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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 Date: Permit Number: • RECEIyED Building Permit Application jUL 301018 Planning and Development Services Building and Code Regulation Division Permitting Department St. Lucie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: Legal Description: 40 ?'Y1 P -S30 - G /AK - y O c! K SEC �7bwN�/dANGc' a sz" S /',�D Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED rg24e Additional work to be performed under this permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _Electric _Plumbing _Sprinklers _Generator Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: i Cost of Construction: $ y UU Utilities: —Sewer _Septic Building Height: Name o< J'L a ",3 CrAMc- Name:zyzc- 1,�/3TFORD Address: / 75; S, 75-9 Company: -7o TAS rr:.��.ci TEiv.�.vcE' cf�?c� Cit Tr9>v�/T [ycir co,O. te: Y= � Spay Address: Zip Code: j Fax: City: State: �L Phone No. Zip Code: 31/ 95 3 Fax: E-Mail: Phone No 77a $ J/ -- AoZ/q Fill in fee simple Title Holder on next page ( if different E-Mail ' from the Owner listed above) State or County License '/k C b If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. 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. J Signature of Owner Less a/Contractor as Agent for Owner Signature of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF &/ COUNTY OF 504- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of J�V 20_LS by this, day of 201 r"uy L l.Ue, re,- - "�- / Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification e=x/ Type of Identification Type of Identification Produced ,NL Produced (Signature of Notary Public-Stdfe of Florida ) (Signature of Notary Pu lic-State of FI ida ) Commission No. (Seal) ;_ Commission No. (Seal) _ n� 3o m REVIEWS FRONT ZONING S Eigi PLANS VEGETATION SEA TURTLE MA If COUNTER REVIEW @W> REVIEW REVIEW REVIEW R T= DATE m3oom ``� ' a RECEIVED y ' a X a o °'cc, DATEof c�0 C om�a^°� COMPLETED OT c';, x No Re—v.8/2/17 N1?.tai<O u S N C ZJ V P Q A ' JUL 3 0 2018 r I rectory.or Permitting Department St,Lucie Count" Certificate of Product Ratings AHRI Certified Reference Number:201498232 Date:07-27-2018 Model Status:Production Stopped Old AHRI Reference Number: 10206640 AHRI Type:RCU-A-CB Series:GSX14 Outdoor Unit Brand Name:GOODMAN Outdoor Unit Model Number (Condenser or Single Package):GSX140361K' Indoor Unit Model Number(Evaporator and/or Air Handler):ASPT39C14A' Region: Southeast and North(AL,AR,DC,DE,FL,GA,Hi,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT,ID,IL, IA,IN,KS,MA,ME,MI,MN,MO,MT,ND,NE,NH,NJ,NY,OH,OR,PA,RI,SD,UT,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 ANSI/AHRI 210/240 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:34200 SEER: 14.00 EER(A2)-Single or High Stage(95F) :11.50 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 selling or offer ng for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate The new published rating is shown along with the previous(i.e.WAS)rating. 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 not,in whole or in part,be reproduced;copied;disseminated; AM 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, &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link "t make lift betwr- 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. 131771930819858926 ©2018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: