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Building Permit Application
DESIGNER/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.: