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Building Permit Application
ALL APPLICABLE INFO �MLIST jBE COMPLETED FOR APPLIC1 Tl ON TO BE ACCEPTED Permit Number: t J 4 IrsKays IF11940! Building Permit Application Plonning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Cominercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED INP,ROVEMENT LOCATION: Address: L� 1LL1�' C L f Legal Description:Q t T 51iV A A W A C z �i Property Tax ID #: 3 ZS - 9Q Q - 003 5 -- t2C0 Site Plan Name: Project Name: Setbacks Front Back: Right Side DETAILED DESCRIPTION OF WORK: Seer c r t i I/Oh S# 1112�Jy v +f 6 ciU- 3c?16ce 3y Lor 2,1,01' Lot No. Block No. _3A_ M 3641 CONSTRUCTION INFORMATION: Adclitibn'alwor to e er orme un er In is permit — c ec a appy: ZHVAC Gas Tank []Gas Piping _ Shutters Windows/Doors n 4l LJ 11 Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: j Cost of Construction: $ ► Utilitiles: �� Sewer l �y Septic Building Height: co OWNER/LESSEE: CONTRACTOR: Name 14 T LJ+u Q I S Name: e .., � L�U„4 R C1116A Address: 30foa F•k V f- l ,R_0A.) Qi2 Company: ProMag E=nergy Group Heating & A1C City: �� L.VCI State: FL Address: 4205 112 Metzger Road Zip Code: S Fax: City: Ft. Pierce State: FL Phone No. �' ��`—i(a Zip Code: 34947 Fax: 772-252-4831 E -Mail: Phone No. 772-467-3227 Fill in fee simple Title Holder on next page (if different E -Mail, 5ttA(!e— "I LID Pr'oPiA ' 5'„J y roa e_ from the Owner listed above) State or County License: LMCA #48033 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby inade 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 thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Associatio bylaws rules, or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association a d 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 and rgoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, scree i rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice pf Commencement may result in your paying twice for improvements to your property. A Notice of Commen, ement 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 our Notice of Comm ncement. Signature of Contractor/License Holder Signature of Owner/ Agent/ Lessee STATE OF FLORIDA STATE OF FLORIDA COUNTY OF s+ - Luc-iE COUNTY OF St Lude The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this Z3 day of MA rCJJ 20Ur� by this _ZJ day of M/f raL 20Q�fl by tj,t-t-> -' O't - L.r✓y i s O ven £ (Name person acknowledging) (Name of person acknow edging ) (Signature of Notary PubliSiate of Florida ► (Signature of Notary Public- 5 of Florida ) Personally Known OR Produced Identification Personally Known xxxxx OR Produced Identification Type of Identification Produced_ Type of Identification Produced Commission No. _ No. (Seal) :;. V011118 S, =.9101 Et FF 227002 a t Maly Revised 07/15/2014 RPV, � �' .. blicUn 5.2019 r MY ,:c��,�+IssI0N1FF227002 ' ' EXPIRES: May 5, 2019 .. a. Bonded Thru Nr.:n Pubic Undenwilen5 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. MW RM10-ow AHRI Certified Reference Number: 6892357 Product: Single -Package Air -Conditioner, Air -Coo Model Number: GPC1436H41D* Manufacturer: GOODMAN MANUFACTURING CO., LP. Date: 3/23/2017 �_l 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. Beginni July 1, 2016, central air conditioners can only be installed in region(s) for which they me t the regional efficiency requirement. Series name: GPC14 Manufacturer responsible for the rating of this systeltt combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard'01240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of sting accuracy by AHRI-sponsored; independent, third party testing: Cooling Capacity (Btuh): 35600 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): Ratings followed by an asterisk (*) indicate a voluntary rerale of previously published DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no repre the product(s) listed on this Certificate. AHRI expressly disclaims all liability for dal unauthorized alteration of data listed on this Certificate. Certified ratings are valid directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate s confidential reference purposes. The contents of this Certificate may not. in whole entered Into a computer database; or otherwise utilized, in any form or manner or personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahri and enter the AHRI Certified Reference Number and the date on which the certific which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute unless accompanied with a WAS, which indicates an involuntary rerate ations. warranties or guarantees as to, and assumes no responsibility for, rs of any kind arising out of the use or performance of the product(s), or the for models and configurations listed in the II only be used for individual, personal and in part, be reproduced; copied; disseminated; any means, except for the user's individual, retory.org, click on "Verify Certificate" link was issued, CERTIFICATE NO.: AL "IMF AIR-CONDMONING, HEATING. & REFRIGERATION INSTITUTE lite 131347564330092085 3 u cn TI)UG7 T 0 0 Cl [n � M v IJ Xdd NVLZ:II LIOZ/CZ/CO Michelle Franklin, CFA-- Saint Lucie Sile Addrss: Parcel [D; Account q: Map ID. Use Type: Zoning: City/counry: Ownership 11--nd Dcslauricrs Pnuicia Deslauricrs 30W Fire Iron DK Port Saint Lncic, FL 3495'-3165 Legal Description I INKS AT SAVANNA CLUE( (P0 4(139) ©LK 34 LOT 2 (OR 3865-2398) Current Values Jusi/Market Value: Assessed Value: lixenyitionst Taxable Value: Tuxes for this parcel: SLC Tis Cullcaor's office O Download TRIM for this parcel: Do%%n1 ad PDF U Total Areas Finished/Under Air (SF): Gross Arca IS IF): Land Sim (acres); Land Sirc (SF): 563,8(X1 563,804) S() S63 War 1,296 2.301 0 16 6,970 this information is believed ru be con'ect at ,C Copyright 2017 Suint Lucie C Property Appraiser--Allrights reserved. Identification 3064 Fnc I— DR 3425- 7117 -(X135 -(1X18 148(X12 34�25S 021X) PUD Saint Lucie C,tunty tune bur it is subject to change and is riot w.umtnted. iy Property Appraiser. All riehis iesen ed,