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11 AP P LI B LE N U B E COMP LETED FO R APPLI CATI ON -tO B E ACCEPTE D
Permit Number.
pate;
L L
pf,urrning and De VOOP rent 5er v"-s
o0ding and Code RE900tfOn Division
.2300 Viryi n fa Aven'Je, Fort pier -cc FE 34S92
Phone: (772) 462-1553 Fax: 2) 462.157a
i
PER IT APPLICATION FOR.
corrirnerciai R8-sidentia}
CBDG Funding
4M_kENT LPR�O�P:6�SED IM PROVE. ENTL
����
Address:
Fraperty Tax 11) #:
Site:plan Narne:
Prefect Name:
00
ETAILED DESCRIPTION OF WORK-.,,
d El aetri f-a l Meter
New Eiectrlcal Meter_ � UCONSTRUCTION INFORMATION:
cor�
h �
Block No.
(Affid.a-vit required)
Add` oral wc)rk to be performed under this permit- check all that apply- oors Pond
echanical : Gas Tank Gas 1�iPing shutters— �{y�yn��+�s�D
Root Rite
Plumbir� Sprinklers Generator -
Electric — �
Sn Ft, of Flat Flog:
Total Sq. Ft -of Constru ion,
rkttilitis; T B
Sewer Sepi j ld i n Height,
Cost of Co nStr4.100 r� ; _
ONT ACTOR'
Rf LESSEE:
f SFr , ' f ,�. Name,.. � �
ate .
Ip code- Fay' ' fax: 1
Phone No. Phone. N
maik—
Fill in fee pimple Title Rolder on rsext page (if different
State or Cot� rat La ce n s
from the ow ne r 14sked above) _
of �onstr c#iorti is 250f �0 or more, a RECORDED Notice of COmmeneemen 15 rec aired'
If vale
If value of 4�AVC is $7,5 00 Or more, e ECORDE0 N atice of Ca m rrrerti��errt �
SUPPLE MENYA CONSTRUCTION LIEN LAW I
DESIGNER/ENGINEER: Not Appl is-obie
Name;
Address,
*: State.
Zip-. Phone
fEf SIMIPI E Tim 40LDEW Not Applicable
IdarnisL.
A,ddrew.
cam;
Zjg)- _ _ Phone:
�10ruli.— _..
moRTGAG E CO M PANY-d,
Not Appfii�able
Name-
Add revs: -
State:
F
Na me
Address
.Cky:
zio: Phone.
Not Applicable
OWNER/ NTR�k OR AFFJOVIT: Applioatbon is hetebw rmiche to obE& i ptrmit tv JO the wOrk end IAStaIlation 84% ind1(Atad.
I F t1hat no Wairk of WWI I I i 60n has com rmanced prnor to ft i ssu dt"a~ Of a Pemil
�, untyr makes no repr ewnu tson th4t Is anti a wrr � t vAl bytaws r ar4etw p*r + i oWto
or i d t �f proh+bit ruc f e
�� with a� �pp� able Morneaw-ner+� sac I 14n luk3.
st rocture - ate con sul[ wit K vq of m ome rr�t-ri Assockvion And rcrra'w vOur "►+fir r t,r r€# � ns ma+�
In ronshdI!FaWn Of the &r3n11ng of "'M r*QUe%1*d P1!WMrt, a do hereby aigret that I vs1l, in all 11s, v100M the word,
in accmdarts Wi11) th* apprWfid pj&n, the Florida SuMft Cobs and St. Iu £OrntY Amendments.
The f-ci+owing b u Ildtn$ perm it apMkAtigns are axeFh pt fro rn undergoing a f UII cCMCUrrerCY reVHE +: room 4UUF L4LP113.
3r.ros5 stru<i wta� S'� IMIr 1," pOWS JfnG@j, wJL1.1-S, Sj �1"�F, screen rye and accessory usej to a rlother non • rel Ldentlr&l use
WARNING TO OWNER: Your failure to Rawcord a No#icm 01 Com M&MM miant mM reWkl in PaVIn1; twicN fOf
i rnprove meths to your grope rty, A Noti ce of CornMence rn a rat m st b recorded o fd �rl the public i� rei* Irk �f #
Lucie County a rid s 1 ied on t he to b bite befor-e the Iki rst I nspectii n - If Yo u iinteniJ to obta I n fI na f, CI rM L r1St 11#
wi lender or an attorney bqf-prig corn-menc. ing work oir rr�cor0iqugur Notice of Commencement_
nat �lft of cones - F - 0%mor flu I la -et as a DR I1"blio
STATE OF FLORIDA
COUNTY OF
esence or r online Iotarlia lt"
Ik daw of
Narne of perwn mokiAl stetemerrt
Type of Ident Prod d
j to r* of Notary PUkAK- SUCi` of Fl+ NWM) y ti
1r*R
REVIEWS
DATE
RECEIVED
DAI E
COMPLETED
nib -1-117-121 IT
FRONT ZCINENG
COUNTER REVIEW
1r?Q%9 Wr%LPT- FT
MY MWAIS&ON if HH 061214
L
E I M navembik ��r d.&r404 rrm "rx P�
i
` SUPERVISOR PI LE VEGETAT(DN
I RIEVIEW REVIEW fRf1;€W
SEA TURTU MANGROVE
RVAIEW I REWEW
III
Certificate of Product Ratings
AH R I Certified Refef-eni~e N umber ; 20166703 D - 03-14-2= Model Steftus - AOI(vs
Old AH RI Reference 14timber - 10 7402
AkiRl Type _ HRCU-A-CS (SpId System: Heat Phymp wk h Remote Gutdoof UnT t-Air-Source)
Seer, : C-5Z14
Outdoor UniiC Brand Nampa : GOODMAN
Ouldoor Unit Modiql Number (Cmdeinser or Sirwgla Package) - GSZ1404.21K`
Indoor Unit "al N urnt*r (Ev:aporator anft r Air Hwdler) : ASPT49C 14A'
The manufacturer of this GOODMAN product ij, respa sil)Ie far" r- tifkg -of Yhls:5ystem rornbl.nation.
Rated ias Ulows In accordance with the latest editic)n of AHR1 21=40 - 2017 with Add"um i,
Pertorrn;arrce RMI rig QI 1„Jr<itary
Air.CoTWitiont' & Air-Sourm Heat RumP'EquiPment and WbjeCi to ratetia .lracy by AH R"ponsomd. independent, third party testing;
coolkrig capac4 (+ ) - Single or fth Stage (95F), Wurl : 38000
SEER: 14-00
EFER {A2) - Single or High St -age (95F } : 12-00
Heakiing Cspa(ity (11-1112) - Single of High Stage (47F) : 3EM
H SPI< ( Region IV) 'S.20
AV pr-L�d Licing AND t-AL' Model Status -are those k'hat era 'iHRI C rt od PErDaPl Slaws fC' curr 11tiB# Aa-kF l CeelirliC tian �prt em rkeTing �apartit rs no lohg rr n BUT is still
mat1�.�Ged Y�uk are rtok }�e�I t'•einrg prc�duced. P�
9atii or �dr-ng for sale. I n A n
_ .�� _ .- . -r..,� naniarl !tv WAS i„d�be an i I nta -race Th ns i
DiSCLAIMEIR
tw
AHFCC dde not endoaan the i pradu Lase- Rloexpo assly soil ms ail te and f ablilty foaKes no ec1am ges y -kInd grYhng out of the u6e � popformancd, Of tkm pr�Guat(&)�Or the
Che produCk�5) ti8k�d on the CertdlC#�# P;
unauthoriMO 81tarakr4n of dam$ IlskiCHf -On thYi& Certiflon#e- CertlUd ratarlg5 are valid onLy fdr models and cornflguratWns 1400 In the
dirdCkorw at www.jmhridkre-17t15rY.erg,
TERMS AND CONDITIONS
This Oertiftaate and ils meant-tnU she Oroprielark p�raducl� of ,gtGR1_ This Certif�cal� #hBLI ��IT be usEO fat irti0lvlcopi p d1memirl ;
confideMlal rc.FCrer►c pu rpe: . The conkenks oI this CertlfSC�te mvy not, In whole -or In part, be reproduced: espied,
AM
Cintered W-D a rbrnpuRLLj database; Or otherwise utllIxed, lrL onyx form ¢r manner Or bw any moans. excePt foi the users I#mdlwlduol, AIR-C101NDITIUNIRG, BEATING,
Fo,NrkaY eknd cGnlbdentlil reference. 4 REFRIGE1] knO W METiTUTE
C ERTI FI-CA7I- V ERI FIC AT ION We make I ifi-
The lar"rriatloe for tihe model Cited On this(ortlfYcate ,fin be weelMd At www.ahfldires#oryr.jarg�lick.0r` -Verify Certff!48tc in
C
and ep%tor the AWRI CaRlfied Reterence Nu'MDOr #Dnd the det$ _o6 which the Geri fl-cate waS IesuedF
which Is listed mbowe, arW the rtlf etc No_ which is I•Is#e+j at bottorn right, CERTIFICATE NO--
@ 0 2Air-CondMtIoning. Heating, and Rettig-eration InStItute