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HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 8403 Deland Ave ..Fort Pierce , FI„ 34951 Legal Description: LAKEWOOD PARK-UNIT 5-BLK 56 LOTS Property Tax ID#: 1301 605-0402-0002 Lot No. Site Plan Name: Block No. Project Name: AC CHANGE POUT Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK. AC CHANGE OUT • F4a d; Y,_ 1 (,; --2>G I A --2,o Pc-rnf CONSTRUCTION INFORMATION 9- -MMOR .�.., _... R. mss,.� . .... : ........:_.. �' Additionalworkto a er orme under this permit-c ec a appy: HVAC Gas Tank Gas Piping p g Shutters a Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 2,800.00 Utilities:i Sewer[]Septic Building Height: — _- - OWNER/LESSEE: � ,.._ CONTRA TOR: Name HOME SFR BORROWER LLC Name: Santiago Bolivar Address: 1110 Strand Street Suite#2A Company: ACTION MECHANICAL CONTRACTORS INC City: Christianted,00820 ,Virgin Islands , us State: Address: 6358 WESTOVER RD Zip Code: Fax: City: West Palm Beach State:FI Phone No. Zip Code: 33417 Fax: E-Mail: Phone No. 561-642-4730 Fill in fee simple Title Holder on next page( if different E-Mail: luisverasamc@aol.com from the Owner listed above) State or County License: cmc-056748 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 Name: Name: Address:6358 WESTOVER RD 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. I you intend to obtain financing, consult with lende an attorney before commencingwork or rec in our Notice of Commencement. Signature 6TOwner/ essee/Contractor as Agent for Owner Signature of Con actor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF =ALM8WH COUNTY OF PALM BEACH The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 18 day of NOV 2018 20_ by this 18 day of NOV 20_ by SANTIAGO BOLIVAR SANTIAGO BOLIVAR Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Proctced Produced t (Si orida ) (Signat_ rida ) E•., LUIS R.VERAS ""' 's'siori�'stl6Ah#GG 035494 (Sea I) C ¢'= LUIS R.VERAS r0 sQti NbC0Fi11BIW M#GG 035494 (Seal) EXPIRES;October 3.202 EXPIRES:October 3,2020 %E; 6�:• Sonde,-TM Notify PubhC IJWW t WS E:A'C w '1_ty P•`C-1'ww.� - L REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 CERTIFIEDO Certificate of Product Ratings AHRI Certified Reference Number:201785532 Date: 11-16-2018 Model Status:Production Stopped AHRI Type:RCU-A-CB Series:GSX16 Outdoor Unit Brand Name:GOODMAN Outdoor Unit Model Number (Condenser or Single Package) :GSX16S361A' 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 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:34200 SEER:14.50 EER(A2)-Single or High Stage(95F) : 12.20 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 prod uced."Prod uction 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 involunta v re-rate. The new published ratinq is shown alonq 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 Ce tificate 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, BMW EW% 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.ahridirectory.org,click on"Verify Certificate"link we make Iife litter'" 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. -- ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: tstsesass�asssl2so