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Building Permit Application
ALL APPLICABLE �I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: k- J Permit Number: .._....... . Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierre FL 34982 Phone: (772) 462-iS53 Fax: (772) 462-1578 Com ercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: 5CO-7 Riieo clkcle ., Legal Description: �)b 1 101 A-14 P1 NP.S 5/,O - Ph 4 -se I I LOT 313-3 C01 r9 P Property Tax IQ #: 1 _C)) Site Plan Name: Project Name: 'T_ Setbacks Front Back: Right DETAILED DESCRIPTION OF WORK: A LL f\J rw A c 5 S, i 9971 - C I f 4-�r L r- L �ti17 r��'Gs�I�Jn4�1 S'�f�f1r�33Y9 Left Side: Lot No. 336 Block No. 5* ccdrn CONSTRUCTION INFORMATION: Additional 'f HVAC war r Orme under this permit -check ta appy: Z to l�e�ej L_J Gas Tank E]Gas Piping _ Shutters Windows/Doors 11 Electric Plumbing OSprinklers L_—I Generator Roof Total Sq. Ft of Construction: 3 H3(o S. Ft. of First Floor: r (� Cost of Construction: $ SSCP Utili es:Sewer Septic Building Height: I OWNER/LESSEE: CONTRACTOR: Name ;ELi- $ i ET -A TUT _, J�&Ol� Address: ) PA leo C i1 _cje Name: Sh rE+ LUf}T So Company: ProMag Energy Group Heating & AJC Address: 4205 112 Metzger Road City: fir' • Pt ezc E State: FL Zip Code: 3 C Fax: Phone No. ion _ City: Ft. Pierce State: FL Zip Code: 34947 ,Fax: 772-252-4831 Phone No. 772-467-3227 E -Mail: :51+�+`-41��"�' `� Cr"� E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: 'LMCA #4B033 11 vanae yr cons[ruciion is :YL..Suu or more, a 14t4UKULL) Notice o� Commencement is required. SUPPLEMENTALCONSTRUCTION LIEN'LAW IN ORMATION: " =c DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: I Name: Address: COUNTER Address: City: State: City: State: Zip: Phone: REVIEW 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 rade to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to th issuance of a permit. St. Lucie County makes no representation that is granting a per it will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Associattorrrriiii rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association anreview your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do he eby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Cod s 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 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. 'j4p n n 60 0. Signature of Owner/ Agent/ Lessee STATE OF FLORIDA COUNTY OF 57-= L_UQ C The for oing instrument was acknowled ed before me this for of A P r` i I 20LI]o by (Name of person acknowledging ) gnature of Notary Public- State of Flog 1 a ) Personally Known K OR Produced Identification Type of Identification Produced Commission No. Revised 07/1 LOUIS S. GOMEZ EXPIRES: May 5, 2019 Bonded Thu Notmy Public Urdervfts D Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this(Al day of Ap /' i ) , 20_Iby LOUIS GC M &> - (Name of parson acknowledging) %, J� (Signature of Notary Public- State of Flo,ria Personally Known xxxxx OR Producers Identification Type of Identification Produced Commission No. LOUIS S. G0M:Z MY COMMISSION i FF 227002 EXPIRES: May 5, 2019 aonded Thm Nohry Public UWavri n REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED .,,%a WO CERTIEIEEr www.ahridirectory.org r This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. AHRI Certified Reference Number: 8242645 Date: 4/6/2017 Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source Outdoor Unit Model Number: GSZ140491K* —5#16,o17/?3347 Indoor Unit Model Nuilnber: ASPT49D14A* S-#- (,,o,`2 `l) q,3r� Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANAI DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Series name: GSZ14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 2'10/240-2008 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): 45500 EER Rating (Cooling): 1250 SEER Rating (Cooling): 15.00 Heating Capacity(Btuh) @ 47 F: 45500 Region IV HSPF Rating (Heating): 8.50 Heating Capacity(Btuh) @ 17 F: 26000 Ratings followed by an asterisk (') indicate a voluntary rerate of previously published i DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no reps the product(s) listed on this Certificate. AHRI expressly disclaims all liability for dF unauthorized alteration of data listed oil this Certificate. Certified ratings are valic directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate 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 ❑i personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahr 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. unless accompanied with a WAS, which indicates an involuntary rerate. sensations, warranties or guarantees as to, and assumes no responsibility for, nages of any kind arising out of the use or performance of the product(s), or the only for models and configurations listed in the hall only be used for individual, personal and or in part, be reproduced; copied; disseminated; by any means, except for the user's individual, :ciory.org, click on "Verify Certificate" link was issued, AIR-CONWTIONING, HEATING, REFRIGERATION INSTITUTE uc n:a i:c hiu u�� tcr'" ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131359708048998081 T000/T000 [2] 1 XV'3 AIJVZ : ZT LTOZ/90/P0 Michelle Franklin, CFA-- Saint Lucie Co +� my Property Appraiser--Allrights reserved. Property derrtiFcatlon Slee Address: Parcel ID Account #: Map ID: Use F-Vpc: Zoning: L IIV'(_OUniN Ownership F librma Tuncrro , 5009 Pat,,, Pin,, C1 Foil P, r,,,FI. 34951 Legal Description HOLIDA) PINLS S/D-PHASL 11-13- LO -1 338 (MAP 13, 13N)(oR 2771-7%1 Current Values Iu,CMarkel Value: 5174 700 A,,,,c,l Valu,: S 14117 Cccmpunns: S50.00O Triable Value: 593. 171 Talcs fur his parcel: SLC' Tax Collcclw•s or0ce O Dow nlead TRIM For this parcel: Download PDF 0 Total Areas Fimshed/Under Air (SF).- 1,91(1 Cross Arca (SF): 3,43(1 Lund Size(acres): (4 28 Land Si,, (SF): 12-274 5009 PALFo PINFS CIR 1312-801-(1141-(X)( 0 4582 3l13N 0110 RS -4 Saint Lucie County This information is believed to be correct nt this inno but it is subject to change and is nol warranted I,' Copyrighl 2017 Suint Lucie Count Properly Appraiser. All r1,111S. rescrvcd.