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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/22/21 Permit Number; Building -Permit Application-..-___—. Planing and Development Services X Building and Code NegulationDivision Commercial Residential_ 2300 Virginia Avenue, Fort Pierre FL 34982 Phone: (772) 462-1.553 Fax: (772)462-9578 PERMITAPPLICATION FOR Address:4200 n highway a1a 41011 -- Property Tax ID tt: 1423-501-0171-000-9 Lot No.__ Site Plan Name: Block No. Project Name: george koutsoubis.._, LIKE FOR LIKE A/C CHANGE OUT 2 ton 14 sePr 5 kw New Electrical Meter Second Electrical Meter Additional work to be performed under this permit— check all that apply; X.Mechanlcal _Gas Tank _Gas Piping _Shutters Electric __Plumbing _Sprinlders Total Sq, Ft of Construction: Cost of Conshruction: $4800.00 •_Generator Sq. Ft, of First Floor: Windows/Doors _ Pond _ Roof Pitch Utilities: _Sewer _Septic Building Height: pW�EB,I�ESSE�ET,��ONTR?',C�OR� NameoraeJSO +�^ h;¢ Add ress:140 monmouth rd Name: Christopher Langel company: Sea Coast A/C and Sheet Metal Inc. Address:3108 Industrial 31st Street City: Monroe township _state; NJ Zip Code: 08831 Fax: Phone No. 732 801-4537__ City: Ft Pierce State; FL Zip Code: 34946 Fax: 772-448-4416 Phone No 772-466-2400 _ E-Mail:_ _.__ 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 CMC035421 If value of construction Is 2500 or more, a nceUnueu rvouce or wrnmenceui= DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Name: — Name: Address: _ Address: City: _ _ State: City: FEE SIMPLE TITLEHOLDER: _NotApplicable I BONDINGCOMPANY: Name:_ Address: City:_ Zip: Name:_ Address: _ Not Applicable _Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and installation as indicated, I certify that no work or installation has commenced prior to the Issuance of a permit. St, Lucle Count tyl makes noyrepresentation that is grant] ng a perm it will authorize the permit holder to build the subject structure ssttrructurenPleaseconsultwithyourHomeownersAssocationtand eviewyouisdeedtot any estrlictionsthat whiichIrcayapplyhlbit such --In-consideration of the- granting of this requested permit, I.do hereby agree that .IwilI, Jr. all.resppcts, perform_the work in accordance with the approved plans, the Florida Building Codes and St. Luce County Amendments. The following bullding permit applications are exempt fi'ont 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 paying twice for improvements to your property, A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commettcin worl( or recording your No Ice of Commencement, as STATE OF FLO,,RIPP S rn to (or affirmed) and subscribed before me of Physical Presence or___Online Notarization this 22 day of febru2021 by Name of person m Icing statement. Personally Known X. OR Produced Identification Type of Identification Produced _ ylSignature of Notary Pu Commission No. JUBTINAL. NOPKINS REVIEWS FRO COUP DATE _RECEIVED DATE COMPLETED STATE OF FLORIgA ��—� S o ro to (of affirmed) and subscribed before me of _, Physical Presence or Online Notarization this 22 day of february 202E by 2RD Sher �&), e Name of person making statement. Personally Known % OR Produced Identification, Type of Identification re of Notary Public-StateOof Florida NS I VEGETATION =W REVIEW AHRI Certified Reference Number : 201407615 Date : 02-19-2021 Model Status :Active Old AHRI Reference Number: 8631966 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241L* Indoor Unit Model Number (Evaporator and/or Air Handler) : AWUF25XX16A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, INC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, 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 }"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 R(lingo Hering for sale. U o th t re .panced by WAS Indicate an involuntaa re -rate. The published rating is shownalone with the p (iWAS) r tig 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; AM 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.ahridirectory.org, click on "Verify Certificate" link we make life beueiT4 and enter the AHRI Certified Reference Number and the dale on which the certificate was Issued, which is listed above, and the Certificate No., which is listed at bottom right. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 325 2204860414932