HomeMy WebLinkAboutBuilding Permit Application ALL AP LICA E_ MU5' 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: To Select from dropbox, click arrow at the end of line y��
Address: . or�kln r n AckkQ{ FL
-
Legal Description:
Property Tax ID "' Lot No.
Site Plan Name: 1 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
H +Y-)
10 KW
77tr a work to be nertormed under is permit–C ec a app y:
VAC Gas Tank ❑Gas Piping —Shutters L1 Windows/Doors
Electric ❑Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq_ Ft of Constr ion: OQ S . Ft.of First Floor:
Cost of Construction utilities:
Sewer 0Septic Building Height:
Nam ( Name:
Add r s ir'1 Comp
an
City: State: Address.
Zip Code, Fax: City: Sta
Phone No.H7 Zip Code: Fax:
E-Mail: Phone o.
Fill in fee simple Title Holder on next page(if different E-Mail: '
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONMUCnCIN LIEN LAW INFORMATI(*
OESJI 1 SNE NatAppliceble MItORTGAGEL[3mpAKY: jt'_NMAppric"fw
NaName: 1
Addr ss: Address
Ztp: Phone_- — ZIP: ,.._Phone:
FELT TMEER; Alat ,:awe BONDINGCOit ANY. otAMOcablp
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Ad Address
Cky; City
OWNE XiNTRACWH AFPiDW:Appikatjon is h�-_rebvmade i-.um nn a 0ama to do iris work and im a11iUinn a3 ir4 seated.
E mlIFY ha no work or instaikatttin hoz cammencvd prior Ca the issuar"cf a permit
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whicki is rrflid wfttteny 0 Ho r2 SflsufFgs Ac,�" I4an rul--by te nor edn �r;esLrcCLrorrhqrftlrtct rnswhl rna'i a plysucls
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In qwxm*ll regrtestrl pe�rui4,1 da hEreby aerast f wf11,in all n�sper ,perhanr charrort
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lh-Cbad K ma APDr cmwnis aro tempt tram uno—&vine a Tuc mmarfency r 'now:roam aW;bQM
artiw Urrs,a+.virruniriq DOOM fences,wseL Rens.snleE mom%and aaesvey uses to atteth.w rnan reK kertw Nma
WARN TO DnvNlerc Yow faitute to Raaord o fiocv d coma_=@r;wn may rmult fn your paw tW$M for
Impto Your property.A Notice of Clornmencamaret rnubt be rectwdLd and posted lin iiia jobdtre
hvfom nh4 first irwpocimon. If you intent to cbta)n ittia"dnyy„consult with iaridar or an attxrmcy befpra
nomn*nr niz workor 4Ngrftg vour Notfte of Gbmim"ance t.
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This combination qualifies for a Federal Energy
■ , Efficiency Tax Credit when placed In service
~111111113-CERITIFIEbetween Feb 17,2008 and Dec 31,2016.
1
Certificate of Product datings
AHRI Certified Refereneo Number; 74281213 nate- 1160018
Product: Singlrrpackage Air-Conditioner,Air-Cooled
Model Number: GPC1448H41E'
Manufacturer: QOODMAN MANUFACTURING CO., LP.
Tredelf0mnd name: GOODMAN; JANITROL;AMANA DIS'11NCTIONS; EVERREST;ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN
Raglon:All(AK,AL,AR,AZ,CA, CO CT,DC,DE, FL, GA, 111,ID,IL,IA,IN,KS,KY, LA, MA,Mb,MF,
MI, MN,MO, MS,MT, NC,ND, NE, NH,NJ, NM, NV, NY,OH,OK,OR,PA, RI, SC,80,TN,TX,
UT,VA,VT,WA,WV,WI,VVY,U.S.Territories)
Region Note: Central air conditioners,manufactured prior to January 1,2015,are eligible to be
Installed In all reglonc until June 30,201$. Beginning July 1,2016,Central air conditioners
can only be installed in reglon(s)for which they meet the regional efficiency requirement.
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^,Ratings folkaveo by an setenEl:('IndiOate a voluntary rests of pt'evlou`,y p0mood data,pnles2 ecccrnpanitw wish a 1VAS,WNM fn6Caies 8n involtfury rerate-
D if,Ci,AIM ER
Ail sloes not endorrip the product(s)Ilsteil on(tris GcrAKant end makes no rep{t'i?dtthtiohS,vorrantice or guarantees as to,and*wumes no resoonsibilily for,
the produnt(c)N9ted on thl1,Certificate.AHRI exprassfy dlsanims All liability for detrnagas of any wad nria ng out ra?the ttae or performance of rhe product(s),or the
unatphorized Alteration of date hated on this Certinctrtrt.CartlHed rating',aro wild only for models and conflguratnona Mated in the
directory at uv u.anriCiarttory.arg.
TERMS AND 0011441TI0NS
7hlscfuim'ffia*Arad its contents ere pmprWary productsot AHRI.ThisCerttncafe stall only bo used for irvdjvidual.parsonal end
conriomtial reference purpwlm The contents of this Certificate may riot,In whelc of In pact,ba reproduces;coined;niaaernl0kd;
entered into a computer database:or otherwise ttul4ed,In any Yarm or rnanner or by any rrteattt.except for the user's Indmdua!,
petsonal and Iwnftdantlal retetence. AMCUNDMONHO,HEATINO,
CRRTtFIUATE VERIFIGtTION
&AIFRIGERATION JMnWtrl'>;
The into miation toy the medrl atpd an this cartlBcete pan be ye fted atwwn.ehridireclnry.ora,dick on'ltcrity 04r 'tificKte'link t wake lira butter'
and enter the AHRI Certlffad Referange Number and tho datm on vtnch the oortinodlc was issued,
Which n listed shove,sand the Vertificata Mi,which Is ilsW at bottom right
X2014 AItJG'onditioning Heating,and Retrtiqctation Institute
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