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Home My WebLink AboutSUBMITTED PAPERSDate: -1J Fee Due: 1J. _ J Reeeip## ; ,'ermft # i 0 3-00�l q Planning & Development Services Building & Code Relations Division l CqNN �� Y 2309 Virginia Ave. B Y Fort Pierce, FL 34M J L i' UCi (772)452-1553©�n�y SPECIALTY PERMIT APPLICATION C1 Electrical � Plumbing � SAC C7 Fence 0 Shed ❑ Demolition 0 Gas ® Siding See page 2 for hwitruedons and adMona�l. paperevork required for speciWy permits 1. Locatioo/Site Address: <3 l 0 R14-) 2. Parcel ID Number: :3 L�Q S -I O`1- n n� — cco Dice Ilse Only secabn Tow» up, Rage map page Zoning Land Use Initials 3. Complete Description of Project or Work-. bPL�r - "CA - 4. Owners Information 5 Contractors information. n Name: Q r'�C (� c-►1/� .11' C R L txn D FL PcWCert #: _�G `C6, J_ 1 Address: 11(� 1-ir.�1 �S Comity Cert#: LOU C City: —YlO ��cS� ux( ,F State: B iriess Ns3lae: � t` e`�t�n I Zip: ?I CI `Jc,;� Phone: r 6. Value of Construction: S 5 LOMCXD Ov caws AFFIDAvrr. I certify that all ofthe ilifmawn cmiamed in this apphcatm is correct and 81at all work will be done in compliance with all applicable taws regiila#ing ConWuF#opm1dzor mg_ PRINT OWN4 OR CONTRACTORNAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF _,� 7� LuGi_ ACKNOWLEDGED BEFORE ME THIS DAY OF 20, _ BY . nLow WHO IS PERSONALLY KNOWN TOME /OR WHO HAS PRODUCED IDENPiPICATiON_ SIGNATURE OF NOTARY COMMISSION NUMBER ,10L °�i . Notary y�yc State of Florida WE OFNDTARY �� Debo�ii f2ussell c� My Commission EE038882 ��'o► , Expires 11/05/2014 NOTICE TO OWNER- FAM RE TO RECORD A NOTICE OF COWdWCEAUNT MAY RESULT IN YOUR PAYING TWICE FOR E IPROVEiM,t M TO YOUR PROPERTY: IF YOU MEND TO OBTAIN FRUNC]NG, CONSULT WFM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCLTMM. EXEW'T: A/C -HEAT BEPLACEMM WlTH C&MAC 6' UNDER STEM Revised 04/26/2010 FILE COPS' Certificate of Product Rating AHRI Certified Reference Number: 1076069 Date: 3/6/2014 Product: Year -Round Single -Package Air -Conditioner, Air -Cooled Model Number: RSPM A048JK Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM, RUUD Series name: RHEEM RSPM SERIES Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Ratings followed by an asterisk r) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly dWalms 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 on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahrldirectory.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 in park be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by arty means, except for the user's individual, Am personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridlreetory.org, dick on "Verify Certificate" link u« make life better - 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 130386056366308432 ©2014Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO::