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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I -i " Permit Number: Building Permit Application Planning and Development Services Building andCode Regulation Division 2300 Virginia Avenue,Fart Pierce FL 34982 Phone:1772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED INPRQVEMENT LOCATION: Address: 5013 CKQk Y 0R - - Legal Description: In10+fl,J { i VE. t-nf tea—UN I To,? C�t�c LQ r 11, �MIV 341) k -J Property Tax ID#: 3 — p` — Lot No. Site Plan Name: Block No. 5 Project Name: Setbacks Front Back: Right Sider Left Side: DETAILED DESCRIPTION OF WORK: C' e- OUT Ak= QtJoT - C ` oa c y _r� c� (_L) - (:4)1-0 CONSTRUCTION INFORMATION: di3it3c�na work to e'e o r m e Lin er t is—pe riii1t--che�k—a�l la P y. R1HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors 11 Electric Plumbing Sprinklers Generator 0 Roof Total Sq. Ft of Construction: S . Ft.of First Floor: Z-4 Costof Construction:$ t�P. + UtiIities:cn Sewer 171 Septic Building Height: - � OWNER/LESSEE: CONTRACTOR: Name Wild,reirv) =c&)c- ' -f �c1 Address: C3 C LCA LL Company: ProMag Energy Group Heating&A/C City: Ff• I C jf State:PL Address: 4205 1/2 Metzger Road Zip Code: 32 Fax: City: Ft. Pierce State:FL Phone No.. Z` Vii" cj (F Zip Code: 34947 Fax: 772-252-4831 E-Mail: Phone No. 772-467-3227 Fill in fee simple Title Halder on next page(if different E-Mail:S I >✓t1� t7� �c-4i ,�' ,Ceh from the Owner listed above) State or County License: LMCA#118033 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. . _ ..._.._ .........._._.._ . ......... SUPPLEMENTAL CONSTRUCTION LIEN LAVH IN ORMATION: 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 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 thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Associatio rules,bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association arid 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,scree i rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice f 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 fim ncing, consult with lender or an attorney before commencing work or recordin our Notice of Comm ncement. Signature of Owner/Agent/Lessee Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF5-�_-wGl £ COUNTY OF Sl LUC1e The foJrg oing instrument was acknowled ed before me The for oing instrument was acknowledged before me this f l day of ^i_1 20 17 by this day of . 2iQ�by Loos bowz- LOUL S C-r me-z (Nam f person ackn ledging) (Name of qon acknowled ) /)OW, Yl�l (Signature of Notary Public-StKt of Florida) (Signature of Notary Public-StateNFda) f Personally Known -XXY X OR Produced Identification Personally Known xxxxx OR Produced Identification Type of Identification Produced. Type of Identification Produced— Commission No. (Seal) Commission No. Seal) 71115$.ii()H{Q *1�r. LOUIS 5:OCIMEZ k,*i;. r 1 ISSION II FF E2 OM Revised 07/15/2014 May 5.4119 y' EXPIRES:May 5,2019 6unOvJ Thru�ai,xv PW*UndMwriyer, R{W, B=WThruakl�rr c+Jrd wdn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW BATE RECEIVED DATE COMPLETE[] o This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service CERTIFIEDbetween Feb 17, 2009 and Dec 31, 2016. www.ahridlrectory.org Certificate of Prodpct Ratings i AHRI Certified Reference Number: 8242645 7 Date: 3/10/2017 Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source Outdoor Unit Model Number: GSZ140491K' Indoor Unit Model Number: ASPT49D14A" Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA QISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANK IN Series name: GSZ14 Manufacturer responsible for the rating of this syste combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 2 01240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of r ting accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity (Btuh): 45500 EER Rating (Cooling): 1250 SEER Rating (Cooling): 15.00 ' ''•� ASPT49D14 Heating Capacity(Btuh) @ 47 F: 45500 I Region IV HSPF Rating (Heating): 8.50 160730093P Heating Capacity(Btuh) @ 17 F: 26000 , GSZ140491 i + 1606748674 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 repre ntations,warranties or guarantees as to,and assumes no responsibility for. the product(s)listed on this Certificate.AHRI expressly disclaims all liability for da; ges 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 ly for models and configurations listed in the directory at www.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate;;h II 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: . entered into a computer database;or otherwise utilized,in any form or manner or,b any means,except for the user's individual, personal and confidential reference. &R•CO N HEATING. &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrld rectory.org,click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on which the certifica was issued. which is listed above,and the Certificate No.,which is listed at bottom right. I 131336354579179428 ©2014 Air-Conditioning, Heating, and Refrigeration Institute' CERTIFICATE NO.: LJ �0 0