Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address; City: State: _ 'City, State: Zip; Phone; Zip: Phone: FEE SIMPLE TITLE HOLDER; Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip; Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. ",Luc! Countyy makes no representation that Is granting a permit will authorize the permit holder to build the subject structure which is in contllot with any applicable Home Owners Association rules, bylaws or and covenants that may restrict y rpp 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. Lucle County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, 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 jobsite before the first inspection, If you intend to obtain financing, consult with lender or an attorney before Signature of owner/Lessee/Contractor as Agent for owner STATE OF FLORIDA COUNTY 0 F sT Lucie The forgoing rostrum was acknowledged before me this � day of �� 20 fby CHRIS LANGEL"t` (Name of person acknowledging j ( nature of Notary Pui ersonally Known x Type of Identification Prt Commission No. FF941411 Revised 07/15/207.4 -State of Florida) / ( Eli Produced Identification u h F'• 48TINA L HOPKIWCONNE LY "•' '•= did`a; MY�881QNNFFP41411 :k .iG EX De ,or 6, 2010 'lPa.:ebe 9andcd Thm 1401afY M110 Umla*t6N Signature of Contractor/License Holder STATE OF FLORIDA CO UNTY O F srtuaa The forgoing instrument was acknowledged before me this � day of �t 20 by CHRie LANGEL (Name of person acknowledging j of Notary Public- State of Florida mor Commission No. 2tl19 REVIEWS SREVIEWOR VREVIEWON SREVIERVTJIE COUNTER REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certifed Reference Number : 201384313 Date : 05-21-2019 Model Status :Active Old AHRI Reference Number: 8242079 AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160361F* Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47D14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS, MT, NC, NO, 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 I 20W central air conditioners can only be installed in region(s) for f"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 (ling or offering for sale. Retinas that are accompanied by WAS Indicate an Involuntary re -rate. The new published ration is shown along with the previous (i.e. WAS) ration. 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 (lability 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.ahrid irectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whale or in part, be reproduced; copied; disseminated; AM 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.allridirectory.org, click on "Verify Certificate" link we make life better' 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute "CERTIFICATE NO.: 132029122000534903