HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1,_ _
s
Building Permit Application
Planning and Development.Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772)4b1-1SS3 Fax: (772)462-1S78 Commercial Residential -
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: r —
Legal Description: r C fit/ n
Property Tax ID#:_3 LL2 5 - C — ' G''7 `" ,C_CJ ' ( Lot No.J4_.,I—
Site Plan Name: Block No. `4C.C,
Project Name: 1 _-
Setbacks Front kJ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
r� (7 A �(� ( t�-�� (��Q�.
r
CONSTRUCTION INFORMATION:
Iona work t4 r e e ortnec under this permit-check a jt hat apply:
ZHVAC Gas Tank Gas Piping I=1 Shutters Windows/doors
11 Electric Fl Plumbing Sprinklers �Generator � Roof Roof pitch
Total Sq. Ft of Construction: i fir) Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: Sewer []Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name t Q1 Name: JOHN BROWNING
Address: r1� �i - Company: JBS A/C& ELECTRICAL,INC
City: 11
' �- State: Address: 1535 NW QUAIL CIRCLE
Zip Code:549 Fax: City: STUART State:FL
Phone No.�� � � J�-h-(P 7 7 Zip Code: 34994 Fax:
E-Mail. Phone No. 772-934-6778
Fill in fee simple Title Holder on next page(if different E-Mail: JBROWNINGAC@GMAIL.COM
from the Owner listed above) State or County License: CAC1816319 26529
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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
Nat-Tie; Name: _
AddreSS: 1535 NW QUAIL CIRCI r 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 representatiun 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 du 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 your Notice of Comrnp cerrieritt.
Signature of Owner/Lessee/Contractor as Agent for Owner Sin to of gritrac o Li nse Holder
STATE OF FLORIDA ST TE OF FLORIDA )
COUNTY OF UNTY QF "i` L_r_l�f
The forgoing instrument was acknowledged before me The forging instrument w acknowledged before me
this__day of 2o_ by th— day of , 2U by
Name of person making statement Name of person Makingl4tement
Personally Known OR Produced Identification Personally Known�'OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public State of Florida ) (Signature of Notary Public-'State of Florida )
Commission No. (Seal) Commission No. pL80RAf{ UELL 7
Notary Puuiic state of Florida
Commission # FF 179630
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RFVIFWS FRONT ZONING SUPERVISOR PLANS *ffilili"4011111"9"VE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev• 8/2/17
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016,
noiLl CERTIFIED
www.ahriditactory.org
Certificate of Product Ratings
AHRI Cdrtifiad Reference Number:20094,W3 nRfR 16-23-2018 Model Status Active
Old AHRI Reference Number.6892357
AHRI Type: SP-A
Series. Gr C14
Outdoor Unit Brand Name:U00L)MAN
Outdoor Unit Model Number (Condenser or Single Package):GPC1436H41D*
Region All(AK,AL,AR,AZ,CA,CO,CT,DG,DF, FL,CAA, 1-II, IU, 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 ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary
Air-Conditioning R 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
FFR(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 ale
Rati s that are accom anied b WAS irtdlCatP an mvoluntar re-rate, The new vublifhed ratina is shown along with the previous 'i.e.W tatfna.
DISCLAIMER
AHRI does not endorse the product(s)fisted on this certificate and makes no representations,warranties or guarantees es tu.and assumes no responsibility for
the product(s)listed an this Cartfticata.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,2hrldlrcctory.org.
TERMS AND CONDITIONS
This Certificate and its cnntants are ptuprletary products of AHRI.This certificate shall unly be used for Individual.personal and
confidential reterence purposes.Tha contents of this Certificate may not.in whole ut II part,be reproduced;copied:disseminated; an IL1
entered into a computer database;ur vVietwise utilized,In any form or manner or by any means,nxcupt fur the users individual.
personal and confidential reference. AIR-CONDRIONINO,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The Information Inr Ilia model citad un th6 certlflcate can be verified at www.ahrldfreetory.ors,dick on"Verity Cortifiaato"Ilhk we make life hettcr-
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above,and the"rtiflcats No.,which is listed at buttum right.
�201Mir-Condltioning, Heating,and Rpfrlgisrntion Institute CERTIFICATE NO.; 131847773837%38298