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Building Permit Application
<� l - _ ,� lame: Adress; Phone: �EE SIMPLE TITLE HOLDER: dame; Nddress; — --- Ziiip: Phone: _ _Not Applicanle MORTGAGECOMPANY: Not Applicable Name: Address; State: City: Zip; Phone: BONDING COMPANY: �NotApplicable Name: Address: City: 7Ip: Phone: I certify that no work or Installation has commenced prior to pp the Issuance hhof a permit, r St. Lucie count no representation leHme owne stAssoclatlon rulesabylaws or the permit Hants that meyhich subject yapply, ppp ylilbit such which Is in on Ilct with any pp structure, Pteari consult with your Home owners Assoclotion and review your deed for any restrictions which may a in in consideration accordance iratswith the approveof d plans, srthe Floridted a Building CodeI do rs and agree Coulnity Amendin all maentsperform the work 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: Youefailure Notice o, Commencement must be recorded and postin your ed oingthe ljobce site Improvements to your prop rty. before the first inspection, If you intend t oobtain ming ncement suit with lender or an attorney before Signature of Owner/Lessee/Contractor asAgent for uwner STATE OF FLORIDA COUNTY OF ucia The far Ding Instrument was acknowledged before me this F day of .Q N � Y CHRIa LANGEL'� (Namaofpersonacknowledging) Known X Type of Identlflcation rrc Commission No. RFeatatt OR Produced identification ._ Revised 07/15/2074 REVIEWS CO NING �NTER REVIEW INITIALS 8 FP �F �. s Signature of contractor/License HGlder STATE OF FLORIDA COUNTY OF snucla The for Ding lnstrumentwas�acknowledge�iporeme thisdayof cyY�— n y GHRI9 LANGEL (Name of peFson acknowledging ) of Notary Public -State of Personally Known x Type of Identiflcatlo Commission No. FPr OR Produced Identlflcation 2019 SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW 101 ru CERTIFIED° www,allridirectory.org i This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Product Ratio AHRI Certified Reference Number : 201384337 Date: 06-12-2019 Model Status : Active Old AHRI Reference Number: 8242079 AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: FRANKLIN Outdoor Unit Model Number (Condenser or Single Package) : GSX160361F` Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT47D14A' 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, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OF, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 }"Active" Model 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" Model Status are those that an AHRI Certifcation Program Participant is no longer producing BUT Is still Rcling or offering far le. b f th tar c msaa ni d by WAS indi t an' v loot ry r - t Th n w aubli h d rating is shown along with th p vi (i.e. WAS) noting. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responslbility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability far damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed an 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; tin 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.ahrldlrectory.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. "" 132048323970816019 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: