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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 8E ACCEPTEDDate: " f �% Permit Number: Planning and BevelapmentServices Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 452-1578 Commercial--. Residential PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSEDIN.PROVEMtNT f OCAtiON.a-= ' Address: 0.4i/ r Legal Description.- Property Tax ID Site Plan Name: Lat N Project Name: Block No. Setbacks Front` Back: Right Side;Left Side; DETAILED -DESCRIPTION OF 1 bR : CONSTRUCTION INFORMAT[ON: ttto ar to n''Gas HVAC0 Tank E]GaS Piping 11 Shutters Electric ©PlumF,ing ❑Sprinklers Generator 'Focal Sq. Ft of Construction; Cast of Construction: $ Sq. Ft. of First Floor: [�j Utilities: Sewer ll Septic O1IVNER j'LESSEE: CONTRACTOR: Name Addre Name: , rit„ 11r .� Aempaov:1rr,nl State;L Zip Code L � - Fax: Phone No, E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) it value of construction is $2500 or more, a RECORDED Zip Code.° �-V Phone No,� 2_ E -Mail, ilML Y -A State or County License: Windows/Doors Lam! Roof Building Height; �r ic, . State.EL . Fax: F Commencement is rec{7c� `d. 1 mC n �o m°s -04)CkCk an, CS . 5C7PPLEM-. NTAL Ct7NSTRUC71C7N LIEN LAIN INFO MATIQW DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: 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: 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 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,thafirst ins action. If you intend to obtain financing,consu ­Ien4er-�n attorney before co enci rc or recor I ur Notice of Commencem _ Signature of Owner/ Lessee/Agent := z STATE OF FLORIDArz SUPERVISOR COUNTY OF � ' ��jr a SEA TURTLE MANGROVE The fo ping instru ent was a knowledged before rr§ e o -s iy1 a thisr ay of 4 20 by� 7; A REVIEW or Un Cf \ EoE� (Name pf person acknowledging) re of Notary Public- State of Florida Personally Known L-� OR Produced Identification Type of Identification Produced / p Commission No.E/�((''%" (Seal) Revised 07/15/2014 Signature of Contrattor/License Holder-- STATE OF FLOR A COUNTY OF := z ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE The forgoing instrument was ac nowledged before m this/Vk day of , , 20 t:7- by V 2 REVIEW REVIEW REVIEW EoE� (Name of p rson acknowledging) DATE aN iubyig { ignature of N tary Public- State of Florida) HnnR" Personally Known L ------OR Produced Identification Type of Identification Produced Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS www,ahridirectQry,orgCertificate of Product Ratir. AHRI Certified Reference Number: 8631966 Date: 9/14/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140241 L* Indoor Unit Model Number: AWUF25XX16A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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. GSX14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 2101240-2008 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): 22000 EER Rating (Cooling), 11.50 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 cerate 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 unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and of the product(s), or the 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 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 individual, personal and confidential reference. user's CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.abridirectory.org, click an "Verify Certificate" link. and enter the AHRI Certified Reference Number and the date & REFRIGERATION INSTITUTE on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right._ we make life bettef^' ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO_ 13149875891499M