HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE W0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12�512-D18
C06 TY
1 1.a R 1 0 A
Permit Number -
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SUPPLEMENTAL CONSTRUCTION LIEN LAW I F RMATI _
NF EI INEER: Not Ap pi ica b le ORTGu�6E COMPANY:
� _ a
Address.
City:
tate:
Zips Phone
FEE SIMPLE TITLE HOLDER Chat App ficab.e
[dam:
Address:
City:
Zip= Phone -
Not Applicable
Name,
City::
zip Phone,
BONDING COMPANY. —Not applicable
Name:
Address,
Zip= Phone.
1 iV f +t4 ?F FFaC' `: + pp�ioation is hereby made to obtain a germi4 toda the work ;i ad instaIla.ti-on as ir�dicated
i Certify that no work or Tans to Ila. is n has commenced Prior to the [ssua nre of a pe r n it,
Lucie
'ur hir,h is -in ori dct with any pp i�-a'Ne ionth at is HO a Owners granting
� aC onerm i r les, bylaws
s o r an covenpermit ants
holder to build st ict -or ct 5tru rte r
_ � is that may restrict � `t
structure, Please consu It vwth Your Home Owners Aissoclation and reView yo u r -deed for any r�esfr Cti0n:& which may oa p rLy- su��
!T, cons ideratRon of the grain ing of this raquested permit, f do 4ereby agree that [ w711, In all respects, perform [he work
in a{cord;ance with the aPPraved plans, the Florida Buildine Codes and St. Lurie County Amendrnenis-
The feffowing building permit applicat[ons are exempt fi'orn undergoing a ful[ concurrency review: morn additions,
aeces-sort' 5t.ructur , swimming poo[s, fent-es, walEs, signs, screen rooms -and accessory uses to another nor-residentfal use
WARNING TO OWNER: Yaur failure to Record a Notice of Lorninencement r'ay result in your paying tvta<i fo-F
improvement5 to VOur PMPertY. A Notice Of Cornmencemerit must be l'-er-Orded and POSted on the jobsite
before the first inspection_ Jf you intend to obtain f nancirti , consult with lender -or an attorney befcr
comment n work or recording D r Notice of COM.Mencement,
Y
Signature .o Owner/ ssee/Co ntrackor as Agent for Owner i attire ref Contractor/LiiEense Holder
STATE OF EL JRIDA
COUNTY OF
The forgoing instr rut s a awledged Before ren
this ,day of 2 Idby
s
Na �e of p `laking Statement
Per!W)naily ovwn � DR Prof used identification
TYpe Of Pde€�tif imition
Produc-ed
ja1KHJ1u re IDT MYER FuDlic- .Mate of � flr da }
r411,�NNCAJA too
ILA, onnamuplirIr G,2 -
RE "V1
ri x
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GATE
RECEIVED
DATE
COMPLETED
Rev- /2/17
STATE OF FLORIDA
COUNTY OF a 3
The a wing irtistrt� nt Wa5 atoknOwi&d ed Oefore me
this � day Of - 26-L by
NaQl�_btPcrwn making 5.tafe.Ment
Pena Known X OR Produci2d identification
Type of Irdentifioa'tion
ilr oducpd
int u re of hl u7-,j-
AA
R I i -ate Of f"iari d a)
ComInnisF,jon No-
.SER t I PLAINS I' CA W
� '_1 1 AN(iRC)VE
REVIEW REVIEWj4p'� a;� E lE f
.x.
N61:3. Pubjle 5L`tt 01 H}�irn
Catherine rz)o snt-
or L:
Ti1i:F, combination qualifies for a Federal Energy EffidenOy tax Credit when
pJaced in -Sarum between Rib 17,2009 and Dee 31,201-6.
Certificate of P�ASNLrvid:UC7�1 Katflnr-1-15�
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AHRI Certified Referenc* Number - 20120 ?45 Date 0-23-201 Q
model Status =Adihre
Oed AF-HRJ Reference Nurrtbu :7,943714
ertes
Outdocir Unit Brand Name : RHEEM
u door LW
t LMlyd'er rqum (Condora:-�er or Single Paci�age) -RA1660AJI
Indoor Wit Brand, .N;mme
ti Indoor Limit MadO Nurnbe- r (I=vapors r andfor Air Handler) ; RHIT5O24LSTAN
Fumac�, Model Number
Region ;Alf (AK, AL, AR. AZ, CACO` GT, DC, DE, FL, GA. H!, 10, 1L. EA, IN, KS,. KY, LA, MA, MJD, ME, M1, M.N, M0, Nf . Iii, NC, ND, NES NH.
NJ, NM, MN, NY, OJ -t. IDK, ()R., PA, RI, SC. SID,iTN, 7X, VT- VA. V7.'ArA. L' v- VVII. WY, U -S. Territories)
Region Note ; Central eir con lzlNoners. manufactured prior to Janvaryr 1, 2015 ars; F :. gible to tap- instafled irM 41 re0ions untrl JLrrte 30, 2i116,
Begirinirlg ,dui} 1, 2016 central air conditionem can onty be insWled "rn r gi6n{!3) for which they meet the rpgiDnal efficiency
reQuirment_
-Ebe m rrufa rer of this RH EEM product IS respond kyle for ft, rating of fins s}sf€mn combiirialljon,
Rated as follDws in a ordancethr tl r
i�C S- 1 edi ion 01' AN-SliA Rl 2101240 wilh Addenda I and 2, PerF0TMnnc — Rabpg of Ufiltary Air- nrdilicoirlg
Air -Source Heat Pump E=qujprnBrtt arpd subject to gating accura by AHRI--sponsmod, indepnrident. thlyd part_w testing:
Cool"in0 Cape -city (A2) - 5.ingle or High Stage (9.5F), b uh , S DD
w„
SEER
EER (A2) - Singlu, or High Std (gyp) : 13.00
-rActia e' Model 1'tM are thane lh-,5tan AHFZI CertiJca60q Phxgrarrk Ptar%nt j:g currenAV j)rodudrig ANO seiang of 01fe ing far alt ;CFS r5r�' mels eh�� �r� �ira�
sk�4e� tsabl r,rta nct }+eI Fjin R 'dut rJ -Pro-nuet a mt^ I D&4 �� a m tt —, that an AFLR.1 IG3L-n Prcgrem P'irti6.san! � no loner prod D-,�rg 4kt3 is, atrtil
fflaIli Gr torr ade
r tin s that aMrxrn�ni� 514f lost
A�� re - ,The new pi iF� f d � i , is shown : Inn with ih Fr au i ak W63 r$ttn
r
AMR] dot* not endorse the prcd+uo
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ttsj disd On t�als� rtllraate and mc kcs na-!-.1re_-sontei ori, warrant,eS or ruaranfees as to, and 4*55urraes noire
the product(s) Irsfied on t.h[,s Cert[fiC*tt;,AHRI ff-AP)rcssly disdafms all 11614-14y far darn-O&S of any kind arising 4tll of the use a7 span�itelljkyr for,
unpaathoriaed eltvvration ofd dished ort this Certitigatc. erttlit �d ti sari valid �til�r for rr�a le anra riftirr5ti n-� listed i r�errrn r,oa €aF tlae F,rro uatf � r l
WregtOry at .:.,
FERIVIS AND CONDITIONS
This Cefttliwty and Its a mtontsare proprietary "duc*s of ARRI. 7h4s Q�ertitlCate shm2l only he u.wO For indlv1dui[, porsanal oo:d .
con1l13ar-1191 referkenm purpose -s. Tho caMenl5 rxf tats CL�rtlf raate may not, In whale or In parte ho Tepcodt,ved; cupled;dl!w-rn1nated; 1
entered Entoo ,o computer database; Lit othenvigo U;Aaer , in any Ear nni -or rn-anner oar by .anyr. LYteaktr. OValat L�WitW (iwr s inOsvi^dual, _sr
Orrson®I a" cckrhdenhal reference.
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E1 TlFfifa4TE 1 1Fi4: Tldy l :P Fr P. Ir- R'ATIOUI�s TF;�
The tnFewrn tiatfm the nn ir' dick an—verif'f aartFl3�:•�r'" Isnk
4dcl cited on the �r1if'Icat;e CFin be uc, ,ry�d LI ti•�1'1.71"�rir,$j:r��trSr ••..
and anter fhc AHRI Cert d Rcf£feneu Wumtyee and the date sn which the certificzte wa$ hue'd. � �' � Irfc bcrrm�
wlAch S, Irstsd sbaue. and the Cori Yeats Nix, whic-h I- lh�bpd at bmtom right_
92,018 AI r onditi oni ng. H eali ng, a n d Refrigeration Institute CERTIFICATE NO.: 1 316121 1403871 1 62$