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HomeMy WebLinkAboutBUILDING PERMIT 3 ifj ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: hrlr 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: To Select from dropbox, click arrow at the end of line PROPOSED 1MPROWIVIENT.LOCATION. Address: ' T q`J a' Legal Description: CL Cti Property Tax ID#��1����7t`z� f) LP Lot No.�p Site Plan Name: d S'C.�a VWIC,[tLL(a Block No. Project Name:. o rc ci h ct Setbacks Front Back:_ Right Side: Left Side: ['5ETAILE'D CONSTRUCTION #NFORMATlON AdXHVAC a workto e e orme under t is permit-check a apply: �Gas Tank Gas Piping _Shutters a Windows/Doors 11 Electric E] Plumbing LOSprinklers Generator Roof Roof pitch Total Sq. Ft of Construction': S Ft.of First Floor: 4 Cost of Construction:$ 5o(q 0 Utilities:Sewer I Septic Building Height: OWN ERAESSEE CONTRACTOR.-' Name �p;1�rM1 ��—T Ct YI tt Name: Address: U _ -Lna pi-x .r Company: city: State ( Address_9f) N4' A"-) N6 MWV 1")j Zip Code: Fax: _ City: (+ State: Phone No. _ Zip Code:_-�W§qL4 Fax: -T"I Q tr0 i-ZWS— E-Mail: Phone No.11;�--Ig\-aLD[' 5- Fill in fee simple Title Holder on next page(if different E-Mail:( ;r fI&,jQL 0 P__"lA'L . CDC from the Owner listed above) State or County License: t If value of construction is$2S00 or more,a RECORDED Notice of Commencement is required. $Ups'C 11 l L. fl 15 1, `t I�i. 1 ICI. X N t 1 i_ 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 App ble ke: O ANY: Not Applicable Name: Address:City: Zip: Phone: Phone: OWNER/CONTRACTOR AXHA T: Application is h y made to obtain a p it to do the work and installation as indicated. I certify that no work or install commenced p ' r to the issuance of a permit. St. Lucie County makes no repron that is nting a permit will authorize the permit Ider to build the subject structure which is in conflict with any apome 0 ers Association rules, bylaws or and covenan that may restrict or prohibit such structure. Please consult with ye Ow rs Association and review your deed for any restr tons which may apply. Inconsideration of the granting uested permit, I do hereby agree that I will,in all respect ,perform the work in accordance with the approve the Florida Building Codes and St.Lucie County Amendments. The following building permit ns are exempt from undergoing a full concurrency review:room additions, accessory structures, swi Ing 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 comm encing work or recording our Notice of Commencement. _�a AAJ&. Signature of caner/Lessee/Contractor as Agent for Owner Signature of Co tractor License Holder STATE OF FLORIDA r ] STATE OF FLORID_A— Li � •r� COUNTY OF_�� r4( COUNTY OF 1 t t The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20/J by this day of ,247� by Name of person making statement Name of person making statement Personally Known ✓✓ OR Produced Identification Personally Known_t_-" OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-6ate of Florida ) (Signature of Notar Public-S Florida) Commission No. + ;b CHR( NE A JORDAN 'Commission No HRISTI JORDAN COMMI SION q FF2J55"" ' MY COMMISSION P FFe356i:. �Fa;d�P' EXPIRES July 31.2019 oun REVIEWS FRONT _1)UFtKVlSCrK PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 I This combination qualifies for a Federal Energy Effic'loncy Tax Credit when placed in service CERTIFIEU :stween Feb 17, 2009 and Dec 31, 2016. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 6892357 Date: 5/25/2017 Pro luct: Single-Package Air-Condittioner, Air-Cooled Mo6el Number: GPC1436H41D* Manufacturer: GOODMAN MANUFACTURING CO., LP. Tra,7.e/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR COi ZITIONING AND HEATING; ENFRGI AIR; FRANKLIN Region: All (AK, AL, AR, AZ, CA, CC, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, PAIN, MO, MS, MT, NC, NV, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Ri, SC, SD, TN, TX, UT. 't/A, VT, WA, WV, WI, WY, U.S. 7',rrritories) Rec ton Note: Central air conditions 's IT,anufactured prior to January 1, 205, are eligible to be instilled in all regions until June 30 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s)tel,which they meet the regional efficie any requirement. Senas name: GPC14 f Manwfacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rar.ed as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heu` Pump Equipment and subject -,o verification of rating accuracy by AHRI-sponsored, independent, third par`y testing: Cooling Capacity(12tuh): 35600 t EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): Ratirfp followed by an asterisk(*)indicate a voluntary rer :e of p-Mously published data,unless accompanied with a 0,9S,which indicates an involuntary rerate. DISCLAIMER AHRI Ones not endorse the product(s)listed on this Cer:ificate and makes no representations,warranties or guc rantees as to,and assumes no responsibility for, the prrAuct(s)listed on this Certificate.AHRI expressly ilsclaims 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 direct(-y at www.ah rid!ectory,org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal andAM confid!ntial reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;ce;,ied;disseminated; entered into a computer database;or otherwise utilize(!,in any form or manner or by any means,except forth.:user's Individual. personal and confidential reference. AIR-CONDITIONING,HEATING. CERTti'ICATE VERIFICATION &REFRIGERATION INSTITUTE The in'ormation for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Ver'fy Certificate"link we make life bettv," and enter the AHRI Certified Reference Numbrr and th3 date on which the certificate was issued, which is fisted above,and the Certificate No.,which is I sted at bottom right. J ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERI FICATE NO.: 131402117401850501