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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/01/2020 Pei mlt Number: y Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical PRO`POSED(MP�ROU�I�I�EJTOC`AJO�j ; r ���" AR r Address: 5009 aleo i es cir Legal Description: Property Tax ID #: 1312-801-0141-000-0 Lot No.-- o._Site SitePlan Name: Block No, thomas cichocki Project Name: Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CHANGEOUT 4 ton, 16 seer, 10 kw T tiona'wor to c�erorme un erg ispermit—ciec<a t at appy: ❑ Z✓ HVAC 1-1 Gas Tank ❑Gas Piping _Shutters Windows/Doors ❑Electric ElPlumbing Sprinklers Generator 0 Roof Roof Pitch Total Sq, Ft of Construction: S�Ft,j of First Floor: Cost of Construction: $ 6339.00 Utilities: l _J Sewer USeptic Building Height: � � r� ,�� OWN�J�JL�SSE � � %�'' � -��,� �t . .,�ON�YR+ACTO;R,.� thomas cichocki Name: CHRIS LANGEL Name Address: 5009 paleo pines cir Company: SEACOASTA/C City; FT PIERCE State: FL Address: 3108 INDUSTRIAL 31st STREET Zip Code: 34951 Fax: _ City: FT PIERCE State: FL Phone No. 772-203-8957 _ "Lip 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-Mail: INFO@SEACOASTAIR.COM from the owner listed above) State or County License: CMC035421 If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. SLIPPLE`(lI� ,,T ' CONST$1n'L 19N LT N LAW C�'FORLu1gTION r s w DESIGNER/ENGINEER: _Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: _Not Applicable 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. Lucle County 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 Associatlon 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. Inconsideration of the granting of this requested permit, I do hereby agree that I will, Ira)[ 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 additlons, 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. I yov ntend to obtain financing, consult with lender or an attorney fore commencing work or recot jtp our Notice of Commencement. i% rM STATE OF FLORIDA COUNTY OF sT LUCIE STATE OF FLORIDA COUNTY 0FsTl c1E The forgoing instrument was acknowledge j�efore me The forgoing instrument was acknowledged before me this 01 -day of Rine 20 y this 01 day of Lune 20Z)by CHRIS LANGEL-' I CHRIS LANGEL (Name of person acknowledging) I (Name of person acknowledging) ignature of No ary Public- State of Florida) IS of Nota -0 Public- State of Florida) i Personally Known x -OR Produced Identification Personally Known X —OR Produced Identification Type of Identification Produced_, Type of Identification Produced Commission No. GGoaas ,,° Y@"'•• JUSTI I OPKINSCONNELLY Commission No. GGsgo `" 'r =, M �yJUSTINA , HOP (INSCONNELLY MYCOMMISSION900 0662 ��Qp MYCOMMI8SIONUGGWM2 Revised REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE 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. plill 1111 Jill 11111",111 1! AHRI Certified Reference Number: 202545035 Date : 05-29-2020 Madel Status: Active AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX16S481A* Indoor Unit Model Number (Evaporator and/or Air Handler) : AVPTC6l D14B` Region: Southeast and North (Al AR, DC, DE, FL, GA, IT, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, Al 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, 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 selling or offering for sale. R lino that p d by WAS ludicate an involuntary re -rate. The new published ting is showno with the Eraviousil.e. WAS) mfinq 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 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.ahridltectory.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; 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 forthe model cited on this certificate can be verified at www.allrldlrectory.org, click on "Verify Certificate" link we make life better^ and enter the AHRI Certified Reference Nwnber 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.: 132352403066992630