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NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number.
Planning and DevelopmentServices .
Building and Code Regulation Division
2800 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address,
Legal Description,
Property Tax I
Site Pan Marne;
Project Mamie:
Setbacks Front B
Residential �4______
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Total Sq. Ft of Construction:
Cost of Construction:
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Fill'in fee simple itle Holder on ne t page (if different
from the fluuner Hated a ^
Name,
Wmpan :
Address:
CIP
ity:
Zip Codes ALICI
Phone No.
V=J State or County Ucense;
If value of construction is 2500 or more, a RECORDED Notice ommencement Is required.
� red.
Vis. •
Fax:
ate:
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I certify that no work or installation has commenced prior to the issuance of aP ermit.
St. Lucie County makes no representation that is granting a permit will authorize the permit h '
hick is in conflict with an applicable p older to build the subject structure
y pp able Home owners Association rules, bylaws or and covenants that may restrict yr prohibit such
structure. Please consult with your Home Owners Association and review your deed for an restrictions p ch
In con .d t'
Y . ns wh ich may apply.
ply.
s era V" U1 the granting of this requested permit, I do hereby agree that I will, in all respects, perform th
in accordance with the approved Inn th FI 'd ' ► p e work
V s, a ori a Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency
accessory structures, swimming review: room additions,
g pools, fences, walls,i
signs, screen rooms and accessory uses to another non-residential use
WARNING TO owNEM° your 4:na t R
• ureo ecoru a Nonce or Lommencement may result in your paying twice for
�rnproven��ents to your property. A Notice of
before t , . Commencement must be and posted on thejobsite
he first inspection. if you Intend to obtain financing, consult with I
co�nmencin work or recordin �r ender or an attorney before
e your Notice of CommPncCrnent
ature of Owner/Lessee/Contractor as Agent for Owner Si
STATE nroFORIoA 'S� 1,UL1 t::.
The forgoing instrument was acknowledged before me
th is day of .I La 20 Eby
(Name of person acknowledging)
Y""
(Signature of Notary Public- state of Florida )
Personally Known
Type of Identifical
Commission No.
Revise. 07/15/2014
re of Lontractor/License Holder
STATE of FLORIDA
CO U N TIr" F
u1j. f
4�Lk %,:�
The forgoing instrument was acknowledged before me
this 2.1 day of , ) ��L
VA C _,�, ob
....�,. y
S
111d1ne yr person acKno'I ledging
OR Produced Identification Personally Known<
Type of Identificativ%kiaw;k
CHRISTINE CULPEPPER
V_C0MM1SWI Ga 061 r
EXPIRES. January 11 r 2021
Commission No.
OR Produced Identification
CHRISTINE CULPEPPER
Y COMMI fSM Y GG 0611780
EXPIRES: January 1#, 2021
BvKW 7htu Notuy Pub0c Undwmftem
# -1 0 A
M 14 _11!t A
AHRI Certified Reference Number: 7490506
Product: SinglewPackage Air -Conditioner, AirmCooled
Model Number: 50ZPCO42---30**
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER
Date: 6/22/2017
Region:
All AK,
AL, AR,
A,2, Chi, CO, CT, CC, ISE, FL, Get, Hi, II], IL5 IA,, IN, ISS, KY, LA, MA, MD, ME,
MI, MN,
MG, MS,
MT, NC,
ND, NE, IVH, NJ, NM, NV, NY, OH, CIS, OR, ISA, RI, SC, SLS, TN, T7{,
SIT, VA,
VT,WA,
WV, VVI,'I
Y, 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 he installed in region(s) for which they rrteet the regional efficiency requirement.,
Series name:
Manufacturer responsible for the rating of this -system combinafton is CARRIER AIR CONDITIONING
Rated as follows in accordance with AHRI Standard 210124,04008 for Unitary AirwConditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRlwsponsored, independent, third
party testing.
Roofing Capacity (3tuh):
EER Rating (Cooling):
SEER Rafting (Cooling):
IEER Rating (Cooling):
4'1000
11-50
14.50
Ratings followed by an asterisk (") indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates ars involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certif=te and makes no -representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Gertificate. AHRI expressly disclaims all liabliity f€ar 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 Certiflcate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, pemonal and
confidential reference purposes, The contents of this Certificate may not, In whole or in part, he reproduced; copier#; disseminated;
entered into a computer database; or otherVise utillxed, In any form or manner 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,ahridirectory.org, click on "Verify Cerfificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was Meed,
which is lisbW above, and tate Certificate No., which is listed at bottom r1ght. F7
19)2014 Xlr-Condltionlng, Heating, and Reffigeration Institute
Alli -GE NPITiioil ING, HEATING,
& REFRIGERATION tNSTITI