEER �HVAC u Gas Tank ❑Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4799.00 Name Terry Maheuron Block No. Left Side: PipingShutters ❑Windows/Doors nklers 1:1 Generator Roof S . ft, of First Floor: _ Util ttles:� Sewer - Septic Address: 3360 old edwards rd City; fort niarra State: fl 'Lip Code: 34981 Fax: Phone No. 772.21 R-3577 Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: CHRIS LANGEL Building Height: Roof pitch Company: SEA COAST A/C Address: 3108 INAUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-448.4416 Phone No, 772-466-2400 E-Mail: INFO@SEACOASTAIR. COM State or County License: CMC036421 If value of construction Is $2500 or more, a RECORDED Notice of Commencement Name: CHRIS LANGEL Building Height: Roof pitch Company: SEA COAST A/C Address: 3108 INAUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-448.4416 Phone No, 772-466-2400 E-Mail: INFO@SEACOASTAIR. COM State or County License: CMC036421 If value of construction Is $2500 or more, a RECORDED Notice of Commencement DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: state: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes representation that is granting a ppermit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply, In consideration of the granting of this requested permit, I do hereby agree that I will, In all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review; room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result In your paying twice for I mprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection, V yop-jntend to obtain financing, consult with, lender or an attorney before STATE OF FLORIDA COUNTY 0 F st Lucie STATE OF FLORIDA COUNTY OF snuae The forgoing instrument was acknowlodg�{{�efore me The forgoing instrument was acknowledged before me this4,dayof January ZO(— y this day of January ,zo�by CNRIa LANGEL 1 CHRIS LANGEL (Name of person acknowledging J (Name of person acknowledging ) Stato of Florida Personally Known x OR Produced Identification Personally Known x Type of Identiflcatlon Produced Type of Identiflcatlon Commission No, Revised 07/15/201 CONNELLY 11 Commission No, State of OR Produced Identification USTINA L. HOPHINs CONNEU,Y MY COMMISSION (; CO 940582 L�ff[S REVIEWS ERONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 202024446 Date : 01-10-2020 Model Status :Active AHRI Type : RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA037*0**B* Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L 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, Al 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 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 which they meet the regional efficiency requirement. }"Active" Model Status are those that an AHRI Certification Program Participant is currenlly 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 Cedification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinos that are accompanied by WAS indicate an involuntary 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, tIe products) 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 listetl on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.alirldirectory.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; or otherwise utilized, in any form or manner or by any means, except far the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we make life beurer 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. - ©202OAir Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132231463685467815