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HomeMy WebLinkAboutSUBMITTED PAPERSI Date: Fee Due: COUNTY F L a R I D A — Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing UHVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for iinstracdons and additional paperwork required for specialty pernuts 1. Location/Site Address: maq 2. Parcel ID Number: 3 rtOLD _ C)Zq. _ 000r SC B NNSD St. Lucie County Offrce Use Only Section+ Township Range Map Page Wing Land Use Infials 3. Complete Description of Project or Work: G�nSc 4 /tom /zor 4112e- K-ii-135,-e-r 'o f/Jl✓ 4. Owners Information 5. Contractors Information Name: �C5L.1�e ���'�� �` l Address: )I curl e. 1 OV4 City: TO�S� w� l - State: 1-7 z - Zip: 3ug5a Phone: C'4 q - LIq85 6. Value of Construction: $ -?C 7 S' FL Reg/Cert #: C R C O $181 D County Cert#: �/fI Q7 17 b Business Name: Cues-rbm A i r 3HS T£iM S 1N C Phone: T'd 3355 t3a Fag: '77A 335' 120- OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is co ect and that all work will be done in compliance with all applicable laws regulating con on d g.27 —. Cu.�T�S Sq 1MM aus PRINT OWNER OR CONTRACTORNAME SIGNATURE OF O R CONTRACTOR STATE OF FLORIDA, COUNTY OF .5-r L U ACKNOWLEDGED BEFORE ME TFUS DAY OF , 20 Id -BY �u rtts ,�ii m m o n S WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PrODUCED AS IDENTIFICATION. o�PFY Poe��c CHRISTINE B. ENGLISH 0RISSION i EE 859284 �� TYPE OR PRINT N F NOTARY sr , ES: April 4, 2017 SIGNATURE OF NOTARY,+rPaF R�d�� 404k7hru 0udpet Notary SeMriees cohMSSIONNUMBER EEO sl dui! y 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 04/26/2010 AHRI Certified Reference Number: 4670002 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: P7RD-048K Manufacturer: NUTONE Trade/Brand name: NUTONE P7RD SERIES Date:8/5/2 ' N; 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): 47000 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 FootNote 11 - The AHRI 210/240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and ISO 13253:2011. 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; 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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on INIM ILI and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2013 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130201828779199780