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PHILLIPS PERMIT
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08/10/2020 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierre FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Mechanical Address: 1913 ROYAL PALM DR Legal Description: Property Tax ID #: 2421-602-0054-000-0 Site Plan Name: Project Name:_ CORLISS PHILLIPS Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CHANGEOUT 3.5 TON, 14.5 SEER 8 KW HVAC u Gas Tank 11 Electric El Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4758.00 Lot No. Block No, a i m Penna— Iucu� a It nppIY. ❑Gas Piping F� Shutters Windows/Doors Sprinklers Generator Roof = Roof pitch S Ft, of First Floor, Utilities:11Sewer l-1Septic Building Height: f y 4 w r` OVU,yifiyER%1ESS��, CONTRA07Olj ri�� f r 4� Name CORLISS PHILLIPS Name: CHRIS LANGEL Address: 1913 ROYAL PALM DR Company: SEACOASTNC city: FT PIERCE State: FL Tip Code: 34982 Fax: Phone No, 772-940-3736 Address: 3108 INDUSTRIAL 31stSTREET City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-448-4416 Phone No, 772-466-2400 E -Mail: Fill in fee simple Title Halder on next page (if different from the Owner listed above) E -Mail: INFO@SEACOASTAIR.COM State or County License: CMC036421 If value of construction Is $2500 or more, a RhCO DW Notice or commencement is requwreu. ��S�UL�Pd.ElylEf�TAL��.�Q"N�TRl�0T1_ON LIEN LAW JNFOR�UTA'CI�ON�f�zylN �Y afi,� f _ �� DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: _Not Applicable Address: MANGROVE Address: City: Zip: Phone: State: City: Zip: Phone: State: _T FEE SIMPLE TITLE HOLDER: T 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 County makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure which is 1n 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 firsttnspection, ((� yoo ntend to obtain financing, consult with lender or an attorney bgfore commencine work or reco✓d5, cur Notice of Commencement. i% n 7 / as STATE OF FLORIDA CO U NTY O F ST LUCIE The forgoing instrument was acknowledge efore me this? day of AUG zo y CHRIS LANGEL 1 (Name of person acknowledging) Personally Known x Type of IdentlAcatlon Commission No. Revised State of Florida STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this 7 dayof AUG _ _ _ __,20Q0by CHRIS LANGEL (Name of person acknowledging OR Produced Identification Personally Known.X Iced Type of Identification JU8TI(BdeI0OPKINSCONNELLY If Commission No. MYCOMMISSIONBGG840582 ` OR Produced Identification JUSTINA L, HOPIKINS CONNELU MY COMMISSION 8 GG 840582 Bonded Thm REVIEWSAFRNTZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AHRI Certified Reference Number: 7492899 Date : 08-08-2020 Model Status : Active AHRI Type: SP -A (Single -Package Air -Conditioner, Air -Cooled) Series: R410A AC SPP Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) :-WJA442000K**OA Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, FII, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NO, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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 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. The manufacturer of this GRANDAIRE product is responsible for the rating of this system combination. f"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. Rations that are accompanied by WAS indicate an involuntary re -rate. The new published. rating is shown along with the previous Re. WAS) rating. DISCLAIMER AHRI does not endorse the producl(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed oil 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.altridirectory.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 fertile model cited on this certificate can be verified at www.ah rid lrectory.org, click on "Verify Certificate" link we make The 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 5. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Gz4laszszsseyzzss