HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE iiINFO MUST BE COMPLETED FOR APLICATION To BE ACCEPTED
Date: &P1 f? �� Permit Number:
Building Permit Application
Manning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort pierce FL 34.982
Phone: (772) 452-1553 Fax: (i72) 462-1578 Commercial Residential
PERMIT APPLICq ION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description:
Property Tax ID #: - I o 2 - Q - Coo —'I Lot No. C
Site Pian Name: Block No.
Project Name:_Lf__fe5Q L Matorr.
Setbacks Front Back: Right Side:
} rtG ritlaiYio'e out,, 11 l t -Cor 11 Kf—,
E1HVAC
❑ Electric
I l Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Name -tA 11 M Lk ID l'C.
Addreesss:,132;t ()(0, �Ijl Yam �OC� l�
City: r� r� -�� State:
Zip Code: Fax:
Phone No.i`l'P q j'l7 1 otaZ q
E -Mail: 1\I1Ia- _
Left Side:
; 5 TM i qsX ►(10()c0(31 1
L_1 Shutters
❑ Generator
Sq. Ft. of First Floor: _
Utilities: OSewer Eheptic
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
❑ Windows/Doors
❑ Roof
Building height:
Roof pitch
..
1 r Mg�J . ,
�A i
Zip .. - ,1t. - Al s
Phone N
S.�A1 I
State or County License:
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City:
Zip: Phone:
Not Applicable MORTGAGE COMPANY:
Name:
Address:
Stade: - City:
FEE SIMPLE TITLE HOLDER. � Not Applicable
Name:
Address:
Ci
ZiI Phone;
Not Applicable
State:
Zip: Phare: -- —
BONDING COMPANY: —Not Applicable
Name:
Address:
City:
Zip: Phone:
i certify that no work dr 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-residentiai use
VIVARNiNG 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 pasted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or r ecordine your Notice of Commencement -
5
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License holder
STATE OF FLORIDA STATE OF FLORMA
Theins me t we acknowledged before me
this j��ay of 201 by
(;Name of person acknowledging) kN��y�n•!
(Si gfiature-of Notary Pudic- State l0
s
Personally Known OR Proms••
Type of Identification Produced
6mmis5ionAllo.°_,
Revised V/150014
!1q U) o
oy
Oi4259
0
The forgoing instrument was acknowledged before me
thisISIL9,iday of 1�Q 20 n by
(Name of person acknowledgin��a��°`
�c.
(Signature of iilot� of zr)
Personally Known OR'V
Type of Identification ProducedSr. °••
Thr s
Commission No. — ��a ��a2�f (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION,
-SEATURTLE
MANGRO\
C€ UNTFR
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
lNIT€ALS
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.,
Certificate of Product Ratinas
AHRI Certified Reference Number: 7984223 Date: 9/9812017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: GSX160601F*
Indoor Unit Model Number: ASPT61 D14A*
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 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). 54000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
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.ahrldfrectory.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 user's individual, mr-mm
personal and eGnfldential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRICIERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahrid!rectory.org, click on "Verify Certificate" link rye 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. 131502118559743:
@2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: