HomeMy WebLinkAboutEDWARD PORTO PERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2306 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial I Residential
PERMIT APP1ICATION FOR: To Select from dropbox, click arrow at the end of line
Address: Is LAA E L=
Legal Description: ;511 ,k,2g I &1! jS q_ ,�_ q
Property Tax ID #: -0 - ()C>LJ Cap _ g Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Block No.
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HVAC ❑Gas
_ Gas Tank Piping
11
� �_ Shutters E]Windows/Doors
Electric � Sprinklers
InGenerator
Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ _ Utilities.
Sewer Septic Building Height:
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Name
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Name:
Address: he, I (','E,"
Company: n .c J �FeAlr,rt 4S
City: 64 . eIr-a_ State: d"'( -Address:
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Zip Code: 3U9tsl Fax:
City: r-4 G Stater
Phone
Zip Code: �`RQa.,, Fax:74�
E -Mail::
Phone No.q-}a - &J_—Ap0t,p
Fill in fee simple Title Holder on next page (if different
E -Mail:
from the Owner listed above)
Sate or Cou t License-iD Lola
CC-sr�St ;
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable MORTGAGE COMPANY: Not Applicable
Name-
State:
- Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
1 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 Horne 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 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: Yodr 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 recoWing your Notice of Commencement.
ature of Own
/L ssee/Contractor as Agent for Owner Signature of Contractor/License Holder S
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFt _ T.reri P COUNTY OF_ Ste. Lu�c�
The forgoing instrument was acknowledged before me
this -:lay of _ J„n,- S, 20 ]Zby
of person acknowledging)
C
{Signature of Notary Public- State of F1' CAB` E ��
Personally Known�—OR Prod e�ia Y o tr p
Type of Identification Produced
•� r4 � TA.
Commission Flo. F 0'74259 = (Sea�loi�25�
Revised 07115V2014
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
COMPLETE
INITIALS
The forgoing instrument was acknowledged before me
thi!23r--d_ day of June 2017 by
(!Name of person acknowledging)
(Signature of Notary u- Nic- State of Florida)
Personally Known. ✓ OR Produced Id fi ation
Type of Identification Produced§���r�#{
b ,
Commission No.FF074259 $` r,.G� SS � •r g.
r en
o #FF 074259 ZF
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SUPERVISOR PLANS VEGETATION -SEA Tflil4t� `MANGRO'
REVIEW REVIEWI EVIEW REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 8242078 Date: 6/23/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: GSX160361F*
Indoor Unit Model Number: ASPT37C14A*
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: GSX16
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): 34200
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00
JEER 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.ahrid!rectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and fil
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's individual,
8 -mom
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.ahrldirectory.org, click on "Verify 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.
02014 Air -Conditioning, Heating, and Refrigeration Institute � CERTIFICATE NO.: 13142718244790037