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Building Permit Application
Certificate ofProduct Ratings111111 AHRI Certified Reference Number: 7499806 Date: 8/512016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1436AJ1 Indoor Unit Model Number: RH1 P3017STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA,, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 2101240-2008 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): 33800 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): . Ratings followed by an asterisk (') indicate a voluntary rerale of previously published data, unless accompanied with a WAS, which indicates an Involuntary cerate. DISCLAIMER •I 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.AhHdirectory.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; BMW .� -' entered into a computer database; or otherwise utilized, in any farm 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.abridirectory.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 ©2414 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131148738663048613 UPPL ME a L CONSTRUCTION LIEN LARD INFORMA I ii: DESIGNERJENQNEER' Not Applicable MORTGAGE COMPANY, Name: Name: Address: Address: City: state: City: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER - Name: Address: City: Zip: Phone: Not Applicable BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: Neff Applicable I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. s �gnature of Owner/ Lessee/Agent �ure of contractor/License Holder STATE OF FLORIDA COUNTY OF The for oing instru ent was cknowledged before me this day of .� , 20 ) by (Name of person acknowledging) �,;., Si nature of Notar Public- State of Florida l g v) Personally Known L,,-' OR Produced Identification Type of Identif~rcatio r MIKE MAX" i Commission No. Notary(lojiy - Stile of FlorIN • Commission N FF 216951 .f„'1+" F My Comm. Expires Apr 5, 2019 ISM" Ihroaplr National Notary Assn. Revised Q7/15/2 4 1 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS 57A 7E OF FLORID COURn The forgoing instrument was acknowledged before me this � day of 4 5 � , 20 L�- by (Name of person acknowledging) /' I , ) ,_ I tri . (Signature of Notary Public- State of Florida ) Personally Known t-— OR Produced Identification Type of identification Pr MIKE MARTM Commission No. NoW el0plic - state of Ffo W 1 •J Commission * FF 216951 1 ,� :•` My Comm. Expires Apr 5, 2019 1 Bonded through National Notary Assn. s SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW AIL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTER Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 349$1 Phone: (772) 462-1553 Fax: (772) 462-1575 Commercial Residential , To Select from dro boxclick arrow at the end o PERMIT APPLICATION FOR: To f line PROPOSED IMPROVEMENT LOCATION: Address: ``t U 1(\\ Legal Description: Property Tax ID #: i /- C a2 - oo7,2 y Uc o Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION DESCRIPTrION OF WORK: h ke hf i '4 /C (L I�t.7rut� T 3 +-,_.,. i LL 5e -c- -c— I CONSTRUCTION INFORMATION: I OHVAC 1J Gas Tante 11 Electric El Plumbing Total Sq. Ft of Construction: Cost of Construction: $ •' Piping Sprinklers L.J Shutters ElGenerator Sq. Ft. of First Floor: Utilities: 11 Sewer El Septic Windows/Doors Roof Building Height: OWNERAESSEE: CONTRACTOR: Named +Tn Name: Address Company:�.0j t A, 6, City: !— - State: )r_� Address: 3 Zip Code: 3L1 9 5- / Fax: City: _l21 - r. state: Phone No. �f — 7 � Zip Code: ' 5 l , Fax: 'Llb `/— E -Mail: Phone No. L% Fill in fee simple Title Holder on next page ( if different E-Mail:WO—�c, I?e 1110 `/, , from the Owner listed above) State or County Llcense: 6I a- / if value of construction Is $2500 or more, a RIODRDED Notice of Commencement Is required.