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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date : 12/4/2020 Permit Number: Building Permit Application - - Planning and 6evelopmentser0cea --_-- ----- __--- --_- --_-- ---- ----- - _ Building and Code Regulation Division i 2300 Virginia Avenue, Fort Pierce FL 349B2 li Phone : (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PPP IT ASEDM2YOU�I�IEITOCA>7ON { '' Address : 5501 teal terr Legal Description : Property Tax ID #: 3409-503-0009-000- 1 Lot No. . Site Plan Name : Block No. ! Project Name : ralph umstead Setbacks Front Back: Right Side : Left Side: kDETxAILED `D�SCR9PTION Q'F `�WQRiC"' ��� _ � � � LIKE FOR LIKE A/C CHANGEOUT 16 SEER , 5 TON , 10 KW r F o QQNSTTUC fININFOk�MATIO,N,� ,_ . � nional worK to DeperFOrmed under t is permIL — ClIeUk all thatapply: ZHVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors i Electric El Plumbing [:] SprinklersGenerator Roof Roof pitch Total Sq . Ft of Construction : Sq�*Ft, of First Floor: I Cost of Construction : $ 7155 . 00 Utilities 11Sewer ❑ Septic Building Height OWN Mt> SMPE, . . Name ralph umstead Name: CHRIS LANGEL 5501 teal terr Company:V: SEACOASTA/C City: fort 18D pc State: FL Address : 3108 INDUSTRIAL 31st STREET Zip Code: 34982 Fax: City: FT PIERCE State: FL Phone No . 772-971 -0132 Zip Code : 34946 Fax: 772-448-4416 E-Mail: Phone Na, 772-466-2400 Fill in fee simple Title Holder on next page ( if different F.-Mall: INFO@SEACOASTAIR.COM from the Owner listed above) State or County License: CM0035421 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required. i 7777 T.�UCTIOfV LIEN LAIN jN'F� NotApp4cable Not Applicable State : _ State : : 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 County makes no representation that is granting a permit will authorize the permit 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. III consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work f 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 . if, yoy Intend to obtain financing, consult with lender or an attorney b fore commencen w rk or reco tin our Notice of Commencement. - d 5 Signature w er/Lessee/Contractor as Agent for Owner Signature f ntractor/l.icen e Holder STATE OF FLOR) DA STATE OF FLORIDA CO LINTY O F ST LUCIE CO U NTY O F sr was The forgoing instrument was adcnowledg efore me The forgoing instrument was acknowledged before me thIs4 dayof C de , 20 y this 4 dayof dec 20 6_ y CHRIS LANGEL CHRIS LANGEL (Name of person acknowledging ) (Name of person acknowledging ) ... lI (gnature of Notary Public- State of Florida j i(Sature of Notai Public- State of Florida ) Personally Known X _ OR Produced Identification Personally Known X OR Produced identification f Type of Identification Produced Type of identification Produced Commission No. GGs4o5 e1 % ito °•.; JUSTI aIliOPKINSCONNELLY Commission No. ccs4o. T or! MYCEX RMSISOSI N # GGk05%a2_IJ ,e�( • 4 JUSTINA , RO INSCONN6LLY i+i :,i MYCOMMI8SION9G0940582 "••Rff:°`' BotMedThru NoteryPob7W VMenritters %,°,f(ft�' • 9onded 7hN Notaofi p blBY ' 2 Mere Revised 07/ 15/2014 ry REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS j I This combination ualifies for a Federal Ener Efficie]CreditGEM placed in service between 1 /1 /2015 and 12/311 /2020. Certificate of Product Ratings I AHRI Certified Reference Number : 201299487 Date : 12-03-2020 Model Status : Active Old AHRI Reference Number : 7984223 AHRI Type : RCU-A-CB (Split System: Air-Cooled Condensing Unit, Coil with Blower) '. Series : GSX16 Outdoor Unit Brand Name : GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160601 F* Indoor Unit Model Number (Evaporator and/or Air Handler) : 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,MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, W Territories) Region Note : Central air conditioners manufactured prior to January 1 , 2015 are eligible to be installed in all regions j 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 GOODMAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1 , Performance Rating of Unitary Air Conditioning & Air Source Heat Pump Equipment, and subject to rating accuracy by AHRI-sponsored, Independent third party testing Cooling Capacity (A2) :Single or High Stage (95F) btuh : 54000 ' SEER : 16.00I. EER (A2) - Single or High Stage (95F) : 13.00 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 se", Rat! s rhafft earrienga m nied by WAS Indicate an involuntary re-rate. The new published rating is shown along with the previous (i.e. WAS) ratio. 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 www,ahridirectory.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; &UJIM li 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 confldential reference. AIR-CONDITIONING, HEATING, li CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify Certificate" ]hit( Ave make life better and enterthe 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. : 3251475411ze01391