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HomeMy WebLinkAboutCarolHarrisPermitAppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date (p ,C� Permit Number. 5 _ J: moi.._ 2 1111 Building Permit Application Planning and DevelopmentServices Building and Code Regulation Division 2300 Virgin Avenue, Fort Pierce FL 34982 Phorfe: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line --PROPOST=D`iMPR(3VElVlENTtOCi4 O ; Address: Legal Description: 3.9 Property Tax lD #: 14 r 0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side- Left Side: CC}NSTRUCTI4N:_iNft3iiMAT[ON.' CONTRACTOR :. Name: U u A-daftional work to be "OrformEd 5in ert is permit — checK OHVAC E]Gas Piping a appy. D Windows/Doors Gas Tank Zip Code:,5CF98'a- Fax: _Shutters Phone No. ElElectric Plumbing Sprinklers ® Generator Roof Roof pitch Total Sq. Ft of Construction: from the Owner listed above) S . Ft. of First Floor: Cost of Construction: $ 0D Utilities. Building Height: E)11NElJt55t CONTRACTOR Name Name: U u Address b-% Company: %2 City: L d- 21 State: Address: Zip Code:,5CF98'a- Fax: City: �Crc- State:1�:Z- Phone No. Zip Code: 3(/4 &Q- i Fax: �(Iy6` E -Mail: Phone No.7 1 a- C�Cvts-lCao(r, Fill in fee simple Title Heider 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. ENGINEER: Not Ap Name: Address: City State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name Address: City: Zip: Phone: FORMATION MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: i Zip: Phone: BONDING COMPANY: Not Applicable Name. Address: City: 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 permit St. Lucia 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 1 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, wails, 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 I rn provernents 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. 71 Signature of Owner/ 1-9see/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA , � STATE O F s=ECg A COUNTY OF .�...�.x' COUNTY of � U-36 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this I Co day of = 20by this( _day of�'tt�r 24 by y.� T Name of person making statement Personally Known ')S_ OR Produced Identification Type of Identification Produced (Signature of Notary w��q �1R ,N M.HILL Commission No _ COP#GGfl49IT,98 Bimdadi]in, PW 30, 2MI ryF�i51IC Undeiwtids�a REVIEWS I FRONT I ZONING COUNTER REVIEW HATE RECEIVED { COMPLETED Rear. 812/17 Name of person making statement Personally Known, , OR Produced Identification Type of Identification Produced (Signature of Notary Pub!" C)VMAM. HILL Commission N - - MYION # GG 099038 April 30, 2421 90446TftfH IyPubkumerwrifers SUPERVISOR REIE�ORIEVEIVEGVEGETATIONCV J SEA MANGROVE VAREVIEW REVIEW REw REVIEW This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 200945843 Date : 08-16-2018 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) - GPC1436H41 D* 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. 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 ANSUAHRI 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 selling or offering for sale. Ratincs that are accompanied by WAS indicate an involuntary re -rate. The new oublished 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; 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, 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 we make life better"' 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. 131789060908462275 02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: