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HomeMy WebLinkAboutBuilding Permit Application<� l
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�EE SIMPLE TITLE HOLDER:
dame;
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_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.: