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DESIGNER/ENGINEER:
Not
Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City: P
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:
a
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit Such
structure. Please consu It 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 d o 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-residentlal 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
I
commencin work or recording your Notice of Commencement,
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Signature of Own er/Lessee/Contractdr�Nsgent for Owner
Signature of Contractor/Llcense Holder
STATE OF FLORIDA
STATE OF FLORIDA
Luc
COUNTY OFIST WGIE
COUNTY OF sTuuca
The forgoing instrument I wledged before me
The forgoing instrument was ackn owledged before me
this day of fft 20 liby
this day of (delKA 20 by
CHRIS LANGEL
CHRIS LANGEL
(Name of person acknowledging)
(Name of person acknowledging)
nature of Notary P6bIIc,State of Florida I
(S' nature of Notary Public -State of Florida
rsonally Known x ORR Produced Identification
n�wqo
Personally Known x OR Produced Identification.
T ype of Identification Prod � I
pe of
Type o Identification P
t,41 8 INA L H PMN CONNEL Y
'qQ1 JUSTINA L HOPKIN8,00NNELLY
iSSION011941411
Commission No., F 941411 MyNMy 831 N FF9 I
9
CoMMIss]DnNo, FFO 14
Comm Isslon N
019
Dartambom 2019
5X Dartam GrII 2
U Twalars
Dondod Thou Notary Pubro Utwervaiters
Oro eIr I ui� 0
wo Th
Revised 07/15/2014
REVIE S
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
I
e e e en
AHRI Type, RCU-A-CB
Series: GSX14
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GSX140241L*
Indoor Unit Model Number (Evaporator and/or Air Handler): AWUF25XX16A*
Al IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, Vvl� WY, U.S.
Territories)
until June 30, 2016. Beginning July 10
2016
central air conditioners
can only be
installed in
region(s) for
nas e a22 amanied bv WAS indicate an involuntrov re -rate. The new oublished mine is shown clean with the erosions (i.e. WASI-satino.
DISCLAIMER
ANTI does slot endorse the product(s) listed oil this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the products) 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 the
unauthorized alteration of data listed oil this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www,alirldirectory.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 !it 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
Tire Information forthe model cited on this certificate can he verified at www.aliridlrectory.org, click on �Vorffy Certificate" link loe snake life bettct�
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, 132204808834128378
I92019AIr-Conditioning, Heating, and Refrigeration Inst ute CERTIFICATE NO.: