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HomeMy WebLinkAboutSUBMITTED PAPERS. �°1 I Fee Due: O Receipt# Date: )Fmit # 1 4 _ Planning & Development Services - Building & Code Regulations Division SC 2300 Virginia Ave. AnIIvE� Fort(772)462-1553 982 , e C UCIDu nth' SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing iHVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: k- op il7/U 2. Parcel ID Number: Jyw/' —'/'� Offlce Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work:_ 11� L11ce- .24 on 15-15er / 4. owners Information 1 5. Contractors Information Name: /�IQGULG" r Address: O�S�O,�O�C�°�J �✓� City: / State: �i0 Zip: JY"Tr Phone: 6. Value of Construction: $ -33 � S FL Reg/Cert #: C A C O $181 0 County Cert#: �t ?-716 Business Name: CiuTbm Alt SSs T£YM S ]Air - Phone: 771 33S 513a Fax: 77A 305' 110- OWNER'S AFFIDAVIT. I certify that all of the information contained in this application is correc and that all work will be done in compliance with all applicable laws regulating constru and z011in Ctd,rT�S Sq YNM oN� PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ST L V Cl `a ACKNOWLEDGED BEFORE ME THIS dd' DAY OF �BY 41911S—L?��IWWS- 20_// WHO IS PERSONALLY KNOWN TOME OR WHO HAS RODUCED ��: ;Bc% CHRISi1NE B. EtVGIJ$H AS ID CATION. �MY COMMISSION # EE=84 TYPE OR PRINT NAME OF NOT EXPIRES: AP414, 2017 SIGNATURE OF N ARY CON MISSIONNUMBER �0-24;2/ 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 S7500.00 Revised 04126/2010 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. AHRI Certified Reference Number: 3478063 Date: 8/28/2013 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: P5RF-X24K Manufacturer: NUTONE FILE Copy Trade/Brand name: NUTONE P5RF SERIES 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): 24400 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 15.00 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.ahridirecto),y.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 wwmahrldlrectory.org, Air -Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on ME 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.: 130221922458232610