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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLI LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Date: -17 11b Permit Number: Building Permit Application Planning and DevelopmentServices 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 .M -N-T-10 PRO PosEvwkov -E ON Address: &4 blyn 1i I I Legal Descriptiop: 3� I [� If- 01j;pao�imec(",q- G � .CONSTRUCTION IN -ORIVIATION:- Ta'afflon-ai work to be ertormed under this permit —check all apply OHVAC Gas Tank E]Gas PipingEnShutters Windows/Doors 0 Electric Plumbing E]Sprinklers EiGenerator Roof Roof pitch Total Sq. Ft of Construction: A Cost of Construction: $4..-_--,, SOSewer! of First Floor: Utilities: — Septic Building Height: OWNER/LESSEE: NTR AM11•., Name- (,1An+h[0 ()Y-fi 7 Name: if,!f 17� i.�haA Address: J11A_ Company- k N 4-P101 City, 31� State- � Address: tab: Zip Code:, Fax -K 11A City.. J.. & Stater Phone No.jh-u ay, 1 - 4� Zip Code:c�4 0 LO) -2- -_ - - Fax E-Maj1:4T:::: Phone No. Fill in fee simple Title Holder on next page if different E -Mail: -kATA_04fA ou M,4� from the Owner listed above) State or County License: 6M W1 1HUF W, 4CE nr_%_WFLLfCL& -- ui uummememem is irequirea. SUPP I=M: A CE}NSTW-cn k #-t t�1�F1�fORMATf�N UtWU11ErX/tNtilNttK: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: - BONDING COMPANY: Not Applicable Name - Address: City: Zip: Phone - OWNER/ CONTRAC17OR 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 ofa 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, perforin 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 your Notice of Commencement. Signature of Owner/ i.e`ssee/Contractor as Agent for Owner STATE OF FLORIDA , COUNTY OF _ scku The fgrgaing Iostrumntyua acknowledgare me this '`day of J VI 11� r 20L. Name of person making statement Personally Known )_ OR Produced Identification Type of Identification Produced (Signature of Notary FR=-, HLL Commission N t CCGGpgm E ;2027 hsn"�t `� banded Tl�nl Signature of Contractor/License Holder STATE OF F`LO A COUNTY OF _ . C` � car 01AA The fprgoing insirun#eni acitnt�wledged before me this J_L day of J�_ _ . 20 Ibby Name of person making statement _ Personalty Known- _)t OR Produced Identification Type of Identification Produced Signature of Notary Publi""mm �_ • '�: D(}NNA NI. MLL Commission N = My=J0X#GG 099038 sanded illm N AptH 30, 2029 ` Qi'PW*Underwrhers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rear. 812/17 This combination qualifies for a Federal Energy Efficiency tax Credit when R placed in service between Feb 17,2009 and Dec 31, 2016. CERTIFIE www.aiir'i0irectory.org Certificate of Product Ratinas AHRI Certified Reference Number: 200945843 Date : 07-11-2018 Model Status : Active Old AHRI Reference Number: 6892357 AHRI Type: SP -A Series: GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC14361141 D' Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, 1N, 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 The manufacturer of this GOODMAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSVAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or high Stage (95F), btuh : 35600 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still soiling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new publi4hed rabnq is shown aoeviou i:e. WAS ratin .w 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.ahridirer-tory.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. AM AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better" which is listed above, and the Certificate No., which is listed at bottom right. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO_- 131757982841688631