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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: —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 IMPROVEMENT LOCATION: Address: L a AI C � es I V Legal Description: Property Tax ID #: y 50"? — —j p g R b©�j _ Q Lot No. (S9 a Project Name: Site Plan Name: Block No. �Q S Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: {1i -i— I._� 1 CONSTRUCTION INFORMATION: A010111onal worK to be rto'mea under t is permit — c ec a ✓HVAC Gas Tank ❑Gas Piping 11 Electric Plumbing Sprinklers Total Sq. Ft of Construction: LQ L-4 4 Cost of Construction: $ L4 4 Cbl• QQ OWNER/LESSEE: C) "Q 14 apply: _ Shutters IGenerator S Ft. of First Floor: _ Utilities:[]Sewer oSeptic Name , j< Address:J[D j�j(,e� ��r —�rr City: _2 r, Q m l State: FL Zip Code: -331'915 Fax: Phone No. -3c> 5- '14 9 - 320 E-Mail:�p.� ao CSM Fill in fee sin next page ( if different from the Owner listed above) CONTRACTOR: Windows/Doors 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Nam1eNER/ENGiNEEn Not Applicable MORTGAGE COMPANY: _ Not .Applicable Name: Address: { City:Address: State: City: Zip: Phone: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable BONDING COMPANY: Name- Address: City: Zip: Phone: _ Not Applicable 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 Horne 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 i r paying twice for improvements to your pr . ,A Notice of Commencement must be recorded ed pos-tf d on the jobsite before the first inspect,4n. If yo intend to obtain financing, consult th lender or an at rney before Comm o� OCordi your Notice of Commencement./ f re gf)ti"wner/ Agent/ Lessee ature of,Qbntractor/License Holder STATE OF FLORIDA COUNTY OF STATE OF FLORIDA �—� (c e COUNTY OF S: f . / � i k' The for oing instrument was acknowled ed before me The fo mg instrument vyas acknowledged before me th day of 20 17 by th; ay of , D. 20_]by (Name of Pers&Jcknowledging ) le�� I (Signature of Notary Public- State of Florida } Personally Knowny OR Produced Identification Type of Identification Produced Com •'Y 1P" DE B�� RUSSE"'al) ;'ora UB`c= Public - Slate of Florida r 3 Commission Oili4Comm Expires Nov 30. 2018 me of perwA acknowledging I (Signature of Notary Publ/ic- State of Florida ) Personally Known ✓ OR Produced Identification Type of identification Produced Commission No. DEB04lqAUSSELL Notary Public - State of Florida REVIEWS FRONT ZONING SUPERVISOR I PLANS COUNTER REVIEW REVIEW REVIEW DATE RECEIVED I COMPLETED My Comm Expires Nov 30. 2018 VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW .r This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratin AHRI Certified Reference Number: 6892357 Date: 4/28/2017 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1436H41D* 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): 35600 EER Rating (Cooling): 12,00 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages kind of any 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.ahridirectory.org. 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 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 by any means, except for the user'sAS individual. Now Ron personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldirectory.org, dick on "Verify Certificate' link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, t,v make life better' which is listed above. and the Certificate No., which is listed at bottom right ©2014 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 1313785598749064�