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ALL APPLICPLU, 1 ILI T BE COMPLETED 0FAU'R AtPP1,1 CATION TO BE ACCEPTED _
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Permit Number:
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Building Permit Application
Planning and Development Services -
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462",1553 Fax: (772) 462-1578
Commercial Residential
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PERMIT APPLICATION FOR* To Select from dropbox, click arrow at the end of tine
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Total Sq. R of Construction:
Sc. Ft, of First Flavor.
=' Cost of Construction: Utilities: Sewer Septic
Building Height:
.3
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Name Y<v
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.i Address: Company: aniCIA Ilk
4 � • - w r �
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i�;_.. �y� Stated Address:dill
tq
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Zip Code*, Fax:
State. _
Pane No.� ,` - Zip Code:.6LIk Li u FaIlkx. kkkkk LA
Prone No. 12 2.--24 1P, k- {
Pill in fee simple Title Holder on newt N
;page if different E -Mail:
n
State �� fount License -
from the Owner listed above _
kk
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^' If value of construction is $2500 or more, a RECORDED Notice of Commer-ceme
nt Is reqarede
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DESIGN
ENGINEER
Name.
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip:
Phone:
Nut Applic
a[3Ie
11.
State:
Not Applicable
RTGAGE C
Name:
.Address:
PANY:
City,
Zip, Phone:
BONDING COMPANY.
Name:
Address:
City:
Zip: Phone:
Uot Applicable
Mate:
XNot Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countyy, makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an applicable Home �
y pp a owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Hoene Owners 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 I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fallowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, galls, 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 our paying twice for
improvements to your property, A Notice of Commencement mus � p Y g
. .. � t be and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorneybefore
commencing work, yr recording e
- _ your notice of Commencement.
r
/ature of Owner/LesseeContractor as Agent for Owner Si
STATE OF FLORIDA �..-
COUNTYOF .
tzi_
The forgoing instrument was acknowledged before me
this LA day of Y\AO" . : 20 f by
J
MNkC�;
I I � I
I I
(Name of person acknowledging)
- l
-/2%t
(Signature of [Notary Public-- State of Florida)
Personally Known OR Produced Identification
Type of Identificat'
.*•'".:"'••., CHRISTINE EPPER
Commission No, s* PAY-COMMI�� oO0617
Revised 07/15/2014
REVIEWS
DATE
MM PLETE
l
NITIAL S
ROWIII114 i 0_4 N "! I i 4 =R Fri
FRONT
COUNTER
0
ZONING
REVIEW
SUPERVISOR
REVIEW
F
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY of ,
The forgoing instrument was acknowledged before me
this day of �(kby
�IV
F11 Vl_� I
(Name of person acknowledging)
(Signature of Notary Public- State of Florida }
Personally KnownOR Produced Identification
Type of Identificatio
•�''`` *
CULPEPPER
/". 90 �
Commission No. � : ; � MY C0MMI"WM y OG 061780
EXPIRES: January 11, 2021
•�r f i f l�# is BMW Thlu I } y PU* Unden
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PLANS
REVIEW
VEGETATION
REVIEW
,SEA TURTLE
REVIEW
S
11►+'IANGROV
REVIEW
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Certif�cate of Product Ration
AHRI Certified Reference Number: 9162525 Date: 5i4f2017
Product: Split System: Heat Pulp with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: CH14I' Ba36*0**B*
Indoor Unit !Model Number: FV4CNF002L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIED AIR CONDITIONING
Series name: 14 BEER HP
S
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air�►ource
Heat Purnp Equipment and subject to veriflication of gating accuracy by AHRI-sponsored, independent, third
party testing:
Cooling Capacity (Btuh):
EER Rating (Coaling):
SEER Rating (Cooling):
Heating Capacity(Btuh) @ 47 R-
12-00
14.00
33400
Region int HSPF Rating (Heating). 3.20
Heating Capacity(Btuh) @ 17 F: 20600
Ratings followed by an asterisk (0) indicate a voluntary rerate of previously published data, unless accompanied with a WAS. which indicates ars involuntary rerate.
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DISCLAIMER
AHRI sloes not endorse the products) listed on this Certificate 2nd mattes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed an this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance ref the product(s), or the
unauthorized alteratiGn 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 whale or in ,part' be reproduced; copied; disserninated; pane
entered into a computer database, or otherwM utilized, in any form or manner or by any means, except for the user's individual,
Personal and confidential reference. AW -CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.abridirectory.org, click on " erlfy Certificate" link r,�e rn ke Ue beaee m
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,.
which is listed above, and the Outificate No., which is listed at bottom right
@2014 Air -Conditioning,, Heating,, and Refrigeration Institute �CERTIFICATE NO.:
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