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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number • Building Permit Application Plunning and Deveiuprnent Services Nuddmg and ( nrir HPgulofinn Division 2100 Virginin AvPnuP, Fnrt PiPrrP F1. 74982 Phone: (772)462-iSS3 Fax: (772)462-].573 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED INPROVEMENT LOCATION: Address: :-Q i L-- :a;a- l L47-2 '-� -r Legal Description: "Y r w' -. Property Tax ID #: 9 l r= — \ (`> , l — (' 1r I Lot No. Z) e�,. Site Plan Name: ll:-� Block No. - Project Name:�-A&—% Setbacks Front_- Back: Right Side: Left Side: FDETAILED DESCRIPTION OF WORK: r _ 44A air I t -Zi" VA 2 14LP-> 9 tEPET CONSTRUCTION INFORMATION: i Additional work to Orme under is perms - check a apply: - IZHVAC nGas Tank Gas Piping _ Shutters Windows/Doors 11 Electric EI Plumbing Sprinklers ❑ Generator Ll Root Total Sq. Ft of Construction: I \ t� I Sq. Ft. of First Flnnr Cost of Construction: $ Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name — _ ; � �\ ri T'' Name: MICHAEL EWiNU Address: CIC., }�f j L-� l L-} �! j j �?y \may Company. PIONEER COOLING & HEATING City: fJ-o State:W\ Address: 585 NW MERCANTILE PLACE # 106 Zip Coder"�C=' i Fax: City; PORT ST LUCIE State: FL Phone No. Sn q - a1 Zip Code: 34986 Fax: F -Mail• r _r�. Phone No. 772-579-9209 Fill In fee simple Title Halder on next page ( if different F Mail: pioneerheatincdco&ellsouth.net from the Owner listed above) State or County License: C;AC'1817251 If value of construction is 52500 or more, a RECORDED Notice of Commencement Is required. Y- SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: c.Ity' ��.._...._ _ ._ , State: City: State: np: Phone: - Zip, Phone: �.— BONDING COMPANY: Not Applicable FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Name: Address: � _ Address: _ f ity: City: Lip: phono: A Zip: Phurle: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to ubtain a permit to do the Work dd installation as mdirated I certify that no work or installation has commenced prior to ttie 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 HUTTie Owners Association rules, bylaws or and covenants that mdy restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consido.ratinn 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 Tlorida Building Codes and fit. Lucie County Amendments - The following building permit applications are exempt from undergoing a full concunenc:y review' room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentlal 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 rerording your Notice of Commencement. signature of Owner/ ent/ Lessee STATE OF FLOR1 A COUNTY OF The far wing instrupenl was acknowled ed before nipthis day of . w 200 by r a__ (,Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. Revised 07/1 REVIEWS DAIS RECEIVED DATE COMPLETED OEBO5E1.L tary Public- ta,((c of Flerida Commission a G{, 279604 .,' — 9onded through National Notary Assr. r re of Contractor/Litense Holder STATE OF FLORI COUNTY OF The forig instrym nt was acknowledged before me this day of 2001by (Name of person acknowledging) _(_1 C (Signature of Notary Public- State of Florida ) Personally Known __ OR Produced Identification Type of Identification Produced Commission No. ZONING COUNTER I SUPERVISOR HE) 1REVIEWI PLANS REVIEW VEGETATION SEA REVIEW REVIEW MANGROVE EEW `1 CERTIFIED Certificate of Product Ratings AHRI Gertified Reference Number . 201296732 Date . 02-18-2019 Model Status . Active Old AHRI Reference Number: 7984193 AHRI Type: RGU-A-GB Series: GSX14 Outdoor Unit Brand Name GOODMAN Outdoor Unit Model Number (Condenser or Single Package.) • GSX140:301 K' Indoor Unit Model Number (Evaporator and/or Air Handleri . ARUF31B14A" 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, MF, MI, MN, MU, MI, NU, NF, NH, NJ, NY, UH, OR, HA, RI, SU, UI, VT, WA, WV, WI, WY, U S Territories) Reyiun Nute . Central air conditioners Manufactured prior to January 1, 2015 are eligible to be installed in all ieyiuua 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. f he manufacturer of this GOODMAN product Is responsible tar 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 & Air -Source Heat Pump Equipment and subject to rating accuracy by Al IRI -sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28200 SEER 14 00 EER (A2) - Single or High Stage (9517) 11.50 t"ANivr." Model Statue are thnrte that An AHRI C:ertiflcatinn Program PArflrlpant Is currently prodlwing AND selling or offering for sale; OR new model9 that ere being marketed but are not yet bump produced "r'roduction Stopped" Model Status ere those that an AI IRI Gertlfcetlnn Program Participant le no longer producing BUT 16 still :rellinp or offerin% far sale. Retln�js that ere accompan,ed by WAS indicate An involuntary re -rate The new published rating le. shown along with the Ureviou6 (i.e. WASI ratinu. DISCLAIMER AHRI dose amt endorse the product(A) Ilated uh thla CeMflwte and makes hu represotrtatlulis, warranfias ur 4uuruntees us tu, and assurnus nu mn puriwbihty fur, the prndur:t(A) listed on thbs Certificate. AHRI expressly dlanaarma all pahglty for damal-es of any kind arlsing Otit of the use or petlormance of the ptodurt(s). of the uheuthorized alteration of data psted uh this Ccttff Cate, Certhled ratings ere valid only for models and configurations listed in the directory at www,ahridiractory,org, TERMS AND CONDITIONS "IMF This certificate aha Its contents are proprietary products of AHRI. This Certificate shell ohty us be ed for Ihdlvlduah persohel glia confidential reference purposes. The contents of this Certificate may not. in whole or in part. be reproduced; copied; disseminated;.� ri ROU entered into a computer database: or utherwse utilized. m any furan or manner or by any means, except for (tie user's individual, pumunal and curdidentiul reference, AIR-CONOITIONINA. HFATINA, CERTIFICATE VERIFICATION & NFFNIUMAIJON INSTIFUTI, The information for the model cited on this certificate can be verified at www.ahrid rectory.org. dick on "Verify Certificate" link ac make life better. and enter the AHRI Certified Reference Number and the date un which the certificate war issued. which is listed above, and the Certificate No., which is listed at bottom right. Cc WIWAAir-Gondltioning, Heating, and Retngeratlon Institute CERTIFICATE NO.: t9t95D1fi35299iNt25