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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/20/2020 Permit Number: i o 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 IEMOM k Address: 120 QUEEN FUGENIA CT Legal Description: Property Tax ID #t: 1414-701-0047-000-7 Lot No. Site Plan Name: Block No. thomas vanderspool Project Name: Setbacks Front Back: Right Side: Left Side: Mg LIKE FOR LIKE A/C CHANGEOUT 18 SEER, 4 TON, 9 KW ��Qjy81'RU�C I��NFORI�/I/��10,��,-�-�� bona wor to ecerorme an er is permit—ctec" appy: �HVAC Gas Tank GasPiping Shutters TIndows❑ElectricPlumbing Sprinklers Generator of Roof pitch Total Sq. Ft of Construction: S Ft, of First Floor: Cost of Construction: $ 15058,00 Utilitles:,nSewer Septic Building Height: `O�iINR�LSSE. GTR$ACT9 x f a� a Name thomas vanderspool Name: CHRIS LANGEL Address: 120 QUEEN EUGENIA CT Company: SEACOAST A/C city: fort pierce State: FL Address: 3108INDUSTRIAL 31st STREET Zip Code: 34949 Fax: City: FT PIERCE State: FL Phone No. 772-216-6549 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-Mail: INFO@SEACOASTAIR.COM from the Owner listed above) State or County License: CM0036421 If value of construction is $25oo or more, a RECORDED Notice of Commencement is required. �1P1'LEI�ALO(ZT�UCT�ON LAN LA1�V IJs1F�R�VIACIOj�Jyx _ _ 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: _Not Applicable Name: 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. Lucie Coon ty makes no representation that Is granting a permit will authorize the pert -nit holder to build the subject structure 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 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, wails, 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. C# yoy}ntend to obtain financing, consult with lender or an attorney commencine whrk or record, noVour Notice of Commencement i% ,a / as STATE OF FLORIDA COUNTY OF srLucie The forgoing instrument was acknowledg�}�efore me thls20 day of nOV. , zOL�Y STATE OF FLORIDA COUNTY OF srwae The forgoing instrument was acknowledged before me this?Ndayof nOV. 20by CNRIS LANGEL 1' CIiR15 LANGEI (Name of person acknowledging) {Name of person acicnowiedging ) State State Personally Known x OR Produced Identification Personally Known x OR Produced Identification 'type of Identifcation Produced Type of identification Produced Commission No. I Revised 07/15/20 Commission No, MY COMMISSION (< 60 940882 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 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: 205821582 Date : 11-20-2020 Model Status : Active AHRI Type : RCU-A-CB (Split System: Air -Coaled Condensing Unit, Coil with Blower) Series: DAVE LENNOX SIGNATURE XC21 SERIES Outdoor Unit Brand Name: LENNOX Outdoor Unit Model Number (Condenser or Single Package) : XC21-048-230A** Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA38MV-048-230*+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, ML MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, 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 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 Cediiication 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 Cedifcation Program Panicipant Is no longer producing BUT Is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate The w p bl' h d rat'ratinit is shown along with the previous (' WAS) ratinQ. 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 preduct(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,ahrid[rectory.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,ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued we make life bener^ which is listed above, and the Certificate No., which Is listed at bottom right. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132503730123350040