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HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGINEER:
Name:
Address:
City:
Zip; Phone:
FEE SIMPLE TITLE HOLDER;
Name;
Address:
City:
Zip:
Not Applicable ORTGAGE COMPANY: _ Not Applicable
Name:
M
TA fill rPSS: _
State: _ City: State:
Zip: Phone:
^Not Applicable
BONDINGCOMPANY: _Not Applicable
Name: _
Address:
City:_
Phone:
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
structurenPieasie conlsult with yolur Home Owners Association andrreview your deed for any restrictions which maor
aprohibit such
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 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
eeforh nfirst
inspection, I recording you
intend
oe obtain
financing, n consult with lender or an attorney before
g worl< or
cemen
s
Signature ssee/Contractor asAgent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY O F ST Lucie
The forgoing Instrum�nt,�was acknowledged efore me
this � day of /_ / 4- 20 j by
CHRIS LANGEL 1-
(Name of person acknowledging )
of Notary
Known x
Type of Identification rrc
Commission No. PPsatatt
R rtri.cad n7/15/2014
-State ofFloridal /
OR Produced Identification _
.3i G ,✓ U�9�INAL KINS•c0NNElLS
'r S5IpN#FF941411
�. tiC EX Dacember 6, 2019
`le'otil,�' Rondsd ThN NolaryPu411aU�e�w E
STATE OF FLORIDA
COUNTY 0 F sr Luae
Theforgoinginstrume was acknowled��efyeme
this�da1 yof—CC b
FOR
LANGEL
(Name of person acknowledging )
(S nature of Notary Public -State of Florida )
Personally Known x OR Produced Identification
Type of Identification Pr
��qN
4 JUETIItti ilia ow
Commission No. FEsai4 =. MY CAAi 0 dFFad,
REVIEWS COUONTER REVIEW SREVIEWOR REVIEW VREVIEWON REVIEW MR� rVV
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy Efficiency tax Credit when
LOOPo placed in service between Feb 17,2009 and Dec 31, 2016.
09111111111mal CERTIFIED
Certificate of Product Ratings
AHRI Certified Reference Number: 201300148 Date: 05-21-2019 Model Status :Active
Old AHRI Reference Number: 8004958
AHRI Type: SP-A
Series: GPC15
Outdoor Unit Brand Name: GOODMAN
Outdoor Unil Model Number (Condenser or Single Package) : GPC1548H41A'
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, Ni
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 ail regions
until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in regions) for
which they meet the regional efficiency requirement.
T"Active" Modei Slalus 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 Slopped" Modei Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
Iling or offering for sale.
R t no th tar c ma ni d by WAS Indicate an involuntary re-rate.re-rate. The new published rating's shown along with the previous (Le. WAS ra
ting.
a.
DISCLAIMER
kes no representations, warranties or guarantees as to, and assumes no responsibility far,
AHRI does not endorse the product(s) listed on this Certificate and ma
the product(s) listed on this Certificate. ANRI 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.ahridirectory.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 whole or in part, be reproduced; copied; disseminated;
NM
entered into a computer database; or otherwise utilized, In any form or manner Or by any means, except for the user's Individual, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "verify Certificate" link xe 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. "' " ' 132029142345674694
©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: