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HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 PROPOSED INPROVEMENT LOCATION: Address: A Li"7 f f U Legal Description: T i Property Tax ID#: �3`44.2 5 -- 7C,J— L—Q't C,Db - Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional wor to a orme under this permit—check a apply: ✓�HVAC be Tank []Gas Piping Shutters Windows/Doors Electric F]Plumbing Sprinklers U_Generator Roof Total Sq. Ft of Construction: ('�/'-,Lc Sq. Ft.of First Floor: Cost of Construction: Utilities: Sewer OSeptic Building Height- OWNER/LESSEE. CONTRACTOR: Name 'f LL'' Name: jOHN BROWNING Address: �l� ` t�P.� !+ lI[ C-4 Company: JB"S AC& ELECTRIC City: Fes- =�E.._ State:FIL Address: 1535 NW QUAIL CIR Zip Code: 4!aF Fax: City: STUART State; FL Phone N�7 'I� �� 4 ' Cc 7-7� II Zip Code: J4g94 Fax: E-Mail: - Phone No. 772-934-6778 Fill in fee simple Title Holder on next page(if different E-Mail: lbrowningac@gmail.com from the Owner listed above) State or County License: CAC1816319 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required, SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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 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 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. i Signature of Owne gent/Lessee Si nature of ContripQr/ vEen " Holder STATE OF FLORIDA T STATE OF FLORID/ _„ COUNTY OF L_i ��� COUNTY OF The for oing instryment was acknowled ed before me The for oing instr4ment was acknowledged before me this�_�day of Cd ryt.k» 200 by this Ltday of_ ; C� x4x , 20 c r by 1 t\� A. (Name of person acknowledging) (Name of person acknowledging) (Signature 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 Identificati Type of Identificatio P d ce •PR°°�e'• DEBORAH RUSSELL '�a p ' y Commission No. '?�'�• I Commission No. t" e''% DEgSbAMRUSSELL Notary f state of Florida Notar Public - State of Florida Commission # FF 179630 �= :s+ Commission # FF 179630 L �;` y Comm.Expires Nov 30,2018 Revised 07/15/ "�- r �- � REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE C40kA D LCT G fa i This combination qualifies for a Federal Energy ANWRICERTIFIED Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 7428124 Date: 11/30/2017 Product: Single-Package Air-Conditioner, Air-Cooled Model Number: GPC1442H41E* 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): 40000 EER Rating (Cooling): 12.00 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 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 confidential reference purposes.The contents of this Certificate may riot,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. IOU 6i 1i 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.ah rid irectory.org,dick on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, wL 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.: 131565353380039855