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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing 96VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instmedons and additional paperwork required for specialty permits 1. Location/Site Address: 20 Y J"fin► 4 /Qae- 2. Parcel ID Number: Z V 31 r /6 i - W a " U00 V o rce,Use Only Section Township Range Map Page zoning Land Use Initials 3. Complete Description of Project or Work: ►LMl gc-in 1'f - a %vim 4. Owners Information 5.. Contractors Information Name: M& Q j g P l B (qA FL Reg/Cert #: 60"- Address: 6106 j� An NAv County Cert#: &10 City: ge.9rile State: GL%A Business Name: Zip: Phone: S^y& -J'53 , 76 Phone: 7j�-Yb 7.3aQ,7 Fax: on 6. Value of Construction: S 3�� OWNER'S AFFmAvrr: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regul • g construction and zoning. PRINT OWNER OR CONTRACTOR NAME GNATURE OF OWNER OR CONTRACTOR c STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY O WHO IS PERSONALLY KNOWN TO ME R WHO HAS PRODUCED Ci O � � " ` NS y Nbli .� �� P18tary Public - State of FIo2016 da AS IDENTIFICATION. a� +�,� My Comm. Expires Dec 16, .s2d,n 858761 � h � � V Commission �S SIGNATURE OF NOTAR TYPE OR PRINT NAME OF NOT N;.•' Bohded Through National Notary COMMISSION NUMBER L1AS46- 5� NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04l26l2010 Certificate of Product Ratinas AHRI Certified Reference Number: 4525390 Date: 6/2/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 13AJN24 Indoor Unit Model Number: RHLL-HM2417+RCSL-H*2417 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM, RUUD, WEATHERKING Series name: 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:. l Cooling Capacity._(Btuh): }t23600 �j „ i . EER"Rating;(Cooling)a— - 12.00 1 I SEER Rating -(Cooling)' - IEER Rating. (Cooling): u. jI„I "si;Y)f[i 1t-,'t ' U * 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 I Ing confidential reference purposes. The contents of this Certificate may not, in whale or in part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, In any form er manner or by any means, except for the user's individual, Ewa 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.: 130461844319751840