HomeMy WebLinkAboutAlpinepermitappAIIAPP!-lc
Orte:L.0 4\\q Permit Number:
Building Permit APPlication
Planning and Development Services
Buitding ond Code Regulation Division
2300 Virginia Avefiue, Fort Pierce FL 34982
Phone: 1772\462-1553 Fax: (7721 462'L578 Commercial Residential
^))-^^-.101 Beach Ave Port Saint Lucie, Fl34952
Property Tax lD g' 3419-515-0041-000-5 Lot No.-
Site Plan Name:Block No.
Project Name:
10 KW Heat
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Additional work to be performed under this permit - check all that apply:
_Mechanical -
Gas Tank _ Gas Piping Shutters _ Windows/Doors
Roof Pitch_ Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction. 5 6800.00 Utilities:
-
Sewer
-
Septic Building Height:
lf value of construction is or more, a RECORDED Notice of Commencement is required.
2.5 Ton 15 SEER Straight CoolSplit System
466pg55.664 NW Enterprise Dr. #120
phone X6772-873-3000
State or County 1i6sn5sGAC1E14439
Nsms German Alpire
Address:101 Beach Ave
Phone 1116.77 2-87 8-1 831
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
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
..WARITING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEIICEMENT MAY RESULT IN YOUR PAYI*G
TwrcE FoR rupRovEmElrrs ro youR inoprnrY. A lrortcE br counrNcEMENT MUsr BE REGORDED AilD
POSTED ON THE JOB SITE BEFORE THE FIRST TIIISPECTIOil' IT VOU INTEND TO OBTAITT FTITANCING' CONSULT
;H,'ffi- rliirii-on nN lrroRHry eenoRr nrconouuc youn Notlcr or GoMMENCEMENT'
STATE OF FLORIDA
COUNTY OF
Personally Known OR Produced ldentification
Type of ldentification
Name of person making statement.Name of person making statement.
Personally Known OR Produced ldentification
Type of ldentification
Commission [1|9. GG273315
Lessee/Contractor as Agent for Owner
The forgoing instrument was acknowledgq{ before me
this g dey of .t,n" , 20\*\ bY
W,
RINE MILLER
Stat6 of Florida-NotarY
Com(SlEQiHn # GG 273315
My Comn{ission Expires
November 01. 2022
ERINE MILLE
State bl Florida'NotarY
Mv iommission E
SEA TURTLE
REVIEW
FRONT
COUNTER
DATE
COMPLETED
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AHRI Certified Reference Number :7599447
AHRI TYPe : RCU-A-CB
Series: SILVER 14
Outdoor Unit Brand Name : AMERICAN STANDARD
Outdoor Unit Model Number (Condenser or Single Package) :
Date : 06-03-2019 Model Status : Active
OK, SC, TN, TX, VA, AK, CO, CT, ID' IL'
RI, SD, UT, VT, WA, WV, WI, WY, U'S.
in all regions
in region(s) for
:
Performance Rating of Unitary
independeEt th'i part:r:tbs.tingl:
4A7A403011
lndoor Unit Model Number (Evaporator and/or Air Handler) : TEM6A0B24H211+TDR
Region : Southeast and North (AL' AR' DC' DE' FL' GA' Hl' KY' LA' MD' MS' NC'
IA, IN, KS' MA, ME, MI, MN, MO, MT, ND, NE, NH, NU, NY, OH' OR' PA'
Territories)
Region Note :
The manu{act*wof lhis AMEBI#N
srrn:i$s.o...ir,, =,:=t. ':,.ii'..
.. ,i
EER (A2) : Si{}gte..: :ttigh:StdtE{si,r-J
t'Active,, Model Status are those that an AHRI Certification Program Participant is currently producing AND selling_or offering for.sale; OR new models that are being
marketed but are not yet being produced."production Stopped" Model Status are those that an AHRI Certifieation Program Participant is no longer producing BUT is still
DISCLAIMER
AHRI does not endorse the product(s) listed on this certiffcate and makes no representations, warranties or guarantees as to, and assumes no responsibility for'
the product(s) Iisted on this Certificate. AHRI expressly disclaims all liability fot of any kind arising out of the use or performance of the product(s), or the
unautho/ized alteration of data listed on this Certificate. Certified ratings are valid onlrror models and configurations listed in the
directory at !vwt#.ahrldireeto.y.org.
TERMS AI{D CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for indlvidual, persqnal and
confidential reference purposes. The contents of this Certifieate may not, in whole or irt part, be reproduced; copied; dissemlnated;
entered into a computer database; or otherwise utilized, in any form or manner or by airy means, except for the user's indivldual,
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the modelcited on this certificate can be verified at wuw.ahridire[tory"crg, click on "Verify CertifX**te' Iink
and enter the AHRI Certified Reference Number and the date on which the certificate *as isued,
which is tisted above, and the Certificate No., which is listed at bottom right.
@201 gAir4onditionin$, Heating, and Refrigeration lnstitute
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