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HomeMy WebLinkAboutBuilding Permit Application'F'i � - S' +` LEMENTAi CONSTRUCTION LIEN LAW m.s I((F 11 EIR MTI®N 'S ..... �r , DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Applicable Name: Name: _Not Address: - Address: City: State: _ City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: 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 permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Assomation rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. 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 the jobsite before the first inspection. if you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement, s Signature of Owner/Lessee/Contractor as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF srLuae The forgoing instrument was ackn wledged before me this Z day of D�GP�M ✓20 �by STATE OF FLORIDA COUNTY OF srLuae The forgoing instrument was acknowledged before me this day of 20 � by CHRIS LANGEL'� CHRIS LANGEL (Name of person acknowledging) (Name of person acknowledging ) ( nakure of Notary Pui ersonally Known x Type of Identification Prc commission No. FF941411 Revised 07/15/2014 -State of Florida) /) (s/gnature of Notary Public- State of Florida ) oR Produced Identification Personally Known X OR Produced Identification �..�• Type of Identification Pr ,^ ,IU811NALHOPKINS1CONNELLY s JUam NIINA V{' MY SSiGNkFF 941411 Commission No, EFs414 i ,k 4 fl gQ1�S h :. �'. FX�Dacamber8. W -n;._ .V h1yC0�1U aFF94i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. AHRI Certified Reference Number : 202208513 Date : 11-30-2019 Modei Status :Active AHRI Type : SP-A Outdoor Unit Brand Name: FRANKLIN Outdoor Unit Model Number (Condenser or Single Package) : GPC1536H41 B' 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, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, 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. The manufacturer of this FRANKLIN product is responsible for the rating of this system combination. 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 Certification Program Participant is no longer producing BUT is still selling or offering for sale. Retinas that are accompanied by WAS indicate an involuntary re rate. The new published rating is shown along with the previous (i.e. WAS) ration. DISCLAIMER AHRI does not endorse the producl(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 listed on this CeKlficata, Certified ratings are valid arty for models and configurations listed In the directory at www.ahrldirectory.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 & REFRIGERATION INSTITUTE The information farina model cited on this certificate can be verified at www.ah rid Rectery.org, click on "Verify Certificate" link we make lit 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. ©2019AirConditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132196919010430656