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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST I]E COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Dtvision 2300 Virginio Avenue, Fort Pierce FL 34982 Phone: (712\ 462-1553 Fax: (772) 462-L578 Commercial Residentia I PERMIT APPLICATION FOR:Mechanical PROPOSED IMPROVE ENT CATION Ad d ress: Legal Description: Propefty Tax lD #:Lot No. Block No.Site Plan Name: Project Name: Setbacks Front Back: _ Right Side Left Side: DETAILED DESCRIPTION OF WORK: L|KE FoR L|KE cHANGE:our lSyck ,3 .5 CON STRUCTION I N FORIVIATION : itFeTmlt.:appry: l--l *'noo*s/DoorsZ ruo.I u,".,,.,. Gas Tank l_leas Pipine l_lsprint<ters Shutters |_l elunroing l-le "n",.rto, l-l noor Roof pitch Sq. Ft. of First Floor ,'Is"*",l_ls Building Height:Utilities:t-l ^I l 5epuc CONTRACTOR: Name Name: CHnf StOPHE n fnf.fCfl Address:Company: SEA COAST tuC I'L Address: 3108INDUSTRIAL 31st STCity:State Zip Code: Phone No. E-Mail: City: FT PIERCE State: FL ZiP Code: 34946 p6x. 466-3053 phone y1s. 772-466-2400 Fill in fee simple Title Holder on next paCe ( if different from the Owner listed above) E-Mail: DANISEACOASTAIR@AOL.COM State or Countv License: CMCo35421 Total Sq. Ft of Construc Cost of Construction: $ lf value of construction is $2500 or more, a RECORDED Notice of Commencement is required, FEE SIMPLE TITLE HOLDER:Not Applicabler Name: Address: City: Zip: I certlfy that no work or installation has commenced prior to the issuance of a permit' St. Lucie Countv makes no representation that_is granting a permit will a,uthorize the permit holder to build the subiect structure which is in conflict with anv dpplicable Home owrib?tXrSoiri.iio'n''rriiji, 6t)iaw;oiand iovenantsthat mav restrict or prohibit such structu re. p lease consu lt *iti,"rioi-, i H'oriii o*n ejir'Xiro;ratio;i;il' revi6w'voiji d eed foi a ny restrictions Wh ich may apply. In consideration of the ng of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the ved plans, the Florida Buildin55 Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessorv structures, swimming fools, 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 improvemenrs to youiproi,eriy. ANotice of Commencement must be recoided anO n9;19! ol |l".i?!tituU.ior"the first inspection.'lf ydu intend to obtain financing, consult with lender or an attorney betore commencing work or recording your Notice of Commencement, Sig-nature of owner/Lessee/Contractor as Agent for owner STATE O COUNTY cttRtstopten tAncer (Name of person ackngwledging; ) ture of Notarv Publc- State of Florida ) Personally Known OR F)roduced ldentification Type of ldentificat roduced Commission No. FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW Revised 0711512014 STATE OF F (Name of person acknowledging ) (si{frStire of Notary PublictState oT rlo-ioa 1 Personally Known OR Produced ldentification Type of ldentificatgn f roduced Sienature of Contractor MY Coil,tMlsslcsl+ FF 94141 1 Bonil thru tlotry Plblc l',#3rdlDl! This combination qualifies for a Federal Energy Efficiencv Tax Gredit when placed in service betr,rieen Feb 17, 2009 and Dec 31' 2016. en't*ffrcate *f uct mt*n AHRI Certified Reference Numben: 8004957 Product: Single-Packager Air'Gonditioner, Air'Cooled Model Number: GPC154:2H41A* Manufacturer: GOODMAN MANUFACTURING GO'' LP. Trade/Brand name: GOC|DMAN; JANITROL; AMANA DISTINGTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Region: All (AK, AL, AR, AZ, Cl\9O, 9T, P.9, 9F, l-L,-G4,- H!.!D,^l!' 14' lN, l(S-, [Y-, L4r EA' MD, ME, ruti,-ruH, tvto,'rvrs, MT, Ni, ['lti, NE, NH, Ni, NM, NV, NY, oH, oK, oR, PA, Rl, sc, sD, TN, TX, UT, VA, VT, WA, WV, Wl' WY, U.S. Territories) Reqion Note: Central air conditioners manufactured prior to January '1,20'15, are eligible to be injtatteO in all regions until June 30, 2016. Beginning July 1,.2016, central air condltloners can onti ne instajled in region(s) foi wfirich they meet thelegional efficiency requirement. Series name: GPC15 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFAGTURING CO'' LP' Rated as follows in accgrdance with AHRI Standa'd2101240-2008 for Unitqry Air-Gonditioning andAir-Source tteit Fump iquipment :rnd subject to verification of rating accuracy by AHRI'sponsored, independent' tnlrd pafi testing: Cooling Capacity (Btuh): EER Rating (Cooling): SEER Rating (Cooling): IEER Rating (Cooling): . Ralings followed by an asterisk (*) indicate a voluntary rerate of previously published dat€, unless accompanied with a WAS, which indicates an involuntary rerate DISCLAIMER AHRI does not endorse the product(s;) listed on this Certifjcate and mal(es no representations, warranties or guarantees as to, and assumes no tesponsibility for' the product(s) listed on this certificate. AHRI expressly disclalms all liability for iamages of any kind arisitrg out of the use or perfornlance of the product(s), or the unauthorized alteration of data liste(l on this Cettificate. Certified ratings are valid only for models and configurations listed in the 1t412018 40000 12.00 15.00 directory at www,ahr; dir*+tssy,Gf'9, TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI, This Certificate shall only be used for individual, pelsonal and contidential reference purposes, The contents of this Certiiicate may not, in whole or in part, be reproducedi copied; djsseminated; enterecl into a contputer database; c,r otherwise utilized, in any form or nlatltler or by any means, except for the usefs individual' pefsonal and confidential reference. CERTI FICATE VERIFICATION The information for the model cited on this certificate can be verified at www"*h[id:rssts$y"org, click on "Verify Certlficat4' link and enter the AHRI Certified Reference Number and the date on which the ce?tificate was issued, AIR"#$NDITIONING, I-{gAT!N6. $ ST gFRIGERATIGN INSTITUIS '.rt riliikc']i*' ile(tfr "' which is listed above, and the Certifjcate No., which is listed at bottom right. @2OL4 Air-Conditionin$, Hr:atind, and Refri$eration Institute i CERTIFICATE NO.:131595627297629308