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MOLLET PERMIT
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/10/2022 Permit Number: CO_ �. ° Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginlo Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding �� PERMIT APPLICATION FOR: PROPO��T21MP�tOVsEMF�ITLQ�i�'T410N � � �' Address: 3431 S INDIAN RIVER DR Property Tax ID #: 2426-421-0001-000-4 Lot No. Site Plan Name: Block No, Project Name: CHRISTIANE MOLLET ' `` pETJ��LLED DE��RIPT1�1yQ� WORK L `" �` � LIKE FOR LIKE AC CHANGE OUT (2) AC SYSTEMS - 1- 2.5 TON,16 SEER 10KW 1- 2 TON, 16 SEER 1 OKW New Electrical Meter Second Electrical Meter. (Affidavit required) Additional workto be performed under this permit — check all that apply: XMechanical Gas Tank _Gas Piping Shutters _Windows/Doors ^Pond _ Electric Plumbing _Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft, of First Floor: Cost of Construction; $ 14,885.00 Utilities: Sewer Septic Building Height: CONTRACTQ QWNER(LESE _ Pe a Name CHRISTIANE MOLLET Name: Christopher Langel Address: 3431 S INDIAN RIVER DR _ Company:���t Qir an Qh of �/afal Inr FT PIERCE State: FL Address: 3108 INDUSTRIAL 31ST STREET City: Zip Code; 34982 Fax: City: FT PIERCE State: FL 772-332-5876 E- Zip Code: 34946 Fax: 772-448-4416 Phone No. Mail: Phone No 7 2-466-240 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 CMC0.95421 If value of construction Is 2500 or more, a RECORDED Notice of Commencement is required, If value of HAVC Is $7,500 or more, a RECORDED Notice of commencement is required. SUPPLE�LII=NT�A�GONSTR(]C�'(OPLLI>=N LAW IMR�R�yIA�PION DESIGNER/ENGINEER: _Not Applicable Name: , � r s _ MORTGAGE COMPANY: _Not Applicable Name: _ Address: Address: City: Zip: Phone: __State: _ City; State: _ Zip: Phone FEE SIMPLE TITLE HOLDER; Name: _ Not Applicable BONDING COMPANY: Name: Not Applicable Address: Address:. Cit. City: Zip:Phone: Zip; Phone: OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permute do the worK and mscanaaon as maicaLnu1 certify that no work or Installation has commenced prior to the issuance of a permit. St, Lucieconflicts ywith anV aprepresentation le able Homeown rsgAssotclat]on rules bVlllawshor and covenants that maybrestrict osubject p ohib structure structure, Please consult with your Homeowners 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 1 will, in all respects, perform the work in accordance with the approved plans, the For 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 )obsite before the first inspection. If you intend to obtain financing, consult ., r.,.c,..,, rnrle nr rprnrrlina vour Notice of Commencement. Wltn lie/n-uel ui au aLw1ucy ..... .. .,. .___. _...�,-_.. .. Signature of Contractor -or -owner Builder as applicable STATE OF FLORIDA COUNTY OF ST LUCIE Sworn to (or affir ff ubscribed before me of X Physical Presence orOnlineNotarization this 10 day of , 20 22 by CHRISTOPHER LANGEL Name of person making statement, Personally Known X OR Produced Identification_._. Type of Identification Produced ( nature of Notary Public -State o" Florida) Commission No �� Neal) :At�'`Y' +, JUSiINAL.HOPKINSCONNELLY i MY COMMISSION8OO940662 ipt. o= EMPIRE8:Deoembar17,2023 'EfyOc' Banded rive Notary public UndelWislo REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED — DATE COMPLETED Rev Eligible for ■�I CERTIFIED"' www.ahridirectory.org Certificate of Product • AHRI Certified Reference Number : 201830194 Date : 03-10-2022 Model Status :Active 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) : GSX160311A` Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT39C14B` Region : All (AK, AL, AN, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, AlIIN, KS, KY, LA, MA, MD, ME, Mi. MN, MO, MS, MT, NC, No, 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. f"Active' Model Slalus 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 Codification Program Participant is no longer producing BUT is still oiling o R t area for sale. t' g that r a c "manced by WAS indicate an involuntary re -rate The new oubiished rating is shown along with the orevious (I.e. WASI 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 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 producthd, 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; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except fertile user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahrldirectory.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. 132913910004301850 02022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: .8- 0 ru ■ouI CERTIFIED® www.abridirectory.org AHRI Certified Reference Number : 201830189 Date : 03-10-2022 Model Status :Active 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) : GSX160241 F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT33C14B* 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, MN, MO, MS, MT, NC, NO, 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. }"Active" Modei 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" Modei Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or g for sale Ratings thatat areare accompanied by WAS indicate an Involuntary re -rate. The new published rating 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 ilability for damages of any kind arising out of the use or performance of the protluct(s), or the unauthorized alteration of data Ilsted on this Certificate. Certified ratlngs are valitl only for models and configurations listed is the directory at www.alirldirectory.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, [it whole or in part, be reproduced; copied; disseminated; NM entered Into a computer database; or otherwise utilized, in any farm 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 for the 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. ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132913906767478793