HomeMy WebLinkAboutBuilding Permit ApplicationPLMiEN1�Al CONSTRUCTIDN�
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DESIGNER/ENGINEER:
_Not
Applicable
MORTGAGE
COMPANY:
_Not Applicable
Name:
Name:
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 ce tify 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 con lict with any applicable Home Owners Association 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, sighs, 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 your Notice of Commencement.
Signature of owner/Lessee/Contractor as gent for Owner
STATE OF FLORIDA
COUNTY OF srluclE
The for oing instrument was acknowledged before me
this day of br?Cd MIJRr 20 ,�by
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STwcIE
The for oing instrument was acJ�nowledged before me
this day of Ly 20 by
CHRIS LANGEL 1 CHRIS LANGEL
(Name of person acknowledging) (Name of person acknowledging )
( nature of Notary Pu,
ersonally Known x
Type of Identification Pri
Commission No, FF941411
of Florida )
OR Produced Identification
MY�ISuIGN R FF s41411
EX Deaember8,2919
Bonded ihm Notary Pupllo Umlemriiors
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
INITIALS
of Notary Public- State
Known x OR Produced Identification
Type of
Commission No.
SUPERVISOR I
PLANS
I VEGETATION
I SEATURTLE
I MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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AHRI Ceriihed Reference Number : 201384175 Date : 12-03-2019 Modei Status :Active
Old AHRI Reference Number: 8242074
AHRI Type: RCU-A-CB
Series: GSX16
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX160181 F*
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT25B14A*
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
ali regions
until June 30, 2016. Beginning July 1,
2016 central air conditioners
can only be
installed in
region(s) for
f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or o((ering for sale; OR new models that are being
marketed but are not yet being produced."Production Stopped" Modei Status are those that an AHRI Cedifcation Program Participant is no longer producing BUT is still
ReIling or offering for sale.
tinas that are accomoanied by WAS Indicate an Involuntary re -rate. The new aublished ration is shown along with the orevious (i.e. WAS) retina.
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,
tIe products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the prod uct(s), or the
nauthorized alteration of data listed on this Certificate. Certified ratings are valld only 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 bl 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 for the model cited on this certificate can be verified at www.ahrldirectory.org, click on "Verify Certificate" link we make life beUer�
and enter the AHRI Certified Reference Number and the date an which the certificate was Issued,
which is listed above, and the Certificate No., which is listed at bottom right.
0D
2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132198716539059893
AHRI Certified Reference Number : 9194891 Date : 12-03-2019 Model Status :Active
AHRI Type : RCU-A-CB
Series: 14 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA14NA060*0**A*
Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNP060L
Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, D. IL,
Al IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 11 2016 central air conditioners can only be installed in regions) for
which they meet the regional efficiency requirement.
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 eUT is still
cling or offering for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown alone 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 protluct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the praduct(s), or the
unauthorized alteratian of data listed on this Certificate. Certified ratings are valid only 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 arm part, be reproduced; copied; disseminated; PM
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 for the model cited on this certificate can be verified at www.alirldirectory.org, click on "Verify Certificate" link we make make life bette
and enterthe AHRI Certified Reference Numberand the date on which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right.
0
2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132198717677655829