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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /r_ Date: �,• �� Permit Number: /-/[97 D 667,, eJAM11 RECEIVED Building Permit Application JUL 3 1 2017 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: To Select from dropbox, click arrow at the end of line 'PROPOSED IMPROVEMENT LOCATION: Address: 140 0 C 17 7-OA/ V if PO A T .5 T. .L VeleF-, f 1- 3 Jl 9j_0- Legal Legal Description: k)1 uF2 PlAl C (JNIT 3 -SCCONS ,Q EP44 7 Property Tax ID#: 3 fq_ S-�2 = O®D 9- 0OC9 Lot No. Site Plan Name: Block No. 43;z Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: : _r F 7-Q AJ !/OV/ 7' �� -CONSTRUCTION INFORMATION: r ition or to e e orme under tis permit-c ec a appy: HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers E Generator 1:1 Roof Roof pitch Total Sq.Ft of Construction:�j SFt.of First Floor: Cost of Construction:$ 'S l9 d ©- e Utilities:n Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: h x'41 .1".4 Name J�: Name: J"/.q AIC A9 A& K67,1 7j A161UG Address: /'OU Z-HTOn/ -0 tZ . Company: IV47-H4AMS1, 1V-ekrJA City:_POKT .57- State: rL Address:AR V 41 51U S4110AIW ALV D. Zip Code: 3 slag's 2— Fax: City: Pl,47' 1 �UG/�� State: 7 4_ Phone No. -7-7a- 2D t/ l a 70 Zip Code: 3°/q1_3 Fax: E-Mail: Phone No. 77a - 3 CO /" _?2 20 FII in fee simple Title Holder on next page(if different E-Mail: Q 4 s ha e'"'o/A from the Owner listed above) State or ounty Licens If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 3r'."`rv+:wr.1S34Y�`5x_4�?.. '4 am R:to L�' �r,.r,�s 4 `,+.tits ajer n r,1;�r r .`f,tl....,�UW;'Y.`n r`^� 1�1Hma eW `Y-,eai l��sa M,"�,:.; y-r*r�.{._ur`iiS''`''Y'.cy1y�'r^a�iyM`� "��,.",.v.3�''�x'�` '•`-r'.ua��u��k ._. ;.-.:�*✓a. .;=.._�� .�'us4"�"_;��-. ,r�' ..r n..N..°,},�v.^5es�. a.t�.�y.,..?,...�is......r.�.,:'k:., ... .�;.:,v'.vti. :;4-fi��,arn`�a r _Y+,: .,..ss„ �'fi� =�. .. ?nab n, DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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 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 workor recording our Notice of Commencement. s Signature of Owner/Lessee/_ ar-asAgentifor f� <_ ignature of ontractor/Lic a Holder STATE OF FLORIDA _ STATE OF FLORIDA COUNTY OF a � I COUNTY OF GI a MEZ m The forgoing instrupen was acknowled ed efore me The forgoing instr nt was acknowledged before m rn m g g g this day of 20,1by ��= this day of LI 20 P7 by v w z C SEE n A/ g-np+�qv J:��L M . Ala Me 0- (Name of person acknowledging) N (Name of person ack led in Ok wft�1,0-L7 (Signature of No Public-State of Florida U / ign ure of ota�ry Pub�lic- tate of Florida) Personally Known OR Pr ed Identificationy Per onally own (/ OR Produced Identification i� Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission N . •' B G® EZ ;f MY COMMISSION#FF245969 ",+i_ . EXPIRES July 01,2019 Revised 07/15/2014 (407)39"153 Fbnd9NCWftAervke.com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 'COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 10206647 Date: 7/28/2017 Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160361F* Indoor Unit Model Number: ASPT39C14A* 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:irr-accordance with AHRI:Standard-2'10%24 -2008 for Unitary Air Conditioning and Air-Source Heat.Pum�i Equipment and`s.Ubject to verification of rating accuracyby AHRI sponsored, independent, third pagy'testing Cooling Capacity,(Btuh): 34200 EER Rating (Cooling): 12.20 SEER Rating (Cooling): 14.50 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 This an Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal d 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, 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,click on"Verify Certificate"link we make life better" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is listed above,and the Certificate No.,which Is listed at bottom right. r ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131457187233940610