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DESIGNER/ENGINEER, _ x Not
Appliecable ot
Name ,.0 am 0 AG 0
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A d ress ,,
Address ,
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State ,
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FEE SIMPLE TITLE HOLDER ,: x Not Appll* cable BONDING COMPANY, x---,,,,,,,.Not Appi 'lcable
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Name .,
Address ,, Address .
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Icertifythat work
-commenced pr6ior to the issuance of a permit,
Ste L
ucie
which "sin representation that Is
"d with any applicable Home ownersAssociabionrules,
structure. Please consult 1your Homy owners Association and review your deed for any rest dctio ns which may apply.
In consideration of the grarnting of this requested permit, I do here v a ree that I wi in all res S
0 1 - . ect
in accordance with the approvedplans,
The followiffing building permift exem
accessory structures., swimming pools, fences, screen
WARNING TO OWNER ,* Your fal*lure
0 g t * e for
I rove ents to your property, A Noti*ce of Co � mencement
be ore the f*lrst inspect ion .
commencin work recordingyour
"
All
natureOwner/Lessee/Contractor as Agent for Owner ature of Contracto'r/Ucense Hol P- r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF'
ekvm� VCOUNTY,. wr
The for oing instrument was acknowledged before me The forgoing instrument
this 4t `7 "I -
L
b::Cje , 20 by
dD
(Name of person
acknowledging )
ZOO" ad
aignature of Notary
Public- state Floddi
Personally Know
Type of Identificationrz a q 9011111
1 1 ip SUSAN MONTENEGRO
r
# GG
Commission N .
+� "� cc) 08W99Commission No.
1
i SUSAN NEGRO
EXPIRES , 4 2021
MY COMMISSION # GG 089099
sm&�d P�N Nouq pwx uww*�=
EXEI RE a* &)d 2 - 20 21
61 ln&d Tnru PUtk
tm
Reviased 07/ 15/2019%-j Q
REVIEWS FRONT ZONING
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REViEW
DATE
COMPLETE
INITILALS
.► This combination qualifies for a Federal Energy
Efficiency Tic Credit when placed in serrice .
between Feb 17, 2009 and Dec 31 , 2016,
d'
-e of Pro u . t FZat s
'i cat
(; ertif ng
AHRI Certified Reference Number: 10239675 Date: 9/19
/201 7
-Products SpIft System: A*rjoCooled Condensing Unist, Coil with Slower
Outdoor Unit Mode[ Number, CAI 6NA037*0**jAk*
Indoor Unit Model Number: FX4DN(B,F)03'7L
Manufacturer:*.. CARRIER AIR COND1110NING
Trade/Brand game: CARRIER AIR CONDITIONING
Regiom, Southe' ast and North (AL, AR, DC, DE, FL, GA, H1, KY, LA, MD, MS, NC, OK, SC, TN', TX, VA.
AK:2 CO, CT,, IQ, IL, [A, INm KS, MA, ME, Mi. MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA., Rly SD
-1 UT, VT,, WA, WV, W1, WY, J.S. Terdtories)
Region Note: Central sir conditioners manufactured pnor to January 1 , 2015, are eligible to be
installed in all regions until Jane 30, 2016. Beginning July T, 2016, central air �cand�rivr�er�s
can only be ir�stal ed iri reglon(s) for �rh��ch they meet the regional efficiency requirement.
aeries name: 1 6 SEER AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
Rated as follows In accordance with AHRI Standard 2101240,.*2008 for Unitary Al'ormConditionina and AirwSource
Heat Pum p. Equipment and ,subject to verification of rating accuracy by AHRImsponsored, indeRendent, third
party 9
Cooling Capacity (Btuh): 34400
EER Rating (Cooling): 13.00
SEER Raking (Coofilng),.- 16-00
1EER Rating (Cooling),
�r
* 'Ratings followed by an asterisk indicate a voluntary rera#e of prevrously published data, uNess accomponier# with a WAS, which irk€cat s an Envukrnfiary rerate_
DISCLAIMER
� AHRI dQ@s not ef1d+DFs@ the product(s) I1St£[I D'#1 this Certificate and mBkeS T1Q CP.pl"eSP.Rt2ti4l1Sr Wa rraT1tie$ 0r gu a ra n tees as to, aY!d asS11mf3s 1`1fl reSpO1351bIft for,,
the product(s) listed on this GertkfiCate. AHRI expressly[y C{iSClaitrkS all iiaboity for damages 17f any Wina arising out of the LISP or pet'€f7Ri1arFce Ut m4' product(s)3 or the
unauthorized alteration of data listed on this Certificate. CertiHed ratings are: valid only for models and configurations listed In ths
directory at www.ahridfrectr►ry.org.
TERMS AND CDNdI'F!l?N5 � �I
This Certiflcate and fts cantents are propfietary products of AHRt_ Tfjm Certificate shall only be used for indiv dual, personal any# �
mfidentiaJ reference purposes. The cornents of this Certi cate may nit, in whole or in part, be reproduced; copied; disseminated;
entered -in-to a t,omp+zter database; or otherwise utftzed, in any form or manner or by any means, except for the user's individual!,
Personal and confidential reference. AIR-CoNDMQNtNG, HEATiNG�
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the rrevdsi cued on this certificate can be verified at wvvw.ahvidFrectary.org, click an "iierity certificate" fink 'We make fife be4terr"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
whichis listed above, and the Certificate No., WhiCh iS listed at bottom fight.
02014 Afr.4Dondibmonlng, Heating, and Refrigeration Institute CERTIFICATE NO. : 131 $02983100858050