HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC SLI NFO MUST BE COMPLETED FOR APPLICATION CATIo To BE ACCEPTED
Permit Numbe
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BuildingAmm
Planning and Development Services - Ot Application
Building and Core Regulation Division
230 `ir il7ia Avenue! Fort pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
PERMIT APPLICATION FOR
Address., At to L4- Vw
Legal Description: i 1
Property Tac 1D #:
Site Plan Name:
ProjectName:
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4.0 AC Gas Tank I JGas Piping
Shutters
[]ElectricPlumb,__,_in05prinklers Generator
Total 5. FS of Construction:
SF ��. of Fiat Foo
Cost of Construction: . , .. �
...Cl-Ut•�iltles, _._-- Seer
from the Owner listed above)
If value sof construction is $2500 or more,, a
Karnes
Company,
Address: •:
r:
o's/Voors
peptic Building Height:
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city:
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Zip Code: SLACI 4 L Fax:
Phone No. mi 1 `7 LI In.i
E -Mail:
State of
eco# G1@ IMULice oT GOMmencement Is required.
State:
:.14 "
I certify that no work or installation has commencedrior to the issuance uance of a permit.
St. Lucie County makes no representation that is granting a permit
which is in conflict with an a p will authorize the permit hold
Y applicable name Owners Association rules, bylaws or and pcovenants that build the restrict
orsubject structure
structure. Please consult with your Horne Owners Association and review o at may restrict or prohibit t such
your deed far any restrictions which may apply.
Inconsideration of the grantin of th• .
in accordance with the
approvers reHuested permit, I dv hereby agree that I will, in all respects, perform the
pp ed plans the Honda Ruildfl r d p work
1 ng v es and at, Lucre LauntyAmendments,
r�
The following building permit applications are exempt from
accessory structures, swimmin poolp undergoing a full concurrency review: room additives,
g p s, fences, wails, signs, screen rooms and aceessa
WARNING TO OWNER,* Y ny uses to anather non -presidential use
Your failure to Record a Notice of Commencement mayres
improvements to year property. A notice of Cvn� result �n your paying twice far
before the first inspection. If you intend Commencement must �e recorded and posted onthe�c�bs��e
cornnen ` , y end to obtain financing, consult with lender or an a
cin work or record1n our Nonce ofQn�nencenent, ttvrney before
r
-*01 < )FJ r zv
*�
Pla�re�ofoEwnerf Lessee/Contractor as Agent for [owner
Si�� are of �ontractvr,�License Halder
STATS OF FLORIDA .
a U TY oLlSTATE a F FLORIDA ,
U-
aNT aLU�,.
The forgoing instrument was acknowledged before me The forgoing instrument was a
this day of 20 ckncw#edged before me
y this day of �' 4
by
r RP
(Game of person acknvwledging )AMI t�_Irpw�'�
(Name of person acknowledging)
A ^r
signature of Notary Publlc� Mate of Florida }
Personally Known OR Produced Identification
Type of Identificat'
sa f ,:.R lri.A CHMSTII�G EppER
Commission Na,
COMMI GG 061780
EXPIRES: January 11, 2021
Revised 07115/2014
Personally Known
Type of Identification
Commission No.
- - . .. r r f %, J
OR Produced identification
-1
CHRISTINE CULPEPPER —
My COMMI"0f GG 061788
:4 * EXPIRES; January 11, 2021
°�`'" M Thru Nowa Pd* Ian
4 -11 Lot; t 1L;JL19J.MA
AHRI Certified Reference Number: 8858422
This combination) qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016a
Date: [2612017
Product: Split System: Air -Cooled Condensing Unit Coil with Blower
Outdoor Unit Model Number. 4TTR6061C1
Indoor Unit Model Number: TEM6AOC60HS [+TDR+UFIMRZ
Manufacturer: TRANE
Trade/Brand name: TRANS
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IL, IA, IN, KS# KY, LA, IIIA, NID, ME,
Will li N, MO, NIS, MT, NC, ND, NE, NH, NJ, NM, NIS, NY, Olt, CCK, OR, PA, RI, SC, SB, TNN
tw T$ VA, VT. '11AfA, ill, W1, WY, U.S. Territories)
Region Note; Central air conditioners manufactured prior to January 1, 2015,. are eligible to be
installed in all regions until ,dune 30, 201£. Beginning July f, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement
Series name; XR16
anufteturer responsible for the rating of this system combination is TRANEE
Rated as follows in accordance with AHRI Standard V012404008 for Unitary Air�onditioning and Air -Source
Heat Pump 'Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing
Cooling Capacity (Btuh), 68000
EER. Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
* Ratings followed by an asterisk (Y) indicate a voluntary rerate of previously published data, udess accompanied with a WAS, which Indicates an involuntary reran.
DISCLAIMER
AHRI does not endorse the products) listed orn this Certsficate 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.ahridireactery.orrg.
TERMS AND CONDITIONS
This Certificate and Itscontents are proprietary products of AHRI. This Certifioate shall only be used for Individual, personal and
confidential reference purposes. The contents of this Cerdfcate may not, in inhale or In part, be reproduced; copied, disserninated;
entered into a computer database, or otherwise utilized, 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,abridirectory.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference plumber and the date on which the certificate was issued,
which Is listed above, and the Certificate No., which is listed at bottom right.
0201.4 Air -Conditioning, Heating, and Refrigeration institute
AIR-CONDITliONINOT HEATING,
& REFRIGERATION INSTITUTE
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