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DESIGNER/ENGINEER:
Not
Applicable
MORTGAGE
COMPANY:
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:
t r4. i I I I
which is in conflict 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 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 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
I
commencin work or recording your Notice of Commencement.
SlgnatureofOwner/Lessee/Contractor s g6ntforOwner
SIR" uro of Ow er�
Signature of Contractor/Llcense Holder
STATE OF FLORIDA
TE 0
STATE OF FLORIDA
OUNTY OFIST LUCIE
C Co Y 0 T Luc
COUNTY OFSTLUCIE
The fo Ing instrument was acknowledged before me
The forgoing Instrumentwas acl�nowledged
b&fore me
thisTdayof Zw4e4zZI, 20 /.1 by
this Z�� day of
20 by
CHRIS LANGEL
CHRIS LANGEL
(Name of person acknowledging)
(Name of person acknowledging)
A Kon 10 11111,
A (NI "7A &=L4
IS nature of Notary Public- State
of Florida I
nature of Notary Pu lic-, State of Florida
ersonally Known x OR Produced Identification
7
Personally Known X OR Produced Identification
Type of Identification Pro
Type of Identification Prgci;"z&
,oil fie JUIrTINA L 1-101`0540NNELLY
Myj 88107NW941411
"I
I
commission No F 941411
6* 20ig
6* 201!)
Commission No. FF9414 L
NNELL
mycom S&P,
pop xIm or
iyl EXI Dooember
44 r P jailwomfliam
fit
941411
Rftuizij�7.
11
LI
Revised 07/15/2014
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW REVIEW
6VIJ
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPL:ET:E
:P
INITIALS
HRI Certified Reference Number:
Old AHRI Reference Number :
Product : Water4o-Air and Brine -to -Air
Model Number : SOPCVO6OL/R*C3/CD
Brand Name : CARRIER
verification of rating accuracy by AHRI-sponsored, independent third party testing:
WLHP (Water -Loop Heat Pumps)
Air
Flow
Rate -
Cooling:
1900
Air
Flow
Rate -
Heating:
Cooling Capacity (Btuh)
Cooling EER Rating (Btuh/watt)
Cooling Fluid Flow Rate (gpm)
Heatin
Heatin
Heatin
Conlin
Conlin
Heating
Heating
Heating Fluid Flow Rate (gpm)
ncloor Blower Motor Fan Type
.60/13.60
.00
.00
5"'Im ale
Ratin'qsotrhoa't'ea'rine'a'coc'osmp�nied by WAS indicate an involuntary re -rate. The new Published rating is shown along with the previous (i.e. WAS) rating.
DISCLAIMER
AHRI 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 the
unauthorized alteration of data listed an this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www,alirldlroctory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.Thls Certificate shall only be Used forindividual, personal and
confidential reference purposes. The contents of this Certificate may not, Inwhole or in part, be reproduced; copied; disseminated; &4M
entered into a computer database; orotherwise utilized, in anyform or manneror by any means, except forthe user's individual,
personal and confidential reference. AIR-CONDITIONING� HEATING,
REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information forthe model cited on this certificate can be verified at www,alirldirectory,org, click on "Verify Certificate" link we nialke life lbeuer�
and enter the AHRI Certified Reference Number and the date oil which the certificate was issued,
which is listed above, and the Certificate No,, which is listed at bottom right. 132206309961265341
@2019 Air -Condition ing, Heating, and Refrigeration Institute CERTIFICATE NOff: