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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: +02/12/2020 189�4®��II �q 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 PROPODP}d1/I�IENT> O�/�TrON rI, Ile 3500 twin lakes ter 206 Address: Legal Description: Property Tax ID ft: 1327-704-0024-000-2 Lot No. Site Plan Name: Block No, Project Name: molly sylla Setbacks Front Back: Right Side: Left Side: DE �11L ewiv C I�TJO E W9RK LIKE FOR LIKE A/C CHANGEOUT 5 ton 10 kw 16 seer CQfR1CT10J� aNFOM/10[5. Add ona work o e nerorme un er ispermit-c ec<a a appy: ZHVAC 1:1 Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors ElPlumbing ❑Sprinklers Generator Roof Roof Electric pitch Total Sq. Ft of Construction: Sq, Ft. of First Floor: 0Septic Cast of Construction: $ 6759.00 Utilities: Sewer Building Height: oUuN�R/l Ess> y onaAOT�it�7 x Name molly sy la Name: CHRIS LANGEL Address: 3500 twin lakes ter 206 Company: SEACOASTA/C City: fort Dierce State: fl Address: 3108 INDUSTRIAL 31st STREET Zip Code: 44951 Fax: City: FT PIERCE State: FL Phone No. 715-530-0368 Zip Code:34946 Fax:772-448-4416 E-Mail: Phone No, 772-466-2400 Fill in fee simple Title Holder on next page ( if different E-Mall: INFO@SEACOASTAIR,COM from the Owner listed above) State or County License: CMC036421 If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. >SUPBIE(��NT�LCON�STQIIG`f�ON Ll>~N LvA•1N�l�'FO�t�1%IA;T'�ON�a DESIGNER/ENGINEER: _Not Applicable :� , ,�.a i �? L 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 Count yy makes no representation that Is granting a permit 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 improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first Inspection. if yogi-yntend to obtain financing, consult with lender or an attorney gfore commencing w rk or recoil, nd)four Notice of Commencement. i% ,o / STATE OF FLORIDA COUNTY OF sr was STATE OF FLORIDA COUNTY OF sr was The forgoing instrument was admowledgee�� jj��efore me The forgoing instrument was acknowledged before me thisJ-2LI way or februart� , 20(— y this12tMayoffahnjctq .� e0 k y CNRIS LANGEl1 CHRIS LANGEL (Name of person admowledging) (Name of person aclmowiedging ) of Personally Known x OR Produced Identification Personally i<nown x Type of Identification Produced Type of Identification Commission No. Gcaacs b'"'•- JUSTIW<AOPKINSCONNELLY Commission No. _;; MYCOMMISStONflGGAAA 582 Revised 07/15/201 State OR Produced Identification MY COMMIS310N 3 60 940582 REVIEWS ERONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 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 : 201299501 Dale : 02-12-2020 Model Status :Active Old AHRI Reference Number: 7964223 AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX160601F' Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT61D14A` Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, CA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS, MT, NO, ND, NE, II 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 f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering far sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Rations that are accomaanied 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 product(s) 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 kind arising out of the use or performance of the protluct(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,alirldirectocy.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; R`- entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information far the model cited on this certificate can be verified at www.ah rid bectory.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. ©2020AT-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: sz2soD7ao4a4zazao