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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/1/2020 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: Legal Description: Property Tax ID #: 3409-503-0016-000-3 Lot No._ Site Plan Name: Block No. Project Name: bradley keen Setbacks Front Back: Right Side: Left Side: LIKE FOR LIKE A/C CHANGEOUT 16 SEER, 4 TON, 10 KW -Additional work to be ertormeo uneerimsperm: –ci HVAC Li Gas Tank ❑Gas Piping ❑Electric 1:1Plumbing ❑Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 6991.00 Name bradley keen Address: 1700 mallard ct Shutters Windows/Doors Generator Roof = Roof pitch S�Ftj. of First Floor:— Utilitles:Cn Sewer Ll Septic City: fortpierce state: FL Zip Code: 34982 Fax: Phone No. 772-201-5513 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@SEACOASTAIR.COM State or County License: CM0036421 value of construction is $2soo or more, a RECORDED Notice of Commencement Is S�UpI?LE(1�N��i CONSTf?IlCTION`IIEN LATI IN'FOfiIVIATIOJJy' A DESIGNER/ENGINEER. Name: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address:__ SEA TURTLE REVIEW Address: DATE City: Zip: Phone: State: City: Zip: Phone: State: 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.Lucle Counmakes no representation mac is granunga enm�wui e��n�i i�c ,���NG������, ���•�•---•--,------___._ which is in con Iict with any, applicable Home Owners Assoc atlon 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 first inspection. V yo)a}ntend to obtain financing, consult with lender or an attorney bgfore as Arent for Owner STATE OF FLORIDA CO U NTY 0 F ST Lucie The forgoing instrument was acknowledgej{ }before me this I day of OCf . 20 _ Y STATE OF FLORIDA CO U NTY 0 F ST waE The forgoing instrument was acknowledged before me this 1 day of OCf 120QDby CHRIS LANGEL-L CHRIS LANGEL (Name of person acknowledging) (Name of person acknowi C'& 'v ignature of Notary Public- State of Florida) (S attire of Notar Pub Personally Known x OR Produced Identification Personally Known X Type of Identification Produced Type of identification Pro Commission No, cGa4os "'+'b'°'•, JUSTIWdaloOPKINSCONNELLY Commission No. MY COMMISSION#G0940592 11 Revised ng of OR Produced Identification IUSTINAL• HOPKINS CONNELLY MY COMMISSION 9 00 940502 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 1/1/2015 and 12/31/2020. AHRI Certified Reference Number: 201299467 Date : 10-01-2020 Model Status: Active Old AHRI Reference Number: 7984222 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX16 Outdoor Unit Brand Name: AMANA DISTINCTIONS Outdoor Unit Model Number (Condenser or Single Package) : GSX160481 F* Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT61D14A* 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, OH, OK, OR, PA, Rl, 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 1, 2016 central air conditioners can only be installed in region(s) for t"Active" Model Status are those that an AHRI Certification Program Padiclpanl is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced.'Producllon Stopped" Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT Is still selling or offering (or sale. Rat' q til [ r a a d by WASindicate an Involuntart/ re -rate The new oubl'shed rating is shown along with the previous (i.e. 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 responsibilityfor, the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arishng 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 we w.ahrldlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and -.,,a. confidential reference purposes. The contents of tills Certificate may not, in whole or in part, be reproduced; copled; 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. AIREFRIG RATIN (HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information fertile model tiled on this certificate can be veriFled at www.ahridirectory.org, click on"Verify Certificate" link rvemaice lifebea,,- 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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: az4so3sa4zs7o1oz