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HomeMy WebLinkAboutPINE LAKES 7652All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 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 RERMITTYPE: Exact — Av Edon( PROPOSED IMPROVEMENT LOCATION: Address: Oc�1La&S blvd Property Tax ID #: _3q a'A f�QbDo Site Plan Name: a(YIA'L Project Name: €_.ckju s P 000' 0 Lot No. Block No. l DETAILED DESCRIPTION OF WORK: I C--Io©d eytarl t q Seer �5 tN L4-) CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical 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: $ 3L4 ` 0 Utilities: —Sewer —Septic Building Height: OWNERJLSSE CONTRACTOR: Name t n-oll 64- Locurto Address:C1C WC Name:FvbRq Company: Address:(0, ) KefMCHe7),elai _ 1.� ���- 19W co- 94 City: State: &-A Zip Code:303a I Fax: Phone No. City: Zip Code: 5,1 t+ Phone No '5b `� State: Fax: l © C7 () E-Mail: Flit in fee simple Title Fielder on next page (if different from the Owner listed above) E-Mail i t-1 Lr LUS 1- C D`i'1 State or County License Y:I I 5_I LI Q 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 CONSTRUCTION MEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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 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 dwnW Lessee/Contractor as Agent for Owner Signatu e o ntractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF: PALM 8EACH COUNTY OFPALM BEACH The for Ding instru ent was acknowledgeH hefore me 1 The forgoing instru nt was acknowledged before me �_YU�yJ 2 this day ofkJYLL�y , 2Qy this,L ?.., day of 20 y ADP,\4 RA -m u1-P R_PA-- 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 Produced Produced (Signature of Notary PubI - State of Florida nature of Notary Public- S t f I' r' , * nUB Nat try Public State of Florin Commission No. �Fg7ssis ��(S���illeAli-Ararat FF 975919 a'9V( PLe Notary Pu> fic State of R Tida CoNo. FP�7s9ts r y� i n }Ali-Atnrsi o IVy Commission FF 976-919 o 10y Commission ,0 Expires 031M2020 t a ; T'� offL.p Expires 031W2026 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 Certificate of Product Ratings AHRI Certified Reference Number: 8033007 Date: 11119/2015 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140241K* Indoor Unit Model Number: AWUF25XX16A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Region: Southeast and North (AL, AR, DC, DE, FL, GA, Hl, 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, Rl, SD, UT, VT, WA, WV, IN1, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until .tune 30, 2016. Beginning July 1, 2016, central air conditioners can only be Installed in region(s) for which they meet the regional efficiency requirement, Series name; GSX14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third party testing: Cooling Capacity (Btuh): 22000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): ' Ratings Mowed by on asterisk (') hvIcate a voluntary aerate of previously published data. unless eomnpanied with a WAS, vhtich indicates an involuntary rerate DISCLAIMER AHR1 does not endorse the product(s) ilsted 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 dIscWrns all liability for damages of any khtd arising out of the use or performance of the produci(s), or the unauthorized alteration of data IMed on this Certtfleate Certified ratings are valid only far models and configurations fisted In the directory at www. a hrldl rectcry.arg. TERMS AND CCNDMONS This Certificate and Its contents are proprietary pro ducis of AHRL This Certificate shall only be used for Individual, personal and confidential reference purposes. The conterfs ofthts Certificate may not, in whale or in part, be reproduced; copied; disserninated; W-41 entered Into a computer database; or otherwise udfixed, In any form or manner or by arty means, except for the user's individual, personal and corrtitierrW reference: AIR-ctrlrDITIONING, HSRXINa, CERTIFICATE VERIFICATION & REFRIGERATION INS7ii UTE The Information for the model cited on this certificate can he verified at s�sr,r.al:ru irscfay.nrg, dick on `Verify Cefficate' Unk we make life b mci— and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above, and the Certifcate Na, which is frsftd at bottom right t3osza2��f��s2s4s 02014 Air -Conditioning, Heating, and Refrigeratiion Institute CERTIRCATE NO.: