The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSDate: eo 101114 I Fee Due: $WO 1rReceivt# I ITC .Stn =Permit # 19 66 - 430aa -1 Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. 8t g y Fort(772)462-1553 982 "'Cie C,�Unfy SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ Shed ❑ Demolition E HVAC ❑ Fence ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: '511 3 I S S/0 e— / " - 2. Parcel ID Number: 3 �a A ^ % 0 9 " x35- Azgn r 6 0 jrcgUse Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: 4. Owners Information �� 5. Contractors Information 'ToName: pt�aC� ' ^;7`°f , _1 FL Reg/Cert #: 6 j�/Sj % i Address: County Cert#: City: 6+6�r"--CC State: Business Name: 3G darc /freSty" r Zip: 3M2 Phone: Phone: )%p? JW 91/P Fax: 97a, 41/i7 %- JV0 6. Value of Construction: $ Doe OWNER'S AFFIDAVfr: 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 regu ' g construction and zoning. T CA f PRINT OWNER OR CONTRACTOR NAME OIGNATUREOF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF uu ACKNOWLEDGED BEFORE METERS �� DAYOF�V � 20 ' BY -S 61- +%N C G ii ,r^ WHO IS PERSONALLY KNOWN TO ME O HO HAS PRODUCED 8d ' 4 v � 'ENS — WHO � r V PUB�� 7S IDENTIFICATION , a , " o Notary Public -State of Florid • •g My Comm. Expires Dec 16, 2016 G "oar' CommissioNa�tii§nalblary SIGNATURE OFNOTAR T EORPRINTNAMEOFNO '�•�,��•`' Bonded Through ss COMMISSION NUMBER 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 04/26R010 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: 3412355 Date: 6/2/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM30 Indoor Unit Model Number: RHLL-HM3617+RCSL-H*3617 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 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? r h. Codling Capacity_(Btul �. �� 29000* - i EER"Rafing;(Cooing) 1 , �`'' 13.00 ' �` --1600 it a �1 '`. '_I !_i SEER 'Rating (Cooking) .T� ' IEER Rating (Cool ng):.' ' 4��' 9z altCi� i, rJ lei{} o�`r'AYo, ;�1 .; ?' iGi �,'k •. * 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 Is I Ing 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, 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,: 130461843522384730