Loading...
HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 21% Lo[%-I 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 I PROPOSED INPROVEMENT LOCATION: Address: en j O se Legal Description: _L&4e, r,t e Plat /Jo Property Tax ID#: 34 kp - b 1 4l C>co- 5z Lot No. 1 37 Site Plan Name: Block No. Project Name: (^,C� Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: L'x� re-o l a.ce-rr1 erg-- o-9- 3 %4a -ro tJ �- CONSTRUCTION INFORMATION: Additional work to be,oertormed under this permit-check a apply: ZHVAC Gas Tank [-]Gas Piping _Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers 11 Generator Q Roof Total Sq. Ft of Construction: 190.2 Sq. Ft. of First Floor: Cost of Construction: $ Lq �lb D n,pC-�) Utilities: Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name 1 r% Name: DOUGLAS PENCE Address] O n L✓d je I Company: ABSOLUTELY COOL AIR CONDITIONING City: -,-::;+ State:FL Address: 2311 NE 15TH COURT Zip Code: Fax: City: JENSEN BEACH State: FL Phone No. -179 -177 - I(90 Zip Code: 34957 Fax: E-Mail: LI la W 6,60-0 ,e-0 m Phone No. 772-475-4641 Fill in fee simple Title Holder on nA page(if different E-Mail. absolutelycoolair@gmail.com from the Owner listed above) State or County License: CAC1815702 i If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I �l SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: !� DESIGNER/ENGINEER: _Not Appiicabie 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: 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 Home Owners Association and renew 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 d pos d on the jobsite before the first inspe n. If yo intend to obtain financing, consu th lender ar an a rney before comm wor or ecordi our Notice of Commencement. t Q l ignature caner/Agent/Lessee )IK-ture of ntractor/Licen Holder STATE OF FLORIDA STATE.OF FLORIDA COUNTY OF L_U CA.t— COUNTY OF - . LLAcA*e, The forgoing instrument was acl<nowred ed before me The forgping instrument was acknowledged before me this *day of 20n�by this day of 20MIby (Name of pe acknowledging 1 (Name of perso knowledging) iSignature 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. + DE90ri �USSELL Commission No. Notary Public-State of Florida ;of^"'"a 0EEORAH RUSSELL COMMI551011 ff F, , . Revised 07t1 /s� o-;' IV Comm Expires Nov 30.2018 i,• Commission # FF 179630 , + '•.fo; Ay 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 CERTIFIEW www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 8242081 Date: 8/16/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160421 F* 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; 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): 40000 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 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 This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and A �� 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. CERTIFICATE VERIFICATION AIR-CONDITIONING,HEATING, The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link $REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, Nve 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.: 131473672495021792