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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 07/7/2020 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: 4901 anglevilla dr Legal Description: Property Tax ID #: 2406-504-0025-000 0 Lot No. Site Plan Name: _ Block No. Project Name: ronda polca Setbacks Front Back: Right Side: Left Side: LIKE FOR UKE A/C CHANGEOUT 3 ton, 16 seer, 8 kw HggITlOnal wgrK Lo oe erroRneu unue�uns pennn—aieu�au n YNiy. j� �HVAC Gas Tank ❑Gas Piping Shutters IJ Windows/Doors Electric Plumbing OSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 5875.00 Utilities:[]Sewer oSeptic Building Height: 5 ��CQ,NTaR�A�TOR Name ronda polca �r Name: CHRIS LANGEL Address: 4901 anglevilla dr Company: SEACOASTAIC Address: 3108INDUSTRIAL 31st STREET city: fort pierce State: FL Zip Code: 34947 Fax: Phone No, 772-332-2293 City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-448-4416 Phone No. 772-466-2400 E-Mail: _ E-Mail: INFO@SEACOASTAIR,COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License: CMC035421 It value of construction is $2500 or more, a RECORDED Notice of commencement Is requlrea. S�j?PLEIyJ�NTALCOf��T��7CTlON�:I�N 4�AW IN'FpRIVIA�'ION DESIGNER/ENGINEER _ Not Applicable Name: h � �� � '� MORTGAGE COMPANY: _ , NotApplicable Name: _ Address: Address: City: Zip: Phone: State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: Name: Not Applicable 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 no representation that is granting a permitwill authorize the penult holder to build the subject structure which is in contlict 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 conairrency 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)nspection. yol Intend to obtain financing, consult with lender or an attorney fol'e rnmmonrina whhrk or recorddin=c ur Notice of Commencement. /% as STATE OF FLORIDA COUNTY 0 F sr wcle STATE OF FLORIDA COUNTY OF srwcie The forgoing instrument was acknowledg�}�e�fore me The forgoing instrument was acknowledged before me this? day of IUly 20L S_Joy this � dayof luly 20�by CHRIa LANGEL 1 CHRIS LANGEL _ (Name of person acknowledging) (Name of person aclmowledging ) ignature of No aiy Public- State of Florida) (Si4iature of Nofar}Public-State of Florida) Personally Known x _ OR Produced Identification Personally Known x _ OR Produced Identification Type of Identification Produced_ Type of Identification Produced Commission No. Gcsaos ;•'1?+b;'••,, JUSTINaNaIMOPKINSCONNELIY CommissionNo, oGu�a y� JUSTINA ,HOP(INSCONNEUY I ; MYCOMMISSION900040682 ISSIONrlG0940662 Revised 07l15/20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLG MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certilied Reference Number : 202024448 Dale : 07-07-2020 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, 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. }"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:'Produclion Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still RMing or offering for sale. I& that areaccomLanied by WAS indicate ninvoluntary re -rate. The p bf h d t' g' h wn I a 'ih th previous (' e WAS) rat'na 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, 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(Sf or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed it the directory at www.ah ridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and .. _ ftyF, 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 for the model cited on this certificate can be verified at www.ailrldlrectory.org, click on "Verffy Certificate" link we make life beerer^ 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. 132386107675149385 ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: