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HomeMy WebLinkAboutJohnLynskeyPermitApp ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /xg/l B Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Pharfe:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the and of line PRi�t?OSE€ °tIVIPRt�VEl11�EN_ i.00ATiL3N-.. Address:3375- �-,Q YI1OC,)o� u�- Legal DescrieCton:54uii`lo( tub ILVo L aua Cbo3M g Property Tax ID#: Of-7 U 2 -600 cl Lot No. 1 Site Plan Name: 5A DA/1 aL ( Block No. Project Name:LVL,Sk--e5�7:S&k Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION O IIVC}RK l C{?NSTRUCTIOI INFQRIVIAIQN Additionalworkto a .. orrne un ert is permit- ec a app y: OHVAC be Tank r ElGas Piping _Shutters 'Windows/Doors DElectric El Plumbing Sprinklers E Generator L—1 Roof Roof pitch Total Sq.Ft of Construction: StSewer of First FOS.eptic loor: Cost of Construction.$ u ilities Building Height: OWN ER/I ESSEh . -: C9NACTOR: - Name -c L Name:�L rn to Address: 1:MCwogj "AWE Company: a a City:Y 1l4 State- Address:U01 G 4--u o- Zip Code: Fax: U City:Fn� l� e�Lc� T State: Phone No. ►U /A Zip Code: 3u t'K Fax?'�z'pj--W(16 E-Maid: lU It - Phone No.`Yi A- Lv,- APO Fill in fee simple Title Holder on next page(if different E-Mail: e 101 rm from the Owner listed above) State or County License: ci Lo b cal if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. `SUPEAL C£��STtCE1 , i113I/iATi3N DE.SIGNEWENGINE_E 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 matte to obtain a permit to do the work and installation as indicatec i certify that no work or installation has commenced prior to the issuance ora permit- St.Lucie County makes no representation that is Warming 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,l do hereby agree that I will,in all respects,pe farm the work 'in accordance with the approved plans,the Florida Suiiding Codes and St.Lucie County Amendments. The following building permit applications are exemptfrom undergoing a-full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another noniv§1dentiai use WARNING TO OWNER:Your failure to Record a Nice of Commencement may result in your eying 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). .'�/} � '/ t Signature of Owner/LaiiseeJContractor as Agent for owner Signature of Contractor/License molder STATE OF FLORIDA STATEGIFIFLO COUNTY OF ' COUNTY Thefo,,�oin instrumentwasa know1ed e b foreme ThefoT o�ngin meetwas dmowledged before me this c~s day of -,, 20 y this `� day of 20B by Name of person making statement !Name of person malting statement Personally Known )S_._OR Produced identifcation Personally Known.„ ' OR produced Identification Type of Identification Type of Identification Produced Produced lkw {Signature of Notary i HILL {Signature of Notary Pub! s paNyq MLL Commission CN r - - CO71N:AIK� #GG08lZD38 Commission N ' tilt ON#CG099036 T3D,2I111 44130.24�i upit � , 8ondedlinnrloietiiPulriEcllbdQnyrltsr REVIEWS FROM' ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rest.8/2/17 This combination qualifies for a Federal Energy Efficiency tax Credit when o placed in service between Feb 17,2009 and Dec 31, 2016. 0*1 CERTIFIED www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:201152973 Date:08-29-2018 Model Status:Active Old AHRI Reference Number:7428126 AHRI Type:SP-A Series:GPC14 Outdoor Unit Brand Name:GOODMAN Outdoor Unit Model Number (Condenser or Single Package) :GPC1448H41E* 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 t,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 ofANSIIAHRI 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:46000 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 a AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate. The new published ratno is shown along with the previous fi.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($),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 alin 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 whale 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, BMW personal and confidential reference. AIR-CONDMONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.org,click on"Verify Certificate"link five 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. 02018Air-Conditioning, Heating,and Refrigeration Institute [CERTIFICATE NO.: 131800295404878708