HomeMy WebLinkAbout9 LAKE VISTAAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
,^r.. I f \Df n Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2j00 Vlrginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 467-L578 Commercial Residential
Property Tax lD #:Lot No.
Sitp Plan Namp:utrt/Agrtl+e 2 Z Block No.
Project Name:
g fa^-t I g&rt-kJl SKqr-r
M6J,\J <{ed \€;r)&L l4olee# 6SX I L4IL<.{ra {6.ru(,&q.- ArUtl
Additional work to be performed under this permit - check all that apply:
y(lechanical
Electric
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
_ Windows/Doors
Roof Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction ,5 73 7s.s Utilities: Sewer _ Septic Building Heighti
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
PERMIT
Address: 9 .l qkL y;el^ tnl tO4 , For* 5T t,,r;e Fl 3l"l5l
state:(L
Zip Code:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company: fl
Zip Code:
Phone N
E-Mail
State or County License
DESIGN
Name:
INEER: h Not Applicable MORTGAGE COMPANY:
Name:
Y ruot Aoolicable
Zip: _Phone:
FEE SIMPLE TITLE _ Not Applicable BONDING COMPANY:_Not Applicable
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 priorto the issuance of a permit.
St. Lucie Countv makes no representation that is srantins a oermitwill authorize the oermit holderto build the subiect structure
which is in conflict with anV dpplicable Home Owiers Asiociation rules, bvlaws or and covenants that mav restrict cir prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions uihich may a[ply.
ln consideration of the Branting 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 CountyAmendments.
The following bullding 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
.,WARIIIIIIIG TO OWNER: YOUR FAILURE TO RECORD A NOTTCE OF COMiIETTICEMENT iIAY RESULT IiI YOUR PAYIilG
TWICE FOR IiIPROYEMENTS TO YOUR PROPERTY. A IIIOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FTRST llUSpECTtON. tF yOU tilTEl{D TO OBTAII{ FINANCilUG, CONSULT
WITH YOUR LENDER OR Ail ATTORNEY BEFORE RECORDING YOUR NOTICE-ETOMilEIIICEMEIiIT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of , 20_ by
Name of person making statement.
Personally Known _ OR Produced ldentification
Type of ldentification
Produced
(Signature of Notary Public- State of Florida )
STATE OF FLORIDA -coiNw oi-Jt .2,*;
Personally Known OR Produced ldentification
Type of ldent[fi cat|o n
Produced I D/-
Signatu re of Confractor
Name of person making sta€lnent.
) CARLAJ.couLrER
Notary Public - State ofFlorida
15"$jpmission * 6G l42aa1
' My Cdmm. Explres oct 30, 2021
SUPERVISOR
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
AHRI Certified Reference Number :201417943 Date : 07-30-20.19
Old AHBI Heference Number:8655532
AHRI Type : RCU-A-CB
Series: GSX14
outdoor Unit Brand Name : GOODMAN
Outdoor Unit Model Number {Condenser or Single Package) , e SXt +OZ+t t--
lndoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A.
Region :
Region Note :
Model Status : Active
Soulheast and North (AL, AB, DC, DE, FL, GA, Hl, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, tD, tL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, Wl, WY, U.S,
Territories)
Central air conditioners manufactured pdor to January 1 , 2015 are eligible to be inslalled in all regions
until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be inslalled in region{s) for
which they meet the regional efficiency reouirement"
The manufacturer oi this GOODMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the tatest edition of ANSI/AHRI Z1O|24O with Addenda 1 and 2, Performance Rating of Unitary
Air-Conditioning & Air-source Heat Pump Equipment and subiect to rating accuracy by AHR|-sponsored, independent, thlrd party testing:
Cooling Capacrty (A2) - Singte or High Stage {95F}, btuh : 23600
SEER : 14.00
EER (A2) - Single or High Siage {95R : 11.50
Model Status are those that an AHRI Certification Program Participant is currmtly producing AND selling or offering for sale; OR new models that are being
mtrketed blt are not yet being produced."Production Stopped" Model Siatus are those that an AHRI Certilication Program Pariicipant is no ionger producing BUT is still
sellino or otferino for sale.
Ratin-qs that are"accompanied brLnAS indlqate an involuntarv re-rate. The new oublished mtinq is shown alono with the orevious {i.e. WASI ratino.
DISCLAIMER
AHRI does not endors€ the product(s) listed on this certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) Iisted on this Certificate. AHRI expressly diselaims ail liability for damages of any kind aristng out of the us€ or pertormance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and crnfigurations listed in the
directory at www.ahridirectory.org,
TERMS AND CONDITIONS
This Certiffcate and its contents are ptoprietary products of AHRI. This Certiflcate shatl 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; disseminatedi
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 confidenlial refe.ence.
CEFTIFIGAIE VERI FICATION
The information for the model cited on this certificate can be verifed at www,ah.idirectory.org, click on "Verlfy Cerfiflcate" link
and enter the A.HRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate No., whieh is listed at botiom right. L. . - _ r-
@20'19Air-Conditioning, Heating, and Refrigeration lnstitute ICERTIFICATE NO.:1 320897294030sO691
AlR.COl*DmOI{fi{G, HEATIT{c,
& REFRICERATION IiIIiTTTUTE
we rnalie life better*