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Site Plan Name., Block No.
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CH Gas Tank []Gas Piping Shutters []Windows/Doors
Total ■ ■ ■ . . of First Floor:
cost of ■ ■ [lewer ■ ■
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• • • • 11 or • RECORDED NotiCe of commencement ir required.
JUL-25-2017 TUE 08:03 AMCENTRAL SCHEDULING FAX No. 3212686138 P- 003/004
DESIGNER ENGINEER! Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address'
City: State:. City: State:
Zip: Phone: Zip:_Phone:
FEE SIMPLE TITLE HOLDER- Not Applicable BONDING COMPANY: __Not Applicable
Name: Name
Address: Address-,
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 2ermit will authorize the permit holder to build the sUbj6Ct structure
which Is In conflict with any applicable Home Owners Association rule$,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners Association and review your deed for any-restrictions which may apply.
Inconsideration 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 areeixemptfrom 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 your paying twice for
irnprOVernentS 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
commencing work or recording your Notice of Commencement.
SignatureI 6f wner[Auerit/L ee signature of Conpetor.License Holder
STATE
STATE 7.LORIDA 1 -
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of this day of 20-1-4 by
(Name of person acknowledging (Name of person acknowledging)
uu�
-isf6a-ture of Notary Public-St-AeIorida (Signature of Notary�Publlc- tate of
'Personally Known-1—OR Produced Identification Personally Known__X_OR Produced Identification
.Type of identification Produced., Type of Identification Produced
CommisM6nhlo. mmission No. 12— {Seal)
alratheidne Koen co
n0T1723 2 Cathe
rIne KO*hgW.,
Revised 07/15/2014
,
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ST oOND
W2
REVIEW5 FRONT ZONING SUPERVISOR PLANS VEGETATION 5EA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVI>W
DATE
COMPLETE
INITIALS
JUL-25-2017.TUE 08;03 AM CENTRAL- SCHEDULING FAX No. 3212686138 P` 004/004
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Certificate of Product Ratings
AHRI Certified Reference Number: 7510388 Date-7/24/2017
Product:.Split System:Air-Cooled Condensing Unit,Coll with Blower
Outdoor Unit Model Number:14ACX.036.230A**
Indoor Unit Model Number: CBX25UH-036-230.*
Manufacturer: LENNOX INDUSTRIES,INC.
Trade/Brand name:LENNOX
Region:All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,Hi, ID,IL, IA,IN,KS,KY,LA, MA,MD,ME,
MI,MN, MO,MS,MT, NC, ND, NE,NH,NJ, NM,NV,NY,OH,OK,OR, PA,RI,SC,SD,TN,TX,
UT,VA,VT,WA,WV,WI,WY,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 conditloners•
can only be Installed in reglon(s)for which they meet the regional efficiency requirement.
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IEER Rating (Cooling):
Ratin®s followed by an astedsh t')Indicate a voluntary rerate of prevlouely publlvhod daha,unil"s occompenled with a WAS,wtucn indicates an Involuntary rerate.
'DISCLAIMER
AHRi does not endorse the product(s)listed on this Certificate and makes no representations,warranties or l;uar intees us to,and assumes no responsibility for,
the produot(s)listed on this:Certlfloete.AHRI exprossiy disclaims all Ilebllltyfor damages of any kind erlaing out of the use or performance of the product(s),or the
unauthorized alteration of data listed on this Certificate.Certified ratings are valld oniyfor models and configurations listed in the
directory at www.ahrldlrsctory.org,
TERMS AND CONDITIONS
This Cortifiatto and its contents aro 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 whole or In part,be reproduced;cooled;dlssenninat®d;
enterod Into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's Indtviduel,
personal and confldential reference, AIR-OGNDI TONING,HUATiNG,
CERTIFICATE VERIFICATION &aEFNittIERAT1aN INbTiTUTt
The Information forthe model cited on this oeMfioate can be vedRed at www uhridirootory.org,click on'Verify Certiflcete'link :ve nwhc lire better-'
and enter the AHRI Certified Reference Number and the date on which the cortificato was iasucd,
whlcf►Is listed above,and the Certificate No.,which is listed at bottom right.
ERTI IC T NO. 13g45373833231782Q':r>
X1201A Alr Conditioning Heating and Refrigeration Institute i:C F A a°a,l.:;^: : x rr a Nr