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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -�J i C>f( 1 -7 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential, PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: �� -7 r, 6u S11 [-n Legal Description: an nCL C IL.W Pla4- b n� Property Tax ID #:,?4a5_ _M - cogk5 - Qe__0_5 Lot No. 11;� Site Plan Name: Block No. Project Name: Setbacks Front Back. Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Uh CONSTRUCTION INFORMATION: Additional work to be ertormed under this permit — check all that apply: ✓HVAC Gas Tank ❑Gas Piping 11 Shutters 11 Electric Plumbing Sprinklers F1 Generator Total Sq. Ft of Construction:1 -3 S '-;� Sq. Ft. of First Floor: Cost of Construction: $ _5O p J7�D- CDC� Utilities: Sewer 0Septic OWNER/LESSEE: Name jy)c, not o(- t 6'. b ra,l Address:&�21 7713C++ rbuc I_ City: } , Pi ercz State: FL Zip Code: ��� !� Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Windows/Doors C Roof Building Height: Name: DOUGLAS PENCE Company: ABSOLUTELY COOL AIR CONDITIONING Address: 2311 NE 15TH COURT City: JENSEN BEACH State: FL Zip Code: 34957 Fax: Phone No. 772.475-4641 E -Mail: absolutelycoolair@gmail.com State or County License: CAC1815702 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Il. ALL APPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -�J l v11-1 Permit Number: COUNTY r L Q R t O A Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical j PROPOSED INPROVEMENT LOCATION: Address: �� -7 r . R i 'i �� 6U,5-11 Ln Legal Description: PIS- b ne Property Tax ID #: QC) Site Plan Name: Project Name: Setbacks Front Back. Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Uh Lot No. 1 Block No. CONSTRUCTION INFORMATION: Additional work to be eriormed under this permit — check all that apply: ✓QHVAC Gas Tank ❑Gas Piping El Shutters Windows/Doors 11 Electric Plumbing O Sprinklers F1 Generator Roof Total Sq. Ft of Construction: o� 1-3 .5.5,-;zSq. Ft. of First Floor: Cost of Construction: $ _5O 67b. C)Cf) Utilities: Sewer 0Septic Building Height: OWNER/LESSEE: ibrczl Address: 13i -f iir6 t, LA- City: Pi erC.-P_ State: FL Zip Code: Fax: Phone No.1. �?5' 1 {lQ E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: DOUGLAS PENCE Company: ABSOLUTELY COOL AIR CONDITIONING Address: 2311 NE 15TH COURT City: JENSEN BEACH State: FL Zip Code: 34957 Fax: Phone No. 772.475-4641 E -Mail: absolutelycoolair@gmail.com State or County License: CAC1815702 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ,L 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: Adaress: City: City: Zip: Phone. Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated 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. Tne 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' r paying twice for improvements to your prertp: R Net!ce of Commencement must be recorded and pos don the jobsite before the first inspectj6n. If yo Intend to obtain financing, consul th lender or an a rney before comme}xchig word or (ecordi�our Notice of Commencement 72 ignature _ wner/ Agent/ Lessee +gnature ofintractor/licen'Se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF=�'• Cl (r[ COUNTY OF 1=4- L(-(Gi P, The forgoing instrument was acknowleded before me The forg,Qi,ng instrument was acknowledged before me this � day of i%iQ/L`}7 200 by this L+Hay of �_,} LL" 20_= by -mac (Name of e n acknowledging ! (Signature of Notary Publi State of Florida } Personally Known OR Produced Identification Type of Identifica 'o r , mms io "I M'° Coe( s_ DEBORAH RUS$ LL Notary ruonc Statelt'Ibrida • Commission # FF 179630 OF F; ;••' My Comm. Expires Nov au, 1&% K e t't REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED (Name of Pers cknowiedging ) 1�faLeO� (Signature of NotaryPubli State of Florida } Personally Known OR Produced Identification _ Type of Identification Produced O�b. IISf` "SELL Commission No .•�` Y P ;�."DEBOR =�,r • .` "? Notary Public State of Florida •FF 179630— '.';e�F o? My Comm. Expires Nov 30, 2018 L SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW 4Y Certificate of Product Ratings AHRI Certified Reference Number: 7513340 Date: 3/10/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1442M41A' Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, 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, TN, 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: GPC14 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): 40000 EER Rating (Cooling): 11.00 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 oniv for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS it "1201 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;a■ 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, dick on "Verify Certificate" link 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.: 131336244200287428