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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONTO BE ACCEPnD D. J PermitNumben. ! i 12 ac��s�c�.'fir,rr�5�.�,.�r�• RECEIVED .:�,a .yv's.: ., _ y: Building « Application ;F ' Planning i ♦ 0evElopment Services r R and rr'keguludon Division 2300 Virginia Avenue, . 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It liYi' �' ♦ a' AMR Address: er y ' • - • J&11 • •►• J6a . Y 4 UR 4 hone No 3C IM iri« • . Couhty constructionif value of 11 or more, Notice of Commencement is required. P Certificate of r u t Ratings AHRI Certifled Reference Number: 8242072 Date: 1111812016 Product;Spilt System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: GSX140481K* Indoor Unit Model Number:ASPT59C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN;JANITROL;AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING;ENERGI AIR Region:All (AK,AL,AR,AZ,CA,CO,CT,DC,DE, FL,GA, HI, ID,IL,]A,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 on e•Ika3 a e Idn s':,fer;�l►iatciisth triir�:et;'t e: gi{�na1°�ifl ...Y:, :...:!! •._:.:::�...11F;;,.8.,,r.;,,.::.:.•:::•�,,::�:::::.�.::.-;I:,., ��erc�►�eitl �,ri;i�nt;::....�:::.:ir' Series M y�rasp iblr tit ratil o ABIs lel I I k;y y r '�: : °. �)� •A' �,�. , til f' AN 1 - •Q�':'�LP. l c ll" ail ills? •� N [ } s'e�^;i Wit q me a u !� I catI ` , - ,12 F��}FylrEa7 � d� p� 'i ':;'' ,.�•;<�sl i r� � I5!�# '�fift!'rr if�„.l I �, :��Il:[- TT r;tln��i, (� 5,,,, }I��! � t�. � ���f�}� ,. �i sLl it l f k. f 1 _ ihrtii!✓'il c t P I:4' ''tth 1ff PtjV's y„i C'� ,....... •i��!ii i �I I J'}' _1" $y t�l '2,y ���G •.°I'fI�IIP�}1NrP�}t. ?{���,��� , '��.i!.�.��� �iii� v( u '( �f �T ' �� •1 ;/ �)��� �1rfil. s�P*�' fi �' F�°,�'�8 �+ bra �'•�::.: N'.:}�• •• �i�.,lk. .; N . •s.,4 nv:.., s:�.:!Taft!.!,: c.... -_...,.t... :. .....:........;;...y..�..•F:..o-;... .,h:.;.i,l•..�. .-,,7rs�!,..✓ •':%:" - ::,1,: .i 4�i.—=-.- Z� .. ......ts�.....•..ti.. ..+e.-,..5.:;...o:n::.c!v:nLN'6.1,1:�}I•�L.,n„yin.�b.,a•.:v,:.L.�Idu,u.n.I:.c;;::.�aFr..:..1.!.'.!.la,...:.:,:.y;�'•,•,L:if FI:•: ;,,Li• r.':i: �.r._.da.,•.I.�a;. .1! r IS 'tating'(Cocilln'g):' :, .:. :.....:.......:..............:...:. ';-:''`.................. "Ratfngs followed by an asterisk[')Indicate IQ voluntary mrate of previously published data,unless 3=mpanied with a WAS,which indicates an Involuntary rerate_ I n n n n nnln - nn-� b(SCLAIMER AHRI does not endorse the product(s)listed on this Certificate and Brakes no representations,werrantles of guarantees Or,to,and assumes no responslbillty tor+ the product(s)listed on this Certificate-AHRI expressly disclaims all liability for damages of any kind arlsing out of the use or performance of the product($),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations Ilsted In the directory at www.ahridirectory.mg. TERMS AND CONDITIONS This Certificate and Its contents ere proprietety products of AHRI.This Certificate shall only be used for Individual,petaonal and confidential reference purposes,The contents of this Certificate may not,In whole or in port,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's Individual, AM personal and confidential reference. AIR-OUNAnrONING,HEMNG, CERTIrICATE VERIFICATION &REFRIGt:RATION M$Tff= The information for the model cited on this certificate can be verified at www.shvid(teetoty.org,click on"Verify Certificate'link wernake life better'- and enter the AHRI Certlfied Reference Number and the date on which the eertiftMe was issued, whlch is listed above,and the Certificate No.,which is listed at bottom right.— t z, m ;y r.;,F::'.- ^=--a ,M-• T• ©2014 Air-Conditioning,Heating,and Refrigeration Institute I o >w: , .._, •":rSuJ'lii�:�i;^:sifi?I. � '. t DESIGNS ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address- Address: Address: City: State: City: _State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLEHOLDER: Nat Applicable BONDING COMPANY: TNot Applicable Name: Name: Address: Address: City: City: _ Zip: Phone: _- _ _- Zip' Phone: _-- I certlfy that no work or installation has commenced prior to the issuance of a permit. St_Lucie Count makes no representation that is granting a germit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Associatlon 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. 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 nonresidential 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 record our Notice of Commencement. S _Signatu ner/Le ee/Agent SignatXF ontrattor/License Holder STAT ' ORIDA ST LORIDA COUNTY OF Luc i - COUNTY OF The fo oing instru ent was acknowledged before me The forgoing Instrument was acknowledged before me -this, " day of J a.ihf-. , 20 i by this_Z,day of �. .20 ].by raS am0.n I'1 .Je 61 vossr> t,,r, (Name of person acknowledging) (Name of person cknowledging) (5ignature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of identification Produced Type of Identification Produced _, Commission No. 109 Commission No.Fi'00 ISTINA L LDUDE CI{ KRISTINA L LOUDERB CK =�€ *° iviy COMMIMS! 2z? 9222 a„N. EXPIFiES August 7.2 7 'Revised 07/15/2014 �'��;� EXPIRES Augual 7.2017 (407)3s"s.o,3 A0AdaN4=s4e4w.a 4D 39$6153 Rodd0LNo1SmvFca.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE= MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS