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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date ; 09/8/2020 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 P,ROPd ED JIVIP OU MENi LOGA1(ON e s M z a Address : 17600 GLADES CUT OFF RD Legal Description : Property Tax ID #: 4211 - 124-0001 -000-8 Lot No. Site Plan Name : Block No, _,___• Project Name : robert norvell sr Setbacks Front Back: Right Side : Left Side: �D�`If�A1L�D ���SCRJPT�ON OP�WQRiC ' � -� �- � � � � �:� X ✓` � LIKE FOR LIKE A/C CHANGEOUT 16 SEER , 3 . 5 TON , 10 KW i Additional work to be oerrormed under t is permit — c , ec < a a apply: 0HVAC Gas Tank []Gas Piping _ Shutters I� Windows/Doors Electric ElPlumbing [:] Sprinl<lers Generator Roof Roof pitch j Total Sq, Ft of Construction : S Ft, of First Floor: I Cost of Construction : $ 6125 . 00 Utilitles :,nSewer Septic Building Height : = _ e O=olN / NWN Name robert norvell sr Name; CHRIS uwGEL I 17600 lades cut off rd Company: SEA COAST A/C Address : 9 p y: _ city; fort Dierce State: FL Address : 3108 INDUSTRIAL 31st STREET — Zip Code : 34987 Fax: City: FT PIERCE State : FL Phone No. 772-370- 1306 Zip 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-Mall: INFO@SEACOASTAIR, COM from the Owner listed above) State or County License: CMC036421 If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required. UPPLNINT1 GQNSTLICTlOCy ) TEN LAW INIFORCu17�TION� t 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 : _Nat Applicable Name : Name : Address : Address : 1 City: City: Zip : Phone : Zip: Phone : _ I certify that no work or Installation has commenced prior to the issuance of a permit. I St, Lucie Count yy makes no representation that Is granting a ppennit will authorize the penult holder to build the subject structure j 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 pennit, 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, i 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 firstttnspection . tf you ntend to obtain financing, consult with lender or an attorney b fore commer work or reco In our Notice of Commencement. A L_ Signature w er/Lessee/Contractor as Agent for Owner Signature f ntractorJLicen e Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY 0 F ST LUCIE COUNTY 0 F ST LUCIE The forgoing instrument was acknowlecigee��(( JJ.��efore me The forgoing instrument was acknowledged before me 8 n thisdayof sept 20wy this 8 dayof Sept. 20 � by CHRIS LANGEL -L CHRIS LANGEL (Name of person acknowledging (Name of person acknowledging owledging ) ) I � ` I ignature of No ary Public- State of Florida ) IS ature of Not54 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. cc9405 , • +b' '-- JUSTI OPKINSCONNELLY Commission No. cGs4o " . t Jusi1NA . NscoNNELLY MY COMMISSIONSGG940li82 ar; ;k: MY COMMISSION 0 GO 940062 EXPIRES! DAwmhfar IT Ohm °rf Bonded Thu Nolery Publlo Undenvdlere '.,j�o •c° P5' ecem et 2023 Revised 07l15/2014 Bonded Thm Nolmy PubhD undoWtore REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I mmmmm This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1 /1 /2015 and 12/31 /2020. Certificate of Product Ratings AHRI Certified Reference Number : 201384343 Date : 09-02-2020 Model Status : Active Old AHRI Reference Number : 8242080 AHRI Type : RCU-A-CB (Split System: Air CooledCondensing Unit, Coil with Blower) Series : GSX16 '.. Outdoor Unit Brand Name : AMANA DISTINCTIONS '.. Outdoor Unit Model Number (Condenser or Single Package) : GSX160421F* '.,. Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI , ID, IL, IA, IN , KS, KY, LA, MA, MD, ME, MI , MN, MO, MS, MT, NC, ND, NE, NH, NJ , NM, NV, NY, ON , OK, OR, PA, RI , SC, SD, 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 11 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement 's The manufacturer of this AMANA DISTINCTIONS product is responsible for the rating of this system combination Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air Conditioning & Air Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsoted, independent, third party testing: , Cooling Capacity (A2) Single or High. Stage (95F), jbtuh : 41000 SEER 16.00 EER (A2) -'Single or High Stage (95F). : 13.00 I i i 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 Retinas then ere a=nied by WAS indicate an involuntary re-rate. The new published rating is shown aloha with the orevious (i.e. 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 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 weviveduldirectory.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.ahrldirectory.org, click on ' Verify Certificate" link we make life better°j and enter the AHRI Certfled 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. ©202OAir Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO . : 132435361648912507