HomeMy WebLinkAboutBuilding Permit Application INFO MU$T BE COMPLETED FOR APPLICATION TO-13E ACCEPTED
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DESIGNER E GINEER.- Not Applicable MORTGAGE COMPANY: Not Applicable
NName'
Address: l Address:
City: State: City: State:'
Zip' Phone: Zip:_Phone:
FEC SIMPLE: ITLE MOLDER: Not Applicable BONDING COMPANY- _Not Applicable
Name: Name-
Address: Address: _
City: I City:
Zip: Phone: Zip; Phone:
I certify that ric work or installation has commenced prior to'the issuance of a permit.
St.Lucie Coup }make no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ct withi any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Pleas consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideratio �of the granting of this requested permit,i do hereby agree that i will,in all respects,perform the work
In accordance th the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following b ilding permit applications are exempt from undergoing a full concurrency review:room additions,
accessory strut ires,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING T 1 OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
imp ovemen to your property.A Notice of Commence ent must be recorded and posted on the jobsite
be a the fl t inspection, if you intend to obtain financE ,consult wit lender or an a arney before
CIO encin din r Notice of CQmmenc ent.
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Slgnat re of ssee Sig a ure o Co tra lce se}cold
4
STAT� OF FRID�A STA EOE ORIUA
COU O COU OF ` -
The forgoing in'trc n was c wiedged before me The forgoing instr ent was ackpowledged before me
this day o : ��—�� 20 1 'by this may of� '—,zoY
am f rsa acknowledg g) t (Name of pers acknowledginSA
Egnature of i ar P bl' - to e o FIorE ) (S- ture of Notary 61ic St
ALYr3NE RUSSELL
PY p� ersonally Known OR ro nt1
Personally Kno ,iJR Prod��Al'I#IL I# iirn_ � .`f¢ }Vbt y u tit giatumf FI a
Type of ldentifi eQ P cedNotary Public-State of Florida Type of identification Produce ?' •'= M4.„ 2 17
y omm._xp resJul 2,201 °.FpF;yo;°`' ammisslon #FF 0383
commission N ' +°P 6tm18siV-q&JF 038392 Commission No. 0303 - Sea}
Revised 07/ 5l2014
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
CERTIFIED'
wwwAiridirce
at
Certifidate of Product Ratings
AHP-1 Certified Reference Number; 7+615312 Date: 8/15/2016
Product:Single-Package Alr-Conditioner,Air-Cooled
Model Number: P,7RE X60K
Manufacturer: FRIGIDAIRE
Trade/Brand name:FRIGIDAIRE
Region:All(AK,AL,AR,A7,CA,CO,CT, DC, DE, FL, GA, HI, ID, IL,[A, IN,KS, KY, LA, MA, MD, ME,
Mi,MN,MO,MS,MT,NC, ND,NE,NH,NJ,NM,NV, NY,OH,OK,OR,PA, RI,SC,SD,Thi,TX,
UT,VA,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: FRIGIDAIRE P7RE SERIES
Manufacturer responsible for the rating of this system combination Is FRIGIDAIRE
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): 56000
EER Rating (Cooling): 11.00
SEER Rating(Coaling)- 14.00
IEER Rating(Cooling):
•Ratings followed by an asterisk(`)indicate a voluntary rerste of previously published data,unless accompanied with a WAS,which indicator sn tnvotuntary rerate.
DISCLAIMER
AHRI does not endorse the proddet(s)listed an this Certificate and makes no representations,warranties or guarantees as to,and assumes no responslblilty 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 atteration of data listed on this Certificate.certified ratings are valid only for models and configurations listed In the
directory at www.shridirectory.org-
T is Cer AND CONDITIONS VIII
This Certificate and its contents are:proprietary products of AHRI.This Certificate snail only be used fbr individual,personal and Asia it
confidential reference purposes.The contents of this Certificate may not,in whole or In part,be reproduced;copiedi 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 &REFRIGERATtON INSTITUTE
The Information for the model cited on this cortificato can be verified at www.ahridirectory erg,click an'Verify Certificate"link we make life beEWV'
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. 131151$33757157 760
0}2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: