HomeMy WebLinkAboutbuilding permitTi L CE ON ST RUCT
DESIGNER/ENGIt
I N
X� % �4o? �t
Not Applicable
IiAll, 10 N
MORTGAGE
COMPANY:
I Z ee
Not Applicable
Name:
Name�
Address:
Address:
City:
Zip: Phone:
State:
-City:
Zip: .
Phone:
State:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip:
Phone:
St, Lucle Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con Ilict 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, Lucle County Amendments,
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: Your failure to R.ecord 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.
s
Signature of Owner/Lessee/Contract7 �asg6nt for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF sTwciii
The forgoing instrumen ledged before me
DkZ 2r
The forgoing instrument was acknowledged before me
this/0 day '�20 by
this /0 day of 20 �L%7
of
CHRIS LANGEL
CHRIS LANGEL
(Name of person acknowledging)
(Name of person acknowledging)
IS nature of Notary Public- State of Florida
nature of Nota'ry P6bflc� State of Florida I
ersonally Known x OR Produced Identifil
Personally Known x OR Produced Identification
Type of Identification Pro
Type of Identification P
4%�' t% a,GONNELLY
"TINA L HQPK1
JUBTINA L HQPK1
Commission No F 941411 &Z mk";� MY, 88101#FF941411
Commission No, FF0414
Decombore, 2010
RaAdtdThwNaIarJPmbII6UrK410
Revised 07/15/2014
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
JEGFTATION
"T
SEA TURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
I
e e a rence um
Series: R410AAC SPP
Outdoor Unit Brand Name: GRANDAIRE
Outdoor Unit Model Number (Condenser or Single Package) : WJA448000K**OA
Region All (AK, AL, AR, AZ, CA, GO, CTt DC5 DE, FL, GA. Tj ILI ILI IA, INI KS, KY, LA, MA, MID, ME, MI, MN, MO, MS,
MIT, NC, ND, NE, NEI NJ, NM, NV, NY, OH, OKI OR, PA, RI, SCI SDI TN, TX, UT, VIA, VT, WA, Wvt W15 WY5 U.S.
Territories)
until June 30, 2016. Beginning July 1 1 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
nIjs accoi Word bv WAS indicate an involuntary re -rate. The new Published able is shown alona with the Previous (i.e. WAS) ratina.
DISCLAIMER
Aral does not endorse the product(s) listed oil this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
he product(s) listed oil this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or tile
unauthorized alteration of data listed on this Certificate, Certified ratings are valid silly for models and configurations listed In tile
directory at wwwahrld lrectoryorg.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRL This Certificate shall only be used for Individual, personal and
confidential reference purposes, The contents of this Certificate may riot, 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 forthe model cited on this certificate can be verified at wunwalirldrectoryarg, click on "Verify Certificate" link Ive make Ine bettertu
and enter the AHRI Certified Reference Number slid the date oil which the certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right. 1322038789719480511
(92019Air-Conditioning, Heating, and Refrigeration Institute 1'6ERTIFICATE NO.: