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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: J Building Permit Application Planning and Development Services Building and Code Regulation Division 1 " vb( �� f 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical I PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Bq-: Property Tax ID #: _445i if - a 1,-,24 - (� Site Plan Name: Project Name: Setbacks Front Back DETAILED DESCRIPTION OF WORK: Right Side I Left Side: Lot No.�_ Block No. CONSTRUCTION INFORMATION: Additional work to be eFormed under t ispermit -check Irl appy: Z✓ HVAC Gas Tank []Gas Piping _ Shutters Windows/Doors 11 Electric ❑ Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: f5SLc Sq. Ft. of First Floor: Cost of Construction: $ 4-44 C)U. C G Utilities: Sewer []Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name - 0 Name: MICHAEL EWING Address: 7 Company: PIONEER COOLING & HEATING City: - 7 State: FL Address: 585 NW MERCANTILE PLACE # 106 Zip Code: J� {��� ? Fax: "" City: PORT ST LUCIE State: FL Phone No. — ( s. J ( c_-33 Zip Code: 34986 Fax: E -Mail: •— Phone No. 772-579-9209 Fill in fee simple Title Holder on next page ( if different E -Mail: pioneerheatingco@bellsouth.net from the Owner listed above) State or County License: CAC 1817251 --•__ — V. --- — in ' a n&a.vnvcv PAULILe ur %_ommencemeni is requlre0. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable 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 Association 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 1 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 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 ,� 7 ignatu re of Owner/r nt/ Lessee STATE OF FLOFR COUNTY OFL G The forgoing instrument was acknowledged before me this�'day of I LL7LQ_ 20LLIJ by (Name of person acknowledging ), (Signature of Notary Publ' State of Florida ) Personally Known y/ OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 DEBORAH RUSSELL Notary Public - State of F "I L f" k�7_ - - '7 Signature of Contractor/Lt ense Holder STATE OF FLORIDA. COUNTY OF C:I� The forgoing instrument was acknowledged before me this (Z_day of 200by .W _ i,1G. (Name of person acknowledgin ) i� t(C 1 9 (Signature of NotaryPubli tate of Florida ) Personally Known 1/ OR Produced Identification Type of Identification Produced Colmission No. da My Comm Expires Nov 30, 2018 7— DEBOR tlT SSELL Notary Public - State of Florida My Comm. Expires Nov 30, 2018 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 Energ] Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016 Certificate of Product Ratings AHRI Certified Reference Number: 6892357 Date: 6/15/2017 Product: Single -Package Air -Conditioner, Air -Cooled �� O 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 product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages 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 only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS "12' This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and AS confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied: disseminated;.■ `' emu entered into a computer database; or otherwise utilized, in any form or manner or by any means. except for the user's individual, personal and confidential reference. AIR-CONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, dick on 'Verity Certificate' link and enter the AHRI Certified Reference Number and the date on which the certificate was issued. we make life better' which is listed above, and the Certificate No., which is listed at bottom right ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131420076644808012