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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/9/21 Permit Number: r Lao R I o A Planning and Development Services Building and code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)46211578 PERMIT APPLICATION FOR; ng-P-ermitApp Commercial Residential X Address: 5949 cariton rd Property Tax ID it: 3209-700-0003-000-0 Lot No. Site Plan Name: Proj ect Name: �IU LIKE FOR LIKE A/C CHANGE OUT 3.5 ton, 14 seer, 10 kw New Electrical Meter Second Electrical Meter_ Additional worl<to be performed under this permit—checkall that apply: Mechanical _Gas Tank Electric _Plumbing Tota[ Sq. Ft of Construction: Cost of Construction: $ 6447.00 _Gas Piping _Sprinklers Block No. Shutters Windows/Doors _Pond Generator _Roof Pitch Sq. Ft, of First Floor: Utilities: _Sewer _Septic Building Height: Namewia saianw Address: 5949 cariton rd _ City: fort pierce State: fl Zip Code: 34987 Fax; Phone No. 561-301-5251 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:3108 Industrial 31st Street city: Ft Pierce state: FL Zip Ph Code: 34946 Fax: 772-448-4416 one No 772-466-2400 E- Mail info@seacoastair corn State or County License CMC035421 value Name: Christopher Langel company: Sea Coast A/C and Sheet Metal Inc. Address:3108 Industrial 31st Street city: Ft Pierce state: FL Zip Ph Code: 34946 Fax: 772-448-4416 one No 772-466-2400 E- Mail info@seacoastair corn State or County License CMC035421 value of construction (s 2500 or more, a RECORDED Notice of Comm UI�PLEMIT,AL CONS�RUCTIQN LI�N�L/ U11 IFO)�RM`ATLON DESIGNER/ENGINEER: _ Not Applicable Name: _ MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: _Zip City: State: Zi Phone ----_ FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Not Applicable Name: Address: Address: City: City:_ Zip: Phone: Zip; Phone: OWNER CONTRACTOR AFFIDUIT: Application Is hereby made to obtain a permit to do the work and installation as malcateq. I certify that no work or installation has commenced prior to the Issuance of a permit. St. Lucie Coon �tfly makes norepresentationthat is granting a permitwill authorize the permit holder to build the subject structure structurenPlease conisult wlthpyoiurHoineOwners AssAssociation c a ion landrrevlew your deed for any restilcltlonrs whichtmaor applyhlbit such In consideration ofthe -granting -of this requested.pennit, Ldo hereby agree that 1 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 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 commencing work or recording your No ice of Commencement. as Agent STATE OF FLO 1 P COUNTY OF��^ � Q C,t Sworn to (or affirmed) and subscribed before me of Physica I Presence or _Online Notarization this �day of 8U11 USY J2021 by �Indkie.r 11L Name of person m king statement. Personally Known X. OR Produced identification, Type of identification Commission Jl13TINA ti Signature STATE OF FLO COUNTY OF r lf�.! nto (or affirmed) and subscribed before me of S o Physical Presence or Online Notarization this 9 dayof auqusf — 20ZI by Cain, hLr Name of person making statement Personally Known OR Produced Identification Type of identification of Notary Public- Statetof Florida • •`• • • AHRI Certified Reference Number : 9194414 Date : OB-O6-2021 Model Status :Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: 14 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA14NA042*0**A* Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNF042L+TXV Region : Southeast and North (AL, AR, DC, DE, FL, CA, HI, KY, LA, MD, MS, NC, 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, SD, 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 which they meet the regional efficiency requirement. i"Active" Model Status are those that an AHRI Cerlifcati0n Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yaf being produced:'Production Stopped" Model Status are those that an AHRI Cedifcaticn Program Padiclpant is no longer producing BUT is soil selling or offering for sale. Ralinos that are accompanied by WAS indicate an involuntary re -rate. The new published ration Is shown along 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. Cart 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 he used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; Aim 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 we make life better^ 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1a2yzyzsasgys44�s1