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2 unit permit
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - _ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: /,� PROPOSED INPROVEMENT LOCATION: Address: Legal Description: Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: a� 1 c— I u GU --2 CONS -RUCTIONINFORMATION: i//t'iona wor to a pe orme under this permit—check a that apply: -d Mechanical Gas Tank _Gas Piping _Shutters —Windows/Doors _Electric _ Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $V�DrO I O O Utilities: _Sewer _Septic Building Height: OWNER/ SSE : CONTRACTOR: Name Name: / � � t Addr s: 7a Company: City: State: Addre State:_ Zip Code: Fax: City: ODD Zip Code: Fax:�'7 p Phone No!�r�� a �c � Phone N . RI E-Mail: J E-Mai Fill in fee simple Title Holder on next page (if different l CC State or County License: from the Owner listed above) If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. mmal CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number :8625304 Date:02-22-2018 Model Status :Active Old AHRI Reference Number : AHRI Type :RCU-A-CB Series :XR16 Outdoor Unit Brand Name :TRANE Outdoor Unit Model Number (Condenser or Single Package) :4TTR6018J1 Indoor Unit Brand Name : Indoor Unit Model Number(Evaporator and/or Air Handler) :GAM5B0A18M11 Furnace Model Number: Region :All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,10,IL,IA,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS,MT,NC,NO,NE,NH, NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SO,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 conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. The manufacturer of this TRANE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary Air-Conditioning &Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity(A2)-Single or High Stage(95F),btuh :18900 SEER :17.00 EER(A2)-Single or High Stage(95F) :14.50 IEER : t'Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale;OR new models that are being marketed but are not yet being produced.Production Stopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still sellingorofiedngfor sale. t. r a WASI rating. ari ed by WAS indicate a in oltnta re-rate The new bushed r pno is shown alone w th t a"ra"'^--'s - DISCLAIMER AHRI does not endorse the products)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the products)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 D CONDITIONS ctory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used for intlfvltluai,personal and confidential reference purposes.The contents of this Certificate may not,In whole or in part,be reproduced;copied;disseminated; entered Into a computer database;or otherwise utilized,In any form or manner of by any means,except for the user's individual, AIR-0ONDINGNING,HEATING, personal and confidential reference. a REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahridirectory.oig,click on"Verify Certificate'link ",e make life bete,- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which Is listed at bottom right. 131637787762093115 ©2018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: This combination qualifies for a Federal Energy Efficiency tax Credit when CERTIFIE ' placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number :8676071 Date:02-22-2018 Model Status :Active Old AHRI Reference Number AHRI Type :RCU-A-CB Series :XR16 Outdoor Unit Brand Name :TRANE Outdoor Unit Model Number (Condenser or Single Package) :4TTR6018JI Indoor Unit Brand Name : Indoor Unit Model Number(Evaporator and/or Air Handler) :TEM4AOB18S21+TDR Furnace Model Number: 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,VW,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 conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. The manufacturer of this TRANE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIIAHR12101240 with Addenda 1 and 2,Performance Rating of Unitary Air-Conditioning &Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity(A2)-Single or High Stage(95F),btuh:18800 SEER :16.00 EER(A2)-Single or High Stage(95F) :13.50 IEER : }'Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale:OR new models that are being marketed but are not yet being producetl'Production Stopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offedng for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new oublished rating is shown along with the previous(ie.WAS)rating DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the produa(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.ahrl(irectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal antl confidential reference purposes.The contents of this Certificate may not,in whole or in pan,be reproduced;copied;disseminated; entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's Individual, SIM personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTRUfE The information for the model cited on this certificate can be verified at www.ahridlrectory.org,click on'Verify Certificate'link we m.,kc life Imtw,- antl enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which Is listed at bottom right. ©2018Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 1316377851236SM70