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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE 1 FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: j Permit Number: OI.INTY .lit__ l_ O. a �. T. A Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: (Dt� 3 4 3 "r 4 Property Tax ID#:SLC Site Plan Plan Name: Project Name: Ga Ates Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Residential X �ca..c� fad �,,ed -'-o 10 0-{C sy S-"' w i -h Lot No. Block No. CONSTRUCTION INFORMATION: Additional work to be oertormed under this permit — check all that apply: 914VAC Gas Tank Gas Piping 11 Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: ( 1 X02 S. Ft. of First Floor: Cost of Construction: $ �-EtL`� '.O.Utilitiest] Sewer Septic Building Height: OWNER/LESSEE: Name �06.f4 Address: �_ L T City: Lt f (� State: Zip Code: _C21p 0 5 Fax: Phone No. 9D'L{ to -3--7 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: TODD DEJARNETTE Company: GX AIR CONDITIONING Address: 1401 SW MEDINA AVE City: PORT ST. LUCIE Zip Code: 34953 Fax: Phone No. 772-344-5520 E -Mail: gxairheat@yahoo.com State or County License: CAC1814487 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. State: FL SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: _ Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: 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 thepermit 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, 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 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. Sgnature of Owner/ Age / Lessee Signature of Contractor icense Holder STATE OF FLORID COUNTY OF'{`. L_(.LCL-to The forgoing instrujnent was acknowledged before me thiday of 20IM by nett"-P� (Name of person acknowledging ) (Signature of Notary7OR tate of Florida ) Personally Known Produced Identification Type of Identification Produced Commission No. Revised 07/151 n � DEBqq��AH RUSSELL Notary Putlrica�tate of Florida Commission # FF 179630 J1� Iter 30 2019 My Comm. tX1y REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS STATE OF FLORIDA COUNTY OF The fcrgqing instru nt was acknowledged before me this lay of u_Ul -Jf .20_W by J (Name of person acknowledging ) " 6 — L. .11— � :7z1 (Signature of Notary Public- State of Florida Personally Known ✓ OR Produced Identification Type of Identification Produced Commission No "1, 41-1 -J DEBORA'f+13 ELL 10B': Notary PublicState of Florida v9fi30 fFF Oi i�OP; My Comm. Expires Nov 30, 2018 SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 9084673 Date: 2/27/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140241 L* Indoor Unit Model Number: ARUF24B14C*+TXV Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN 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: GSX14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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): 23000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): 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(&) 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.ahridirector,, 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 Certiflcate 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. AIR-CONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.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 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1 31 32708391 434 850 7