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Date: ' Fee Due: _ Receipt# Permit # Planning & Develo ment Services �~ P Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Fax 462-1578 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing D,IGAC ❑ Fence ❑ Shed* ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: �� Q_► 2. Parcel ID Number: :�25 0,9- 5 16 Gl (200 — 3. Complete Description of Project or Work: 4. Owners Information,, (n 5. Contractors Information Name: KA Ny- G ,)KJ�-{ I � 1 UV1 Address: 1 Idot- PH City: et. Eme-i estate: (✓ 4l� l p Zip: l Phone: 6. Value of Construction: $ � I certify that all of the information c compliance with all applicable laws PRINT OWNER OR CONTRACTOR NAME p C 'AIM r STATE OF FLORIDA, COUNTY OF I _Ll 0 ACKNOWLEDGED BEFORE ME THIS DAY OF WHO IS PERSONAL KNO" TO ME OR WHO HAS PRODUCED AS IDENTIF FL Reg/Cert #: County Cert#: Business Name: SO VI C{� f)- WA Phone:wax• L��I� `Z16t --55 q [ OR PRINT NAME OF NOTARY (seal) JESSICA DOTSON MY COMMISSION # FF 072884 EXPIRES: November 25, 2017 Bonded Thru Notary Public Underwriters *ALL RESIDENTIAL AND NONRESIDENTIAL STRUCTURES ARE REQURIED TO MEET THE FLOOD ZONE ELEVATION OR 18 INCHES ABOVE THE CROWN OF THE ROAD, WHICHEVER IS APPLICABLE. (see instructions on reverse side of this sheet) Revised 03/18/2014 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 5476215 Date: 5/29/2014 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 25HCB660A**32 Indoor Unit Model Number: FV4CNB006 Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: PERFORMANCE 16 PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240.2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification -of rating accuracy by AHRI-sponsored, independent, third party testing: _ Cooling Capacity (Btuh,��) 56500 EER"Rating�(Cooling) —�; �- 12:50 r SEER Rating (Cooling). 16:00 Heating Capacity(Btuh) '@ 47 F: .. '57000 MP 6�r. f. Region IV HSPF Rating (Heating): .9.00 Heating-Capacity(Btuh) @-1'7`F' _ 360001--" µ * Ratings followed by an asterisk (*) 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 responsiblllty for, the product(s) listed on 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 on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and 12 confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; AJ4rJ entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, 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.ahridirectory.org, click on "Verify Certificate" link we 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. 130458600934451535 ©=4 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings. AHRI Certified Reference Number: 5476215 Date: 5/29/2014 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: 25HCB660A**32 Indoor Unit Model Number: FV4CNB006 Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: PERFORMANCE 16 PURON HP Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing; ..... _. _... Cooling Capacity (Btuh �) 56500 - - '4...-..-•2.7 ,..„ 4-.', '"s -- • a.�'.�! 5 3 � � � -S§ � 1� 7 �m..� ` � EER Rating,(Cooling),w_. i� ,,SEER Rating (C olrng) ` ' 16 00 Heating Ca°pacity(Btuh) @ 47 F:,`p 57000 ' Region IV,HSPF i ating'(Heating) 9.00` 4 * Ratings followed by an asterisk (*) 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 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 on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.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 part, be reproduced; copied; disseminated; AM entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, 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.ahridirectory.org, click on "Verify Certificate" link we 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. 130458600934451535 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: . Property Appraiser - St.Lucie Cod --, FL Page 1 of 1 Marshall E Flax Record: 1 of 1 Property Identification Site Address: 9066 Pumpkin Ridge Rd Sec/Town/Range: 22:36S:39 E Map ID: 33/22N Zoning: PUD PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print Parcel I D: 3322-505-9159-000-7 ����UCIE ' < Account*: Use Type: 153401 SF Res City/Cnty: Saint Lucie County Ownership and Mailing Legal Description Owner: Marshall E Flax Debra S Flax MAIDSTONE (PB 43-11) LOT 150 (OR 2534-618) Address: 9066 Pumpkin Ridge Rd Port St Lucie FL 34986 Sales Information Date Price Code 4/5/2006 462500 00 4/21/1998 21320600 02 Assessment 2013 Deed Book/Page 2013 Final: 197600 SP 2534/0618 Assessed: 175636 WD 1140 / 1945 Ag.Credit: 0 Exempt: 50000 Taxable: 125636 Taxes: 2725.82 BUILDING INFORMATION Exterior Features View: - RoofCover: CT - Conc Tile ExtType: HB+ - HB+ YearBlt: 2006 Grade: B+ - B+ EffYrBlt: 2006 StoryHght: 0010 -1 Story No.Units: 1 Interior Features BedRooms: 3 Electric: MX - MAXIMUM FullBath: 3 HeatType: FHA - FrcdHotAir 1/2Bath: 0 HeatFuel: ELEC - Electric %A/C: 100 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qua[. Cond. YrBlt. No. Use Type DWBP - Drive-BrkPav Y 1 765 AV AV 2006 1 0100-SF Res ENC2 - POOL ENC-AVG Y 1 1403 AV AV 2006 SWAV - RES POOL AVG Y 1 351 AV AV 2006 PA01 - POOL DK-AVG Y 1 1052 AV AV 2006 Total Land and Building Land Value: 32000 Acres: 0.23 Building Value: 165600 Finished Area: 2341 SgFt RoofStruct: HP - Hip Frame: - PrimeWall: BS - CB Stucco SecWall: PrmintWall: DW - Drywall AvgHt/FI: Prm.Flors: CT -Tile-Ceramic %Sprinkled: 0 Type Measure Depth 550 -Site 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/paslc/prc.asp?prclid=332250501590007 5/29/2014