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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Date: 3/8/21 1� [L MOC ' _ry_ ° ° ----Building-Permit Application-------- — — planningandDevelopmentServices Residential X Building and Code RegulationDivislou Commercial 2300 Virginia Avenue, Fort Plerce FL 34982 Phone: (772)462-1553 Fax: (772)462 1578 PERMIT APPLICATION FOR; Address: 121 queen ann ct Property Tax ID 4: 1414-701-0203-000-9 Lot No. Block No, Site Plan Name: Project Name: barbara langer _ LIKE FOR LIKE A/C CHANGE OUT 4 ton, 16 seer, 9 kw New Electrical Meter __._Second Electrical Meter Additlonalworktoheperfonned underthlspermit—check all that apply: _Pond Mechanical _Gas Tank Gas Piping _Shutters Windows/Doors — Pitch Electric ^PlumGenerator Roof bing Sprinklers _ — Sq• Ft, of First Floor: _ Building Height: Cost of Construction: $ 7363.00 Utilities: _sewer Septic Total sq. Ft of Construction: Name Barbara langer — Liqueen ann ct _ city: fort rce pie_State: fl Zip Code: 34949 rax: Phone No. 772-595-3645 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Christopher Langel company: Sea Coast A/C and Sheet Metal Inc., Address:3108Industrial 31stStreet _ city: Ft Pierce state: FL zip Code: 34946 Fax: 772 448-4416 — Phone No 772-466-2400 E-Mail info aa)seaco iL.c9m_ State or County License CM 0 �21__ — If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is regr If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. Name: Addre! City: "al T[TLE HOLDER; Name: City: zip:. ne: Vot Applicable State: Not Applicable MORTGAGE COMPANY: Name: _ Address: City: — BONDING COMPANY: Name:_ Address: City:_ Pho Not Applicable Not Applicable L—_ OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to no the work and installation as indicated. I certify that no work or installation has commenced prior to the Issuance of a permit, St. Lucie CountttyylI.makes noyyi epresentation that is granting a permit will authorize the permit holder to build the subject structure trucltis urenPleasecconsiilt wlthpyorurHorne Owners sAssociation catioi and review your deed f i any restrictions whichtmay applyhlb t such -- --In-consideration of -the -granting -of this requested permit, Ldo hereby agree that.l_will, le ail 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 fi om 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 t. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorne before commencing work_ or recordin our No ice of Commencement, of Owner/ Lessee%Contractor as Agent for owner STATE OF FL I P S orn to (or affirmed) and subscribed before me of Physical Presence or _Online Notarization this 8 day of march J 2021 by �r Name of person ma king statement. Personally Known COR Produced Identification _-._ Type of Identification ,(f5ignature of Notary P lCommission REVIEWS FRC Cou DATE_ RECEIVED Jl13TINAL. STATE OF FLO � COUNTY OF c CG'� Swo n to (or affirmed) and subscribed before the of Physical Presence or __Online Notarization this dayof_march 202Zt by CCU"tS hey Name of person making statement, Personally Known /\ OR Produced Identification Type of Identification of Notary Public- Statefof Florida NS VEGETATION EW REVIEW pacembor AHRI Certified Reference Number: 202540498 Date : 03-03-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series : MERIT ML14XC1 SERIES Outdoor Unit Brand Name : LENNOX Outdoor Unit Model Number (Condenser or Single Package) : ML14XC1-047-230A** Indoor Unit Model Number (Evaporator and/or Air Handier): CBA25UH-048-230-** Region : All (AK, AL, AR, MD, ME, Mi, MN, 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 Certification Program Participant is currently producing AND selling or offering far 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 Iling or offering for sale. R 1 a that mp d by WASindicate an ' v lunt ry re -rate. The new published t' a Is shownalong with the previous (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 products) 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,alirldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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 (lie user's individual, personal and confidential reference. AIR-CONDITIONING(HEATING, & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information fertile model cited on this certificate can be verified at wwwahridirectory.org, click on "Verify Certificate" link we make life beuer^' 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. 132592677359540721 ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: