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BUILDING PERMIT
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/09/2020 Permit Number: Building Permit Application Plnnning and Qevelopmeni Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical -•PRC3� OSE � (V1P�R�U�IVIENT]rOG/��J�Of�1 .. Address: 5509 fort pierce Blvd Legal Description: Property Tax ID #: 1301-604-0054-000-4 Site Plan Name: Project Name: SUsan dudley Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CHANGEOUT 3 ton, 14 seer, 10 kw Lot No. Block No. HVAC � 6as Tank ❑Gas Piping I �7 Shutters ❑Windows/Doors Electric 0 Plumbing OSprinlders 11 Generator 1:1 Roof F Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 6000.00 S Ft, of First Floor:. Utilitles:Sewer Septic Building Height: 3 Name Susan dudley - Name: CHRIS LANGEL Company: SEACOAST A/C Address: 5509 fort pierce blvd City: FT PIERCE _State: FL Address: 3108 INDUSTRIAL 31st STREET Zip Code: 34951 Fax: _ Phone No. 772-465-5020 City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-448-4416 Phone No. 772-466-2400 E-Mail: Fill in fee simple Title Holder on next page (if different E-Mail: INFO@SEACOASTAIR.COM from the Owner listed above) State or County License: CMC035421 If value of construction is $2500 or more, a RECOKUkU Notice of commencement I5 YegUlYetl. C0�(�}�TEilj.C710N1.1EN LAW_ �N'FOI�MA'TIoN `` Sy_PpI.EM�I�•TAL j _ _ _ 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. Wcle County makes no representation tltaC 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, �yoyl- Intend to obtain financing, consult with lender or an attorney fore commencine work ar reco� I Vc ur Notice of Commencement. % ,4 / as STATE OF FLORIDA COUNTY 0 F sr Luae STATE OF FLORIDA COUNTY 0 F sr was The forgoing instrument was acknowledgef( j�efore me The forgoing instrument was acknowledged before me thIS— dayof april 20 y this 9 day of april zo�A CNRIS LANGEL 1 CHRIS LANGEL (Name of person acknowledging } (Name of person acknowledging ) of Florida Personally Known _X __ OR Produced Identification Type of Identification Produced Commission No. GG9405 ¢ JUSTINYdaItAOPKINSCONNELLY •`• MY COMMISSION# GO k0662ar ,a: ia. FXPIGFAnnnnmMe/49n99 '�P,ffk°`'• sondeaThNNotaryPublkUndetwrllera Revised 07/15/2014 State of Personally Known x OR Produced identification Type of identification Produced Commission No, MYCOMMISSION "1�7Pr REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number : 205189526 Dale : 04-09-2020 Model Status :Active AHRI Type : RCU-A-CB Series: GSX14 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX140361 K* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT35B14A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NO, 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, SO, UT, VT, WA, WV, WL 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 region(s) for which they meet the regional efficiency requirement. 7"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or of/ering for sale; OR new models that are being marketed but are not yet being produced.'7Produclion Stopped? Model Status are those that an AHRI Certification Program Participant is no longer producing 8UT is still selling or offering far sale. Ratings _that are accompanied by WAS indicate an involuntary re -rate. The new published ration is shown alone with the orevious (i.e. WAS) raline. 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 al this Certificate. AHRI expressly disclaims all liability for damages of any I<intl arising out of the use or performance of the product(s), or [he unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRIL This Certificate snail only be used for and vldual, personal antl confidential reference purposes. The contents of this Certificate may Hot, 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, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information fertile model cited on this certificate can be verified at www,almidirectory.org, click on "Verify Certificate" link we make life better"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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132309186952176448