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i � Dates. Permit Number.
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Planning and Development Services
Building and Carie Regulation Division
2300 Virginia Avenue.. Fort Pierce FL 34982
Phonee. (772) 462-1553 Fax: (772) 462-1578
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Commercial Res dent i a I �)"N
PERMIT APPLICATION Fob: To Select from dropbox, click arrow at the end of line
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F*050 gee simple Title Holder on neyit page (if different: E--Mai1: Y%4X\l Ckn y- k nn CS C
qrom the Owner listed above) Mate or County License. �
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER, �t Not Applicable: .
MORTGAGE COMPANY. Not Applicable
Name:Name:
Address: Address
city: State: City:
State:
ZipfF phone. Zip: Phone:
Ir
FEE SIMPLE TITLE HOLDER: Not Applicable p BONDING COMPANY, ^1 Notpp licable
Name: Name:
Address: Address.-
City:
ddress.City•
City'
Zip.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 any ,applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit 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 Building Cedes 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, walls, signs, screen rooms and accessory uses to ,another non-residential use
WARNING To OWNER: r Your failure to Record a Notice of Commencement may result in your paying ng twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the Jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
co_rnmencing work or recording your Notice of Commencement,
ature of Owner/Lessee/Contractor as Agent for Owner Si ure of Contractor/License Holder
COUNTY OF FLORIDASTATE OF FLORIDA
5� _ :� COUNTY OF
The forgoing instrument was acknowledged before nye
this day of 20 �Tby
J
(Marne of person acknowledging)
(Signature of notary Public- State of Florida
Personally Known
Type of Identifical
Commission No.
.used 07/15/2014
OR Produced Identification
CHRISTINE CU4PEPPER
Y_COMMIS&GO 061780
EXPIRES: January 11.2Q27
The forgoing instrument was acknowledged 'before me
this day of �-�'`�[ ,�� b.. __� 20 by
(fame of person acknowledging)
Personally Known OR Produced Identification
Type of Identificatlo
Y'; %40 CHRISTINE CULP`EPPER
Commission No. MY COW" C 061780
:°- 10
EXPIRES: January 11 1 2021
Bv4wThrNotary P Undewi m
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
,REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016F
AHRI Certified Reference Number: 9133435
Date: 6/27/2017
Product: Split System: Air*Cooled Condensing Unit, Coil with Flower
Outdoor Unit Model Number: 4TfR7060AI
indoor Unit Model Number: TE 6AgC6OH5'1+TDR+UF/HRZ
Manufteturer: TRANS
TradeiBrand name: TRANS
Region: All (AK, AL, Alit, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, 1D, 1L, lA,1N, KS, KY, LA, MA,
Ml, MN, MO, PIIS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, Cli, CCK, OR, PA, Rl, SG, SD, TN, TK,
UT, VA, vT, WA, WV, W1. WY, U.S. Territories)
MD, ME,
Region Note: Central air Gonditioners 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 be installed in region(s) for which they meet the regional efficiency requirement.
Series name: XR17
Manufacturer responsible for the rating of this system combination is TRANE
Rated as follows in accordance with AHRI Standard 2191240-21108 for unitary AirnConditioning and AirZource
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored,, independent, third
party testing.
Coaling Capacity (Ftuh).
EER Rating (Cooling):
SEER Rating (Cooling):
lEE'R Rating (Cooling):
57500
13.00
'16.50
• Ratings followed by an asterisk i) WGate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s) li ved on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product($) lisWd on this Certificate. AHRI expressly disclaims all liability for damages of any Idnd arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed an this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.abridirectory,org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AW. This Certificate stall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whale or In part, be reproduced; cnpled; disseminated;
t for the user's individual, �i
entered into a computer database; or otherwiseutilized, In any forrrrn or Manner or by any means, except
personal and confidential reference. AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
CERTIFICATE VERT€ ICATION
Tho information for the model Cited on this certificate can be aeriize€3 at www.ahridirectory.org, click on "'verify Certificate" fink vve make lite betterw
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Cen f cafe No., which is listed at bottom dght f _ 1114-'40U. 3X3441.5.
X2014 AIT -Conditioning, heating, and Refrigeration Insthute
9