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08/06/2013 14:52 7724663 SEACOAST,. AC PAGE 02 Planning& Development Services & Cod Building �. b e Regulations Division 2300 Virginifl Ave. Fort Pierce , F? 34932 (772)4152.1S53 SPECIALTY PER.MJT APPLICATION CI Electrical 1� Plumbing ❑ HvgC C► Fence 'S � I C� Shed CJ ,Demolition CJ Gas 13 Siding / Y t, 5' FQ See page :for instrucdo tis and atlHr" ona! paperwork required for special* perri7its 110/6 otl' 1. Ucsltion/Site Address:34 /� 2. pareel W lfumher: 0 4. Owners Information Name: Address: City. E Zip: 6. VsIiae of Construction: OWNCR'S AMDAVIT, I certify that all of the infartnatiun c Cnrltp14MC? With all applicable laws 5. Contractors Information STATE OF FLORIDA, COUNTY OFQor ACIS,NQWLEDGED BCFI)Ri, ti[E'iHIS DAY OF WHO 1S PERSON vOWN To OR WHO HAS nODUCED FL Reg/Cert #: mcol( q-3 County Cert#+: 2 Bgsinjes�s,N:tme: Phone; {dJlst 0� - f'1a:_ ed in O all work will he dgrtc in' AS E TT.FI AT N ~^ faDSIGNATf)TtL PIO'J'�¢ TYPE QR PRINT NA, E O NOT R`.' COMMlSS10N F.rR `-- `f l NNO'iICF, iO OWNTIt: IMPROVILURP TO RkCORp :+ NOTICGOr COMMI,NCF;MFNT ,MAY RESULT I1N YOUR Pp ti'✓iC1 fOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND To OBTAIN FiNANCLN('i. Ct)NSiJt'1 �TTF1 1'U[JT� GCvD�tt OR'.A�l ATIORIVEY RF,xORT RECf)RDING Yt)GR YpTICE OFCOMMNNCE�1rNT. EXEMPT:.A/C-HrrAT REFLA(`%ME� I'T wrM CONTRACT UNDER S 7So0.00 Revised 04/26ia010 08/06/2013 14:52 7724663��) SEACOAST AC z} PAGE 03 This Combination qualifies for a Federall Energyl Efficiency Tax, Credit when placed In service) between Feb 17, 2009 and Dec ;11, 2013.' Certificate of Product Ratinov&ft AHRI Certified Reference Number: 4635467 Date: 8/6/2013 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1448H41AC Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANiTROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CC., LP, 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-sponsoreld, Independent, t iird party testing: Cooling Capacity (Btuh): 46000 EER Rating (Cooling): 12.00 SEER Rating .(Cooling):. :14:00 • Ratings followed by An miarhk (') Indleale a voluntary rerate of previously published date, unless accompanied with a WAS, which Indicates an Immfuntary rerate. DISCLAIMER AHRI does not endorse the product(s) llsted on this Certificate and makes no repreaetdations, urarraotiea or guarardeas as to, and a9aunlas no moonSiblity for, the product(s) Rated on this Certificate. AHRI exprsesly drsclaIr" all (iatriilty for damages of any Wrid atlsing oiA of tho tiso or pcftrmance oftho product[%], r the unputhoMxsd aR4rAtion of data listed en thfS Cortitteato. Certified ratings are valid only for models end eenHguratfons dated in the directory at www.:khridirLe.ti-ty.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products cfAHRI. This Certificate shall only be used for Individual, personal and confidentlal reference purpa• tes. Tha cantarda of thia Cartifleato rnV hot, In whole or In part, ba mpnoduend; coplad; d"&Minatad; antamd Into a eomputar databnaa; or othnrwiau utRb*d, In my form ortnahnot orby any moans, except forthe users Individual, personal Ind ComldenRAl refdtenco. CERTIFICATE VERIFICATION The intlormadon for the model cited on this certificate can be verified atwwMahridirectory.org, Alf-Gonditionirip, He sting click on' Verlfy Certificato" litik Arid ahterthe AMRI C94ltied Refet9nce Number and the date cn ■E t■I and Refrigeration Intl iltu►e which the certificate was Issued, vAlch Is listed above, and the Cerdlicste No., whlch is listed below. 02013Air-Conditioning, Heating, and Refrigeration Institute CCRTiFiCATE NO.: 13020290e9:i23573„ DOet ' Fee Due: Recei t# Permit # i Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. V Fort Pierce, FL 34982 IluIII 1 .,«., (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ Shed ❑ Demolition Seepage 2 for instructions and 1, Location/Site Address: 2. Parcel ID Number: K� ❑ HVAC ❑ Fence ❑ Gas ❑ Siding paperwork required for specialty permits Township Range Map Page Zoning Land Use Initials Office Use Section Only 4. Owners, Information Name: 5. Contractors Information Address: City: 1. �— ` (state: P Zip: - Qsa-, Phone: n&_ff)10 i 6. Value of Construction: FL Reg/Cert.#: County Cert#:1_e�aS3 Business Name: Rb. CO,4— Phone• Fax• I.f.IS! �Lla) Fax:— �LJ 13 OWNER'S AFFIDAVIT: I certify that all of the information contained in I compliancy with all applicable laws regulating, OR STATE OF FLORIDA, COUNTY ACKNOWLEDGED BEFORE ME THIS DAY OF�_,� 4J WHO IS PERSON MOWN TO ME OR WHO HAS PRODUCED 26_ all work will be done in AS E TIFI AT N y /+yrul co SIGNATURE NOT TYPE OR' PRINT NA E OF NOT RY /:y ok t F� COMMISSION ER NOTICE TO OWNER: FAILURE: T.O% RECORD- A% NOTICE•. OF COMMENCEMENT MAY RESULT IN YOUR PAYI '�WICE FOR IMPROVEMENTS• TO; R; YOUPROPERTY. IF YOU INTENDTO? OBTAIN- TOBTAIN• FINANCING, CONSULT ITH YOUR SENDER:OR:AN--ATTORNEY, BEFORE- RECORDING: YOURZ NOTICE. OFCOMMENCEMENT. EYENLPT.:-,A-IC-HEACr.'R•EPT.ACEMENT WrTH!CONTRACT UNDER[,S7500;00, Revised 04/26/2010 AHRI Certified Reference Number: 4635467 Date: 8/6/2013 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1448H41AC Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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: Ratings followed by an asterisk (7 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.ahridirectoryorg. 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 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 forthe model cited on this certificate can be verified atwww.ahridirectoryorg, Air -Conditioning, Heating, click on "Verify Certificate" link and enterthe AHRI Certified Reference Number and the date on oluand 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.: 130202908932387311