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HomeMy WebLinkAboutBuilding Permit Applicaiton All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 4
Date: [fl — 1 Permit Number: ,4
RECEIVER
JUN 052019
_ Building Permit Applieatioirmitting Department
Planning and Development Services St. Lucie County �fr
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 V-
PERMITTYPE:Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PROPOSED IMPROUEMY,'EN[Td LOCATION:
Address: N r C
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
pilli
DETAILED D.ESCR1'PTIONOFE, ORK:
02 TDA 6;Odmc.IJ 6 e�
7�-
I
CONSTRUCTION 1NFORIMATION:
Additional work to be performed under this permit—check all that apply:
echanical _Gas Tank —Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ �� Utilities: —Sewer _Septic Building Height:
OWNERJLElS1SEE: CONTRACTOR:/ /
Name N .Z,U Name: .'c�tc� 4,Iv
Address: aZ, !c+c _N Company: All, LU,N�'��vv,,yc, ��i✓�, '�
City: rc6,^/A.600 �L— State:G_� Address: 57feIII /541-4 1
Zip Code: Fax: City: 1/15e. Stater
Phone No. Zip Code: 2'—9k11' Fax:
E-Mail: Phone No �;7 �� 5
Fill in fee simple Title Holder-on next page(if different E-Mail �1Xi11 i4111PS'ya �,-i�• .G�rt!t
from the Owner listed above) State or County License CAG lelf �
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL C«ONSTRUCTI©N LIEN LAW INF©RMATION:
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: 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 thepermit 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID�r 1 r
COUNTY OF �}
C A A COUNTY OF lel.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �A )-Q �20 by this_a day of c , ,20] by
Name of person making statement. / Name of person making statement.
Personally Known OR Produced Identificationv . Personally Known OR Produced Identification
Type of Identification Type of Identification �}
Produced E( , Produced
Rvllcu�� eA )a
(Signature of Notary Public-State of Florida) (Signature of Notary Public-Sta of Florida)
Commission N VA N Commission No. e I
,o� YP�B,% ELLEN VAUGHN
;State of Florida-Notary Public �otPn'v'$�a4�,
My ommission Ex fires �•
Commission #G 270079
REVIEWS '',°fi` &T '._0. . 202 VISOR PLANS VEG %�r. Q S%TWRff*fsio � ARS gR E
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wffvltvv IEW REVIEW RE ""'"
DATE
RECEIVED
DATE
COMPLETED
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Certificate ®f Product Ratings
AHRI Certified Reference Number:201498260 Date:06-04-2019 Model Status:Production Stopped
Old AHRI Reference Number:10206644
AHRI Type:RCU-A-CB
Series:GSX16
Outdoor Unit Brand Name:GOODMAN
Outdoor Unit Model Number (Condenser or Single Package):GSX160241 F'
Indoor Unit Model Number(Evaporator and/or Air Handler):ASPT33C14A'
Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,ID,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 condlboners„can only be instal ed In regions)for;
which they-meet"there gibri"ai efficlen`cy:requtrement _ 777
The mahufacturer ofthis?GOODMAN protlucfis responsible for the rating of this system combinabon i
Rated'as follows in:accordance with the latest editionrof ANSI/AHRI 210/240 with Addenda 1 andl2 Performance Rating of Unitary ;
V 11 ` z is ) i ^. i 171 V4r 9 3 I
Air Confltion/ng&Air-Source Heat Pump Equipment and sub)ect to rating accuracy by;ANRI sponsored independent,third party testing #
IF ( lu} 1
Cooling:.Capacity(A2) angle or High Stage(95F),btuh 23600 ft '
rV
SEER1600 d eati��_l�
EER(A2) Single or H Stage{95F) 13:00
7-7,777,77
71,
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 sale.
Ratings that are accompanied by WAS indicate an involuntary re rate. The new published ratine is shown along with the previous(i.e.WAS)ratina.
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 Certificate 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,
personal and confidential reference. AIR-CONDITIONING,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 life better-
and
etterand 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.
©2019Air-Conditioning,Heating,and Refrigeration Institute G'ERTl�ICATE NO.: 132c415zsz7eB9f67`