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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:LQ - 15_ Permit Number: Building Permit Application Planning and Development Serv)ces Building and Code Regu/at/on Division 2300 Virginia Avenue, Fort pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: To Select from dropbo- click arrow at the end of line PROPOSED 11viNo Form, ,,nrinsr. Property Tax IDg: Site Plan Name: a.Ila Project Name: Setbacks Front Back: _ DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Right Side: Left Side: P 114 Lot No. '1 Block No. 5-te Yn L,04 h 10 HVAC yc nm-cnecx all Gas Tank ❑GIn as Piping apply: Shutters 0 Windows/Doors OElectric Plumbing Sprinklers 11 Generator IIRoof Total Sq. Ft of Construction:/ Cost of Construction: $ y Ft. 5 of First Floor; Root pitch Utilities: Sewer Septic ❑ Building Height: Name: 11.L.. J'S. I Aaaress: JSG ulu rlarcan+I I FLII Zip Code. Viq Fax: City: for°} �„I.t1Cw nee. �J�-� '�_i�l State:PL- Phil c Zip Code: 3t/q$(, Fax:7?QA34 -?511 E -Mail: Phone No. `riz- $l1 -15W Fill in fee simple Title Holder on next page (if different E -Mail: i4o �, Speedy ACStf V GP CO7I1 from the Owner listed above) State or County License: CAC 181 `i 6a3 If value of construction is $2500 or more, a RECORDED Notice of Commencement Is reaulred. SUPPLEMENTA ` "NSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable FITGAGE COMPANY: Name: Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State:_ FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 an ,V applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult wtth 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 STATE OF COUNTY OF ORIDA 00f+ C`I� �CU-7 I COUNTYOFECIFFLORIDA QOyi S1, �� The fprpoing instrumept was acknowledgecl before me this 1_`J day of p�tihtA2y • 2o_ by lowid g]LY CI -et - Name of person making statement Personally Known X OR Produced Identification Type of Identification The fpSEg8oing instrument was acknowledged before me this cadayof CYs JC\Q Y .20 3by 10,V I'd bil)AeX - Name of person making statement Personally Known X OR Produced Identification Type of Identification V�t�c�>a4a O�a �t r.9 .nr� � r�QIOQQ Q .tr 4t ,(Signature of Irotery Public -State of Florida I (Signature of Notary Pub -State of Florida I YRENT m"REESUPERVISOR ON r i SULE MANGROVE COUNTER VW I REVIEW I REVIEW � 8/2/17 imCERTIFIED` www.ahri directory.... • - AHRI Certified Reference Number: 201785378 Date: 10-15- 2018 Model Status: Active AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name : GOODMAN Outdoor Unit Mode) Number (Condenser or Single Package): GSX16S421A' Indoor Unit Model Number (Evaporator and/or Air Handler) : AVPTC49D14A' 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, It, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, 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 regions) 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 Addend. 1 and 2, Performance Rating of Unitary Air -Conditioning 8 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), bWh : 41500 SEER: 16-00 EER (A2) - Single or High Stage (95F) : 13.00 t'Active" Model Status are those that an AHRI Cehaacallon Program Pariopanl is currently producing AND willing or offering for sale; OR new models that are being marketed but are not yet being pmdumVP.oducaon Stopped- Model Status are those Nat an AHRI CIref eon Program Parboiled is no longer producing BUT is still Ratinsil gs N Raring farem hi it b WAS indica[ n involuntary re -rate. The new Published himm is shown along with the Drevious (i.e. WAS) heard. DISCLAIMER AHRI it. not endorse the product(.) listed on Mi. Certificate and makes no representations, warranties or guarantees as to, and assumes na rezpomibiliry for, einincomes) listed on this CertNicate.AHRIemressiy disclaims all liability for damages of any kind arising out of the use or performance of theproduct(.), or the unauthorized alteration of data listed on this CerNfeats. Certified ratings are valid only far models and configurations listed In the directory at www.anddimatm,erg. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal end confidential reference purposes. The contents of this Certificate may not, In whole or In part, be mprod ad, copied tlisceminatad entered Into a computer database; or otherwise utilized, in any form or manner or by any means, award far the user's Individual, JFNW 111111s" perearal8ad Canf cii.11ai reform... AIRLONDIVONINO, XEATIHQ CERTIFICATE VERIFICATION i REFRIDFRARON INSTITUTE The Information for the modal Eted..this cartificate can be verified at www..mIdFm.nrq.org, click do -Verify Certificate -link ,cake lee brcnr• and enter the AHRI Certified Reference Number and the date on which Me rortifimte was Issued vx which Is listed above, and Ne Certificate No., which Is listed at bottom Ight------- ©2018AIr-Conditioning, Heating, and Refrigeration InstituteCERTIFICATE NO.: 131840762691637582