HomeMy WebLinkAboutBuilding Permit ApplicationALL AF
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NFO MUST BE CV a PL 7 �7aFD_. y PrF11 frC1J `�N L 05 C 22HPTED
Permit Number:
Planning and !Development Services a
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (7 72) 462-1578
commercial Residential i{. w,
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of
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DESIGNER ENGINEER:
1 . Not Applicable
MORTGAGE COMPANY. Not Applicable
Name: Name:
Address: Address:
City: State: City: -
�
[`j ��''j State:
Zip: Phone: le. Zi�
p hone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDINGCOMPANY:
Not Applicable
Name: Name:
Ad d rens: Address:
City: city:
-p:
Phone: zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with an a licable Home owners A
y pp ssoc�atron rules, bylaws or and covenants that may restrict or pro•h�b�•
t such
structure. Please consult with your Home 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 BuildingCodes and St. Lucie Count Amendments.p
y
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 youra in twice for
improvements to your property. A Notice of Commencement must be r p Y g
recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorneybefore
commencingwork or recordingour Notice of Commencement,
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this Z... -day of ` + by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida }
Personally Known.
Type of Identificati
Commission No.
Revised 07/15/2014
OR Produced Identification
CHRISTINE EPPER
COMMISM6 GG 061780
EXPIRES: January lit 2021
SiWure of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
r - LUC,t
The forgoing instrument was acknowledged before me
this day of - 20 .�.. by
4czw
(Name of person acknowledging }
fVk
s
Personally Known OR Produced Identification
Type of Id'entificatio
Commission No.
CHRISTINE CULPEPPER
MY COMMI"IftI F GG 061780
EXPIRES: January 1112021
Bonded Thiu Notary PubNc Undwwrilers
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31 v 2016*
21te: 511812017
Product. Split System: Air- nlaled Condensing Unit, Coil with Bleier
Outdoor Unit Model Number: 4TTR4025LI
Manufacturer: TRANS
Indoor Unit Model Number: TMMSAOE24 21 AA
Manufacturer: TRANS
Trade/Brand name. TRANE
Region:
All AK,
AL, AR,
AZ, CA, CO, CT, DC, DE, FL, GA, N1, ID, IL, IA, #N, KS, KY. LA, MA, MD, ME,
Ml, MN,
MO, MS,
MT, NC,
Nib, NE, NH, NJ, NK NV, NY, OH, OK, OR, FA, Rl, SC, SD, TN, TX,
UT, VA,
VT,
WA,
WV, ''tel,
WP,
U.S.
Territories)
Region Note. Central air conditioners manufactured prior to January 1. 2015, are eligible to be
installed in all regions until ,lune 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in regions for which they meet the regional efficiency requirement.
Series name: XR14
Manufacturer responsible for the rating of this system combination is TRANIE
Rated as follows in accordance with AHRI Standard 2101240v-2008 for Unitary Air -Conditioning and Air -Scarce
Heat rump Equipment and subject to verification of rating accuracy by ANRI=sponsorerd, independent,, third
party testing,
Coling Capacity-(Btuh);
EER Rating (Gaoling):
SEER Rating (Cooling):
IEER Rating (Coaling):
i Ifiii i�
13.00
16_g0
Rat"s followed by an asterisk indicate a voluntary rerate of previously published luta, unless accompanied with a WAS, which indicates an Involuntary rerate.
DISCLAIMER
AHRI does not eadGme 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 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,ahridireotory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL This Certificate shall only he used for Individual. personal and PPY
confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated;
entered into acomputer database; or othervv'rse utilized, in any farm or manner or by any means, except for the user's individual,
personat anO nonfidential reference. AIR-CONi3MONING, HEATIING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITl`TE
The information for the model cited on this certificate can be verified at www.abridireetory.org,click on uVerify Certificate" link {Ve rllake
and enter the AHRI Certified Reference Number artd the gate erre which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right. i
.
02014 Air -Conditioning, �" eating, and Refrigeration 1pstitute RT FI ATE NO.: 131395 660928€l31