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