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F C - --.-- - - ..( - ____ . __ . . . . . . .. ­.. ____ W . . ___ IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIUMM Phone No. -.1m) : t ) ft C* .k ?p -e . - . - . -.0.0-0-00 __ . - WE- IWI CN% ,,,, = . - -, --- .. . . I I .. . . . - ______ Fill In - S1 e 0 a Eftfi&-da. a 0 f, 't '' 1, I . %�% � � . .. ( If a i 48 .� IiI ,I 0 - 4 . . C., �. r1% __' - , !��n =P&� Ex 101 . - _16%� 0"Mm"Ift 7 � IMN i i rm the Owner I a . or County in. . . I IM " . . ... - . r - _. . _­ - ­ __ - -, . - __ -----No - . - _... - - ------- __ _. - . . _ . __ ___ ___ ___ . .. . . _ --- ff valuea 60%eg% I ��Iii : I ..-.-.---. ...... .. 4W 0 . . - . _... Mml 9=W,Wdw or OWNER% CONTRACTOR AFFIDVI-: Application is hereby made to obtain a permi# to do the work and "Installation as indicated-. 1 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 �s in conflict with any applicable Wome 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. Inconsideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work in accordance with the annroved n1ans. the Florida Building Codes and St, Lucie Countv Amendments. 4h The follow ing building permit applications are exempt from undergoing a full concur ncy review: room additions, accessory structures, swimming pools, fences, wails, 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 paying twice for i46mprovements to your property. A Notice of Commencement muse be retarded in the public records of St. Lucie County and posted on the jobsite before the first inspection. if you intend to obtain financing, consult with lender or an attornevbefore commencwln work.or record"in our Notice of Commencement. ignature of Owner/ Lessee/Contractor as Agent for Owner Sig # actor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY ofcouNnr oF,S� CAW. i Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of C000f ysical Presence or Online Notarization rhysical Presence or Online Notarization this ay of '3"�"-,—�. . 2020 by this:711day of �-�r'1 .2020 by FL Or Name of person making statement. Nistne of person aking statement. Personally Known ��` OR Produced Identification _ Personally Known 4-woox���OR Produced Identification Type of Identification Type of identification Produced-_- Produced. (Signature of Notary Publ*c9"State oif Florida) (Signature of Notary Publiow State of Florida ) Commission No. (Seal) Comm1ssionNo,._____ (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED .,No, ev. .5/6/ZG L a This combination qualifies for a Federal Energy Efficqi'ency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. ��rtificate of Product Rahn S g AHRI Certified Reference Number: 201285991 Date : 01-16-2021 Model Status: Active Old AHRI Reference Number: 7942207 AHRI Type: RCU-A-CB (Split System: Air -,Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1 636AJ 1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH I T3617STAN Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID,1 IL, IA., IN, KS, KY, EA, 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 Ph 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 RHEEM product is responsible for the rating-- of this, system combination. Rated as follow-SIon ac:cardartce with the latest edition of AHRI 210/240 with Addendum' 1, Airw-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, i Coaling Capacity (A2) - Single or High Stage (95F), btuh : 34200 SEER: 16.00'., EER (A2) - Single or High Stage (95F),.: 13.00' Peftrmance Rating -of.UnKary Air -Conditioning ndependent, third party testing: t"Active" Model Status are those that an AHRI Certfficabon Program Participant is currently producing AND selling or offedng for sale; OR new models tha#are being marketed but are not yet being produced." Production Stopped" Model hiatus are those that an AHRI Cerfification Program Park;ipant is no longer traducing BST is still selling or offering fog sale. Ratings that are accompanied by WAS.Jndl���nte an inv �Wn re-rate.The n rry ub�i hed r�tin �s shown ��n with the �evivus i.�. WAS).rating., DISCLAIMER AHRI dies not endorse the product(s) listed an this Certificate and makes no representations= warranties or guarantees as to., and assumes no respon the produot(s) listed on this Certificate, AMR[ expressly disclaims all liability for damages of any kind arising out of the use or performance of th unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at vv�r�v,ahridirectory.org. TERMS AND CONDITIONS e prod ISlWIlty for, uct(s), or the This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, persona! and confidential reference purposes. The contents of this certificate may not, in whole or in park, be reproduced; coped; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, persona! and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION& REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory,org, click on "Verity Certificate" fink we make life bettee" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate-Na., which is listed at bottom right. 800932 132552884641 itute C R F-1C-- A-. T--..- E NO,* @2021 AirmConditioning, Heating, and Refrigeration Inst_