HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR AP
PLICATION To BE ACCEPTED
Gate:
Permit Number.-
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Building
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Planning and Development,services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 3498.E
Phone: (772)462-1553 Fax-, (772)462-1578 Commerc1ai _____..1, _ Residential
PERMIT APPLICATION FOR:
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Cost of Construction: 4
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Phone No.a:2 �71 .� IO 0
Fill In fee simple Title Holder on next page if different
from the owner listed above -- L 1=4
3 State or County License, y
f value of construction is Zoo or more
t a RECORDED Notice of Commencement is require
DE IGNER/EN [NEER: , Not Applicable MORTGAGE
OMPANY S Not Applicable
Name: Name;
Address: Address:
City. State: City: _ State:
zip. Phone: Zip: Phone:r -
FEE SIMPLE TITLE HOLDER, Not Applicable BONDING COMPANY: Not Applicable
Name: Name
Address: Address:
City- city$
di zip. Phone.
dips Phone: , e
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 an applicable Home owners Association rules bylaws or an v t may
y pp y �covenants that y 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 Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency.review:,room adds ons,
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
improvements to your property, A Notice of Commencement must be recorded and posted on the 'obsite
before the first inspection.,If you intend to obtain financing, consult with lender or an attorney before
commencin r recordW&yatir Notice of Commencement
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Signature of owner/Lessee/Agent Signature of ontractor/License Folder
STATE of FLORIDA � STATE of FLORIDAJ
COUNTY OF ctF _ COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this = QL day of �� t "'° �, h� this , day o , �_f 120 by
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(Name of person acknowledging) (Name of person acknowledging)
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(Signaturenature of Notary Public-State of Florida SifWature of Notary Public-State of Florida}
Personally Known OR Produced Identification Identification
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cation Personally Known � R Produced Identification z�
Type of Identification Produced Type of Identification Produced
1 T�rfd .. °M4i9468 d4dt8
Commission No. +r.a rd 9.,.r,.,1 •., .ICI"ARIE �3 HAR Commission No. °`"�!��r��'`''°��.. DA�Ilf�►& CARD
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. o+ MY COMMISSION#FF12 526 ,+►9"> :,►� MY COMMISSION#FF1 25526
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Revised � �1� o l
RE":V EW S FRONT OMI G SUPERVISOR PLANS VEGETATION SEA TU R TUE MANGROVE
COUNTER Vi!W REVIEW REVIEW REVIEW REViEW REVIEW
DATE
-COMPLETE
INITIALS ;f
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This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
CER""TIFIED6
www.ahridirectory.org
Certiti tA";&dAft t tAft; of mrm-0-dm-d mum tAm;kt RtA"thtal I i$JS
NINE
AHRI Certified Reference Number :201287711 Date:02-22-2018 Model Status :Active
Old AHRI Reference Number :7942559
AHRI Type :RCU-A-CB
Series :
Outdoor Unit Brand Name :RUUD
Outdoor Unit Model Number (Condenser or Single Package) :RA1642AJ1
Indoor Unit Brand Name :
Indoor Unit Model Number(Evaporator and/or Air Handler) :RBHP-24
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,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 RUUD 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 :41000
SEER : 16.00
EER(A2)-Single or High Stage(95F) :13.00
IEER :
$"Active"Mode!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
selling or offering for sale.
Ratio s that are accompanied b WAS indicate an involuntar re-rate. The newpublished ratio i shown alon with the revious i.e.WAS ratio .
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 product(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 w,,vw.8 i d Ilya,,cok�y.o rg.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and aim
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 or by any means,except for the user's individual,
personal and confidential reference. HEA-1fiING,
CERTIFICATE VERIFICATION R.FR 0E Filf&�l0 N INST,'"TOU
The information for the model cited on this certificate can be verified at va n t3 z w a g ,° ,click on"Verify f "link
we niake life bettet—
and enter the AHRI Certified Deference Number and the date on which the certificate was issued,
which is listed above,and the Certificate No.,which is listed at bottom right.
Ail'-Conditioning, Heating,and Refrigeration Institute � CERTIFICATE NO.: 131637847653682285
2018 g9 g, g