HomeMy WebLinkAboutBuilding Permit Application'i
__ , �
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_-_.�
Name:
Address:�
City:
zip; _ _ _ Phone:
Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State: _ 'City, Stater
zip; Phone:
FEE SIMPLE TITLE HOLDER; _Not Applicabie
Name:
Address:
City:
Zip: — Phone:
BONDING COMPANY:
Name:
Address:
�NotApplicable
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie Count'�''' makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure• pleaseeconsult with your bHome Owners Association andrrevlew your deed for any restrthat
ct ons which restrict
ya 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 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 thejobsite
before the first inspection, if you intend to obtain financing, consult with lender or an attorney before
„R ,wnrlt nr recordiriR your Notice of Commencement,
Signature of Owner/Lessee/Contractor as�gent for Owner
STATE OF FLORIDA
CO UNTY O F sr Lucie
The f�or�oing Instrument was acknowledged before me
this _? day of �% a _
CHRIS LANGEL l-
(Name of person acknowledging )
ature
Known x
Type of Identification Hrc
Commission No. rrea+a++
Revised 07/15/2014
INITIALS
OR Produced identification
pecember
�� s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF erLucla
The forgoing instrument was acknowledged before me
this �% day of � 20 7 by
CHRIB LANGEL
(Name of person acknowledging )
of Notary Public- Sfiate of FI
Known X OR Produced Identification
Type of
Commission No.
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
This combination
qualifies
for a
Federal
Energy Efficiency tax Credit when
placed in service
between
Feb
17,2009
and Dec 31, 2016.
Certificate of Product Katin
AHRI Certified Reference Number: 20202551, Date : 05-30-2019 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) : CA16NA048'0"B`
Indoor Unit Model Number (Evaporator and/or Air Handler) : FZ4ANP048L
Region: Southeast and North (AL, AR, DC, DE, FL, CIA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
Al IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, vW, 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 1, 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
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 Slopped" Model Status are those chat an AHRI Certifcation Program Participant is no longer protlucing 8UT is still
Iling o fta' for sale.
R t'ng that ma maneed by WAS indicate inv lunt ry 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 product(s) 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 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;
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 IS REFRIGERATION INSTITUTE
The Information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on AVerify Certificate" link we make life beuctw
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.
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132036979391311635