HomeMy WebLinkAboutSUBMITTED PAPERS03/15/2013 FRI 14:50 FAx _. f�001/0oz
Date: Fee Due: Recei t# Permit # 214�
Planning & Development Services —`
Building & Code Regulations Ilivision
2300la Ave.
Fort Pierce, $L 34982
(772)462-I553
SPECIALTY PERMIT APPLICATION) JV(
S
❑ Electrical ❑ Plumbing 9 HVAC ❑ Fence S N
❑ Shed ❑ Demolition ❑ Gas ❑ Siding 44" ' Y- O
Seepage 2 foor lnsdrucdons and addW anal paperwork required for specialty perftdit CO(lfj�
1. Locatlon/Site Address: �. _.f X / IZaiChbl-Enk�
2. Parcel ID Number: ) 4_ —,�5m — o n o-' 4 --- _
Office use
Only
section
ToWn®hlp
Mange
MapPaga
Zoning
I l®ndUoe
initial®
1
4. Owners formation 5. Contractors Information
Name: FL Reg/Cert
may) r _l�
Address: ' r 6 If I ,v - County Cart#:
City: 1 4 State: Business Name: ,
Zip: Phone: Phone: _
i. Value of Constructlow $
O E 19 AF AW.- I tIiy that all of the information contained in this application is Correct and that all work will be done
J/ pliance with all applicable laws rag ting construction and zoning.
WINT OWNER OR CONTRA O NAME GAT OF O O C N C OR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME TIIIS OF 20a BY&bff±2M2
W140 IS PERSONALLY KNOWN TO MR $00' OR WRO HAS PRODUCED
AS IDENTIFICAT ON.
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$HAIIA
3LG AT OP NOT T R • NAME O NOTARY R: t [u1}+OOMMIS610N 4 pD 91 ®/83a5
EXPIHES. April 25, 2014
COMMISSION NUMBER S Uanded Btu N47my Publk Urdemdfara
ME NOTICE TO OWNER; FAILURE TO RECORD A NOTICE OV COMMENCEMENT MAY RES T IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTXND TO OBTAIN FMANCING, CONSULT WITn YOUR
VENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICL OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00
Revised 04/26/2010
03/15/2013 FRI 14150 FAX 1�002/OOz
i -
certificate of Product Ratings
AHRI Certified Reference Number: 3230463 Date: 3/15/2013
Product; Single -package Heat Pump Air -Source
Model Number: Q5RD-030K
Manufacturer; NUTONE
Trade/Brand name: NUTONE QSRD SERIES
Manufacturer responsible for the rating of this system combination Is NUTONE
Rated as follows In accordance with AHRI Standard 2101240.2008 for Unitary Air -Conditioning and Alr-Source
Heat pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third
party testing:
Cooling Capacity (Btuh): 28600
EER Raling (Cooling): 11.00
SEER Rating (Cooling): 1$.00
Keating Cape9dy,(BtYh) (ab,47 F: 261500
Regipn,IV HSPF Rating ;(hleallrlg): 7.70
Heating, Ct ipaclty(I3tuh).Q 17 F;- 11'5600
' Redrtus rolloWed by an aeledsk (h fndt AI& a volunleryrerale of previously publlehed data, unless aceompenlad with a WAS, which IndIvAee an Involunlafy rarete
DISCLAIMER
AHRI does trot endores tho producl{e) Uefad on this Corl!Wte and makes no rsprosomatlortsrwmrontles or eunranteeo as to, end saeumes no reaponslblllly for,
the produc(s) Ileted on this CsrURcat% AHRI expressly rueelakna all llabiilly for damages or any kind arising out of fho use or polforrtiance ar the product(s), or the
unauthorized altaradon of date Mated on We Cortlficate. CoMflad ratings ure valid onlyfor modots and configurallone listed In the dlroolory atwwmahridirectotyorg.
TERMS AND CONDmoNS
ThIe Cerdfloao and Ita contends are proprlotW products ofAHRi. Thle Csrtificaite shall obly be used for individual, peleonal and eonfldenUal reference purposes.
The contents of thle Comficate may not In whole cr in part, be reproduced; copied; dlssemineted; entered Into a computer databasal or athanwlee UlIked, In any
forth or manner or by any mama, esceptforthe uaor's Individual, poreanal and confidential reference.
CERTIFICATE VERIFICATION OR "0
The Information fer uto modal coed on this conHloate con be verified at www.ahHdlraCtoryorg, AINCondltloning, Heating,
ctickon'NeftCertificate` link and entertheAHRICorUUedReremnceNumberandthedtban and Refrigeration instlfuhs
which the cerMatewan Issued, which Is listed above, and the Certificate No., which is listed below. g
02012 Air-Candidoning, Heating, and Refrigeration Institute CERTIFICATE NO.. 130078320226084376