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HomeMy WebLinkAboutSUBMITTED PAPERS6t=iDate: Fee Due: - N Recei t# 1 slit # v7 Planning & Development Services Building & Code Regulations Division '9t 2300 Virginia Ave. QEje Fort Pierce, FL 34982 COS (772)462-1553 Fax 462-1578 h� SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing 00 HVAC ❑ Fence ❑ Shed* :: ;;_,_ ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 29AS SALTP'$uS44 Cc UZ.-� — 9�)%T 5T-1— LU C ( 2. Parcel ID Number: /+1 —7 o-e- 05)0 — 57 3. Complete Description of Project or Work: �i�C (,,",dCoC C )iJ 1 T CAJ-T Ll r g_-_ ke kLIL) H F S 4. Owners Information 5. Contractors Information Name: PA' j j (G7 ___TAC k__S 0 t13 FL Reg/Cert #: CACC) Address: 7l 9_3 (3.& L 1 piU s V G'-7-- County Cert#: 2 G S z1_0 City: 1_[>0?► —II t—�lc5state: r L Business Name: AO--L)QA_f l 9 C6Nr_�> Cd Li—G p, , Zip: 1 S P one:3jO 2��8 Phone: �ao I Fax: OD 6. Value of Construction: $ 3 �Or OWNER'S AFFIDAVIT: compliance with all applicable laws regulating PRINT OWNER OR CONTRACTOR NAME IGNATURE OF O ER OR CONTRACT STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS 20' _ BY &AY OF ' WHO InERSONALLY KNOWN TO ME OR WHO HAS PRODUCED t� C' 1✓ COMMISSION NUMBER k' rN CS . ,L c UA T (T_ '—1 (Seai) LINDA SCffii7faf"' `- - Notary Public - State of Florida IV Comm. Expires Jam 11; 2018 Commission # FF 072223 "ALL RESIDENTIAL AND N�AIiiTii ELEVATION OR 18 INCHES ABOVE THE CROWN reverse side of this sheet) TO MEET THE FLOOD ZONE ER IS APPLICABLE. (see instructions on Revised 03/18/2014 Certificate of Product Ratin"i AHRI Certified Reference Number: 5696881 Date: 5/30/2014 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: P7RD-042KA Manufacturer: NUTONE Trade/Brand name: NUTONE Series name: NUTONE P7RD SERIES Manufacturer responsible for the rating of this system combination is NUTONE 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) 40500 - -. EER Rating (Cooling): 111.00 . "--:- SEER Rating (Cooling): 13:00 IEER Rating (Cooling): :. 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.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 part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, in any form or manner or by any 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.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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130459603683475153