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C BL NFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Reg Motion Division
2300 Virginia Avenue, Fort Pierce Ft 134982
Phone: (772) 4624553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FC R: To Select from dropbox, click arrow at the end of lineMC
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Property Tax ID #0.
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Site Plan Name:
Project Name:
Setbacks Front Mack: Right Side: Left Side:
Block No.
X, V X
�=i`R i f
Two
Electric Plumbing SprinklersGeneratf r Roof RoOf etch
U Shutters
Windows/Doors
Total Sq. Ft of Construction: Sci . Ft, of First Floor.
Cost of Construction: $!a,13 - Utilities. Sewer Septic Building Height:
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Names.O
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city: anj,Rj MSDj&j State:� Address. t .
Zr Code: Fax: City: State:
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Phone No. - I y Zip Code: Fa c:
E -Mail. Phone No. 1ql--A
-
Fil 'in fee simple Title Holder on next page if different E -Mail: .
from the Owner listed above) State or County License: _tom 1� �-1 i
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
a
I certify that no work or installation has commenced prior to the issuance`
of a permit,
5t. Ducie !auntymales no representation that is granting � .
St. Lu is nCounty
conflict with an a g a permit will authorize the permit holder to build .
y applicable Home Owners Association rules, € old the subject structuresuch
structure. Please consult with your Horse Owners Association and review laws or and covenants that may restrict or prohibit such
your deed for any restrict -ions which may apply.
In consideration of the granting of this requested permit, I do herebyagree that .
in accordance with the approved plans, the Florida Buil g t I will, to all respects, perform the cork
ding Codes and t, Lucie County Amendments.
The following building permit applications are exempt from undergoing P g ng a full concurrency review: worn additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory
WARNING To ow uses to another non-residential use
OWNER* Your failure to Record a Notice of Commencement � -
irnprv�rements to your property. A Notice of Commencement may result �n your paying twice for
before the first inspection. If you iernent must be recorded and pasted on the jobsite
c+arrarnn ' intend to obtain financing, consult with lender or an attorney
cin work or recording our Notice of Commencement. before
ature of Own+er/Lessee/Contractor as Agent for C caner
eouniTor OF FLORIDA ls�v - L U �
The fo going t
insr ent was acknowledged before me
this day of _� . 20 Eby
(Name of person acknowledging)
Y"
(Signature of Notar Public- State of Florida )
Personally Known
Type of Identificati
Commission No.
Revised 07/15/2014
OR Produced identification
CHRISTINE EPPER
Y -COMMIS `R G I617$0
EXPIRE . Jarwary lit 2421
Sigg,gure of Contractor.
STATE OF FLORIDA
COUNTY of
t
icense Holder
The forgoing instrument Jnr@s acknowledged before me
this day of % 20 by
(Name of person acknowledging)
P
Personally Known OR Produced Identification
Type of Identifcatior��ri--�
Commission No.
CHRISTINE CULPEPPER
W ■ x
r
AHRI Certified Reference Number: 9192742
Date: 4118/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number. CA14NA024*0**A*
IndoGr Unit Model Number: FFMANP024
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER. AIR CONDITIONING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, Hl, KY, LA, MD, MS, NC, OK, SCC TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, ISS, MA, ME, MI, N, MO, l� T, ND, NE, NH, NJ,
1�
NY, OH, OR, ISA, Rl, SD, UT, VT, WA, moi', w1, WY, U.S. Territories)
Region Notes. Central air conditioners manufactured pnior to January 1, 2015, are eligible to be
installed in VIII regions until June 30, 2016. Beginning July 1, 2016, central air conditlonQrs
can only be installed in region(s) for which they meet the regional efficiency requirement,
Series name: 14 SEER AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR, CONDITIONING
Rated as follows in accordance with AHRI Standard 2101240-2008 for unitary AirwConditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing.
Cooling Capacity (Htuh):
EER Rating (Cooling):
SEER Rating (Coaling)-
1EER Rating (Cooling):
��•tt1I#l1
11.50
14.00
Ratings followed by an asterisk (") indicate a voluntary rerate of previously published data, runless accompanied with a WAS, which indicates an involuntary rerate.
DISCLAIMER
Attff?l does not endorse the products) 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 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 intra a computer database; or otherwise utilized, in any form or manger or by any means, except for the user's individual,
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.atiridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate Nn., which is listed at bottom right.
02014 My-Ccnditiciffin, Heading,, and refrigeration institute
CERTIFICATE NO..
EMIR -CONDITIONING HEATING,
a REFRIGERATION INSTITUTE
Nve Make lid bettelm
131370083966855046