HomeMy WebLinkAboutSUBMITTED PAPERSDate: a Due:"' Recei t# Permit #
St. Lucie County Building & Zoning S
2300 Virginia Avenue Ft. Pierce. FL 34982-5652 CANNED
Tel. 561-462-1553 Sy
UCIt? �O
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing HVAC ❑ Fence
El Shed El Demolition Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:yi
2. Parcel ID Number:
Y •
Office Use
Only .
I Section
I'Township
I Range
I Map Page
I FAoniqg,L
d Use
Initials
3. Description ofProjector Work Activity:��
`ems% / c� a„ — �P�n-.¢.-✓ �`3 iz.,✓ / � �tvL� /u�— 60 6 cz'e &-Y .'+
4. Owners Information 5. Contractors Information
a Name: FL Reg/Cert -Z, 5
_Address:. `��% �� County Cert#:
City: �, (, State: Z.V-- Business Name: 7,77 4,
Zip: Phone: /jZ_,P?J?o`%Phone 1133 22197 Tax b��0c/ _(90/
6. Value of Construction: S
OWNER'S AFFIDAVIT: 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 regulating construction and zoning.
i
PRINT QUALIFIERS/OWNERS NAME
SIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF 7. . ACKNOWLEDGED BEFORE ME THIS 3 DAY OF
�►qy� .20_aBY ►U4,q.K ✓t�+afiS WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS ?;U�FICATJON.
GNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY n: t -fate of Florida
IT NOT
PUBLIC COMMISSION NUMBER / a—�: pat' m -1rldrn E
�� �, My Commission EE 174129
Expires 05/21/2016
St. Lucie County Specialty Permit Application rev. 8/25/05 ding
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AHRI Certified Reference Number: 379.0877 Date: 0/3/2013
Product: Single -Package Air -Conditioner, Air -Cooled
Model Number: NL036COOAFAAAIA
Manufacturer: COLEMAN, UNITARY PRODUCTS GROUP - COMMERCIAL
Trade/Brand name: COLEMAN
t,
Manufacturer responsible for the rating of this system combination is COLEMAN, UNITARY PRODUCTS GROUP
- COMMERCIAL
Rated as follows in accordance with AHRI Standard 210/240-2008 `or Unitary Air -Conditioning and Air -Source
Heat Pump: Equipment and subject•to verification of rating accuracy by AHRI-sponsored, independent, third
part/ testing:
Cooling Capacity (Btuh): 35400
EER. ,Rating. (Cooling): 11.00 .
SEES Rating (Cooling): 13.00
Ratings `allowed 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, warsantles or guarantees as to, and assumes no responsibility for,
the products) fisted on this.CeRificate:AHRI expressly disclaims ail liability for damages of any kind arising out of the use or periomrance of the product(s), or the
unauthorized'afteration of data listed on this Certificate. Certified ratings ara.valid only for models and configurations listed in the directory at ww ahridirectoryorg.
TERMS AND CONDITIONS
This Certificate and Ns contents are proprietary products ofAHRI. 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
W5m 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 mrm.ahndirectory org; Air -Conditioning, H3Ciing,
click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on PW ,• •
_which.th-certificate',ras issued, whic I is listed above, and the Cart�cate.No., which_ is, listed below. _ _ _ '� Qf tl 29#t igDtClICfI Institute
02013 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130147511330868640