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A APPL L NFO MUST BE COMPLETED FOR APPI.ICATION
BE AC P
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Date&
Permit
C SM ,I Ion
Pli7nning and
Development
J1 and Code Re
gulation Division
,2300 Virginlia Avenue, Fort plL*rce FL 34982
Phone: (772L) 4621w:L553 Fax,: 77 462�1
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x-- Not
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DESIGNAppli"cable icable
N a ew
Name .,
Address :
State
c4t State *
zol z 0
Phone :
XFEE SIMPLE TITLE HOL-DERS Not *lc
BONDING COMPANY# x Not ica
N a able e ,,.,
Name ..
A d ress : Address . .
C Olt y
city *
ZIP 1P Z'Ppo
o
Phone -d:
Phone .
certify that no work or Installation has commenced f
pr1c)r the issuancepermit.
' t w* 11 authorize the erm-It holder to St. Lucie count makes no representation thatis
0
build the substructure
which 'th any applicable Home Owners Association ru es, y
haws or an covenants that
is in con .. Ict W1 -b 4 0 for an restrictions wnich mav
structure. Please consult with your Home Owners Association. and reviewif
In consideration of the granting of this requested permit, I do hereby agree that
in accordance with the approved plans, the Florida BuildingCodes S . Lucie County Amendments .
The following building permit applications are exempt from undergoing concurrency review : room additions.,
a II S, signs., screen rooms and arccessory uses to another accessory structures., swimming pools, fences,
nono-residential
WARNING TO OWNER,: Your fa 'llure to Record a Not'ice of Co
cement *iyourpayl* ngwise
0 * b s't o
jr rove ents to your property. A Not*ice of Commencement ust be recorded and posted on the jo i
0
If you * ntend to obta *in f'inancing, consult Wi h len er orattorneyore
be ore the fi* rst inspe ion
commencing work or recordping your Not*jce of Commencement-.
d4ft
Ode
nature of Own e r/Lessee/Contractor as Agent for Owner ture of Contractor/License Holder
COUNTY OF JLT ---rm-�
COUNTY OF
E OF FLORIDA STATE OF FLORIDA
knowledged before me The
7R
forgoinginstrument
The forgoing instrument was ac Ilk
0
r 4
this day ofr 2
1 .a
. - �Y kA
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dd� � � �
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f acknowledging )
( Name of person acknowledging )
( Name of person Signature of Notary Public- State of i
S'I'gnature of Notary Public-" State of Florida
dd )
Personally Know OR Produced Identification
Personally Known OR Produced Identification
Type of Identificationrwrit i rod Type of IdentificationProduced
SUSAN MONTENEGRU
# G1 089M NEGRO
� � � S
Commission � �i .+
ION #0, GG U9099
♦ a MID sMY MISIREst
20
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ThN Notaq U-
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f®r,., &NJ Thru Notary Puts
2
Revimsed
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
s k
-o- duct Ftati- n
.if 1cat,,, . e Of
Pr od®r gs
AHRI CeWfied Reference Number: 9968428 Date.- 9/18/2017
Products. Split System.,: Heat Pump with Remote OuWoor UnftmbAir4ource
Outdoor Unit Model Numbern 4TWR403aGJ
Indoor Unit Model Number.: TEM4AOC36S41+TDR
Manufacturer. TINE
Trade/Brand game: TMNE
Series game:
Manufacturer respons1ble for the rating of this system combination is TRANE
Rated as follows in accordance with ANRI Standard 2101240=2008 for Unitary AirmCorndWoning and Alrw8ource-
Heat Pump Equipment and subject to verification of rating accuracy by AHRIwsponsored, *indep+endent* third
party tes.fiongO
Cooling Capacity (Btuh). 36600
EER Rating (Cooling): 11 .50
SEER Rat'ling (Coofingy-i' 14*00
Heating Capacity(Btuh) @ 47 F: 34200
Region Ili` HSPF Rating (Heafing)* . - 8.450
Heafing Capacity(Btuh) @ 17 F: 600
Raflngs followed by an asterisk indicate a voluntary reraie of previously published data, unless accompanied with a WAS, mihich indicates an involuntary rerate.
DISCLAIMER
AHR1 does not endorse the product(s) listed ran this Certificate and makes no represent.atinnsr warranties a guararcftes as tu, and assumes no respdnsibitity for,
the product(s) listed on this Certificate. AHRI @}fpEP'PSSly diSdalm5 all liability for damages of any Wind arising out 4f the use or }5Bt"ft13`m8nce of the pf(3dtict(S), or the
unauthorized alteration of data listed can this Certificate. Certi#ied ratings are valid only for rnocfets .;and configurations listed in the
d4ectory at www.ahr+directory.org.
TERMIS AND CONDITIONS .�
This Certificate and fts contents are proprietary products of AHRI. This Certificate shall only be used for individual, persona! and
confidential reference purposes. The contents of this Ceftiflcate may not, In whole or in past, be reproduced; capled; disseminated; -
entered Into a computer database; or otherwise utIlxetf, In any form or manner or by any moans, except for the is individual,
personal -and canfldentiai reference, AIR-CflNDMONiN0. HE1TtNIG,
CERTIFICATE VERIFICATION REFRIGERATION INSTITUTE
The information for the rxiocleI c}tied on this certifiica'te can be- varified at www.ailridfrectory.org, ciic#i an 'verify C rtI'Ficate" link
and enter the kHR1 Corti ed Reference Number and the date on which the certificate was issued,
which is listed above, and the Gerffficate No.., vr►hith Is fisted at bottom right """