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Building Permit Applicsation
i I pi!i GINEER: ^IvotiHPNn au= State: _ city: Phone: ITLE HOLDER: _ Not Applicable Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City. State: zip; Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zlp: 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 permlt will authorize the permit ants tholde to build the subject structure structure. Please conisult Wlth yolur Nome Owners Associationtandrreview your deed for any restrictions at may which rmaor apply prohibit 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 exemptfrom 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 tbe recth le der or ad and n posted on the before before the first inspection, If you intend to obtain financing, commencingwork or recordingour Notice of Commencement, 1 ` s Slgnatureofowner/Lessee/Lontractora�nt for owner Signature of ContractorAlcenseHolder STATE OF FLORIDA COUNTY OF sr �.uaa The fo going instrumept was acknowlazgoe�cbebfyre me this day of CHRIS LANGEL 1- (Nama ofperson acknowledging ) of Known Type of Identirlcatlon rrc Commission NO, FFsaaa Revised 07/15/20J.4 REVIEWS INITIALS f7i OR Produced identification STATE OF FLORIDA COUNTY 0Fs was The forgoing instrument was acknowledged before me this�day of 20 by CHRIB LANGE4 (Name of person acknowledging j Notary Public- State of Personally Known X Type of Identlflcatlon Commission No. OR Produced Identification ERONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW AHRI Certified Reference Number : 9198582 Date : 05-24-2019 Model Status :Active AHRI Type : RCU-A-CB Series : 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA024*0**A* Indoor Unit Model Number (Evaporator and(or Air Handler) : FB4CNP025L Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Nole : 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. t"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 Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accomaanied by WAS indicate an involuntary re rate, The new published rating is shown along with the previous (i.e. WAS) rating. 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 products) 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 Ilsted on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www,altridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. Tills Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole Orin 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.ahridirectory.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.: 32032049303275267