HomeMy WebLinkAboutBuilding Permit ApplicationSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 its 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, walls, 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 jo'bsite
before _tl first inspection. If you intend to obtain financing, consult with lender or an attorney -before
commencing work or recording your Notice of Commencement.
— Sitatr re of Oylnerl l=essee/Agent
STATE OF FLORIDA
COUNTY, Of- Si Leo
The for oing instr gent was a knowledged before me
this ay of 20�"y
(Name of person acknowledging)
L 14
(Signature of Notary Publi - 'tate of Florida )
Personally Known > t7R Produced Identification
Type of Identification Pro
CHERYL A. FINK
Commission No. � ^ Public - State of 1`106
z (
My Comm. Expires Mar 28. 21
Commission k FF 104667
Revised 07/15/2014
s
Signature ofoontractor/License Holder
STATE OF FLORIDA
COUNTY OF Ste. L_"�
The for oing ins ument was acknowledgeq before me
this ay of 20 by
I, . �nq
(Name o person ac owle ging }
(Signature of Notary Pub ' -State of Florida J
Personally Known OR Produced Identification
T'11111oe of Identification Produced
mission No. V, Pie.,(SeaJLc. YL A. FINK
Notary Public - State of Florida
COMM, ;Xpirae Mar 93•
~'•','f��. Commission N FF 104667
REVIEWS
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ZONING
SUPERVISOR
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MANGROVE
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DATE
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INITIALS
Certificate of Product Ratings
AHRI Certified Reference Number: 8784005 Date: 8/2/2016 tStatus: Active
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Model Number: 38AUQ(A,B)12AO*(5,6,1)A*
Indoor Model Number: 40RUQA12A*A(6,1)A*
Manufacturer: CARRIER CORPORATION
Trade/Brand name: CARRIER CORPORATION
Series name: CARRIER GEMINI
Rated as follows in accordance with AHRI Standard 3401360-2007, Commercial and Industry Unitary
Air -Conditioning and Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored,
independent, third party testing:
Refrigerant Used:
R-41 OA
Hertz:
60
Cooling Capacity (Btuh):
1120001112000
EER Rating (Coaling):
11.00111.00
IEER:
12.0112.0
Heating Capacity at 47F (Btuh):
106000/106000
COP at 47F:
3.30/3.30
Heating Capacity at 17F (Btuh):
66000/66000*
COP at 17F:
2.4012.40
Full Load Indoor Coil Air Quantity:
3000
The AHRI 3401360 certified EER ratings in BiulhM are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and 160 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 products) 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, he 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. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can he verified at www.ahridirectory.org, click on "Verify Certificate" (ink RSC 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.
@2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13114f�4231 flS381513