HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: h Permit Number:
4111111111111111
J =
•
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
PERMIT APPLICATION FOR: Mechanical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
M
Commercial Residential
Property Tax ID #: ;�� �-� `Z �� _ Q
Lot ivo.—q-L_
Site Plan Name: Block No.;��
Project Name�,� L
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
VIe-)
[['�Kla�p I: +-I--,
CONSTRUCTION INFORMATION:
Aaamonal work to aorme un er t is permit — cmeCK all apply:
HVAC Gas Tank ❑Gas Piping_ Shutters Windows/Doors
11 Electric Plumbing Sprinklers I Generator Roof
Total Sq. Ft of Construction: _1 L4 Z-2 Ct
Cost of Construction: $ 513`D- no
Sq. Ft. of First Floor: _
Utilities: 0Sewer OSeptic
OWNER/LESSEE: rnGirc{GZfe-
r ei,,nt CONTRACTOR:
Name- 0,17%a{e � W1 (.1-3
Address: -'714b -t> s C-00an %�� U f—,
City: 5 un r rS�P_ State: FL
Zip Code: 3�3 Fax:
Phone No. _Q54 — 439 — op�j
E -Mail: (edaw 1 S/Ir Q vim. ed u
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: DOUGLAS PENCE
Building Height:
Company: ABSOLUTELY COOL AIR CONDITIONING
Address: 2311 NE 15TH COURT
City: JENSEN BEACH
Zip Code: 34957
Fax:
Phone No. 772-475-4641
E -Mail: absolutelycoolair@gmail.com
State or County License: CAC1815702
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
A
SUPPLEMEWTAL CONSTRUCTION U N°°tAWRMA IO
EC3 SIGNER/ENG#NEER: _ Not APPiicabie �MORTGAGE COMPANY:- Applicable
�-Not
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 review your deed for any restrictions which may apply -
In consideration of the granting of this requested permit, I do hereby agree that 1 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 r paying twice for
Improvements to your pr , , Notice of Commencement must be recorded af'+d pos don the jobsite
before first
the inspectn. If yo intend to obtain financing, consu th lender or an a rney before
comm wor
or eccordi our Notice of Commencement,
f
fi 4 1
rgn ture caner/ Agent/ Lessee
+g ture of ntractor/Licen Holder
STATE OF FLORIDA
f
STATE OF FLORIDA
"�
COUNTY OF �T Lit ��
COUNTY OF S • UACA `Q
The for oing instr entywas a knowiecled before me
thi day of 20LU by
The f r oing instr a as aEknowledged before me
thiA ay of ! 20jMby
*1ame
of p acknowiedging !
( meof p n acknowledging)
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State of lorida j
Personally Known ✓ OR Produced Identification
Personally Known ✓OR Produced Identification
Type of Identification Produced
Type of Iden tifi ti n Pro uc d
Commis '�
Commission c�''�"aY' e DE80RAH Ri3��L
_ c 7FI�,da,
Trb
Notary Public . State o Florida
- Commission # EE 179630
-
Commission # FF 179630
Keczse
%,',FOFr�o?�' My Comm. Expires Nov 30, 2018 —�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
' REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
GATE
RECEIVED
DATE
COMPLETED
Certificate of Product Retinas
AHRI Certified Reference Number: 7428128 Date: 9/25/2017
Product: Single -Package Air -Conditioner, Air -Cooled
Model Number: GPC1460H41 E*
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: GPC14
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): 57500
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
IEER Rating (Cooling). -
*
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 ford am ages 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
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, dick on "Verify Certificate" link
wv 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
02014 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.:
131508147374815894