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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 05/08/2020 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 PERMIT APPLICATION FOR: Mechanical Address: Legal Description: Property Tax ID #: 3402-609-0157-000-7 Site Plan Name: Project Name: Flaanor Gemany Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CHANGEOUT 3 ton, 14 seer, 5 kw HVAC U Gas Tank Electric El Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4575.00 Residential x Lot Block No. tit—drecxaii tnat appry: Piping _Shutters Windows/Doors nklers 11 Generator 0 Roof = Roof pitch 5 Ft. of First Floor: _ Utilities:[] Sewer LISeptic Name Eleanor Gersony Address: 5606 Palm Dr City: FT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772-332-3735 T E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: CHRIS LANGEL Building Height: Company: SEACOASTA/C Address: 3108 INDUSTRIAL 31st STREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-448-4416 Phone No, 772-466-2400 E -Mail: INFO@SEACOASTAI R. CO M State or County License: CM0036421 of construction Is $2500 or more, a RECORDED Notice of Commencement is I certify that no work or Installation has commenced prior to the issuance of a permit. St. Lucie Count tyl makes no representation that is granting a �paermit will authorize the penmlt holder to build the subject structure structure• Please consult withpyour Home Owners Associationtlandrreview your deed for any resttrictions which ma Oa prohibit such Y'PPY 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. jf yoSaintend to obtain financing, consult with lender or an attorney yore as STATE OF FLORIDA COUNTY OF ST LUCIE STATE OF FLORIDA COUNTY O F STnucIE The forgoing instrument was acknowledg�(}�efore me The forgoing instrument was acknowledged before me this 8 day of May , 20=31 this 8 day of May ., 20QLby CHRIS LANGEL-L CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) Personally Known X Type of Identification Commission No. Revised 07/15/20 State OR Produced Identification _ Personally Known x OR Produced Identification mpri Type of Identification Produced JUSTIWdalh1OPKINSCONNELLY II Commission No. MY COMMISSION 9 GG 040562 USTINAL, ROPKINS CONNELLY MY COMMISSION 9 GG 940062 REVIEWS DESIGNER/ENGINEER; Not Applicable MORTGAGE COMPANY: __,_Not Applicable Name: Name: Address: Address: City: State: City: State: Zlp: — 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 tyl makes no representation that is granting a �paermit will authorize the penmlt holder to build the subject structure structure• Please consult withpyour Home Owners Associationtlandrreview your deed for any resttrictions which ma Oa prohibit such Y'PPY 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. jf yoSaintend to obtain financing, consult with lender or an attorney yore as STATE OF FLORIDA COUNTY OF ST LUCIE STATE OF FLORIDA COUNTY O F STnucIE The forgoing instrument was acknowledg�(}�efore me The forgoing instrument was acknowledged before me this 8 day of May , 20=31 this 8 day of May ., 20QLby CHRIS LANGEL-L CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) Personally Known X Type of Identification Commission No. Revised 07/15/20 State OR Produced Identification _ Personally Known x OR Produced Identification mpri Type of Identification Produced JUSTIWdalh1OPKINSCONNELLY II Commission No. MY COMMISSION 9 GG 040562 USTINAL, ROPKINS CONNELLY MY COMMISSION 9 GG 940062 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS • I '� AHRI Certified Reference Number: 9529643 Date: 05-08-2020 Model Status : Active AHRI Type: RCU-A-CB Series: 14 SEER W SERIES R410A AC Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WCA4364GKA** Indoor Unit Model Number (Evaporator and/or Air Handler) : WAPL364A* 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 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. t"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 Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still seliinor offering for sale. Rating q th t a n' d by WAS indicate n in tary -,at. Th oubli h d t' o h alone with the previous if a 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 producl(s) 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 listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.alirl(livectory.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 fertile user's individual, personal and confidential reference. &t REFRIGERATION INSTITUTE I CERTIFICATE VERIFICATION The information for the model cited an this certificate can be verified at www.aliddirectory.org, click on "Verify Certificate" link nee make life better^' and eller the AHRI Couffied Reference Number and the dale on which the certificate was Issued, which Is listed above, and the Certificate No., which is listed at bottom right. 132334355495763308 ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: