HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F-L 34982
Phone: (772) 462-1553 Fax-, (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of fine
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Site Plan Namea. Bbck NO.
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Project Name,
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Shutters
Elf. Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Constract ic) m
Cost of Construction: $
❑Windows/Doors
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Utilities: Sewer Septic Building Height-,
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City: State:
Phone No.
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Phone No.
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from the Owner listed above)
State or County License.,
ITvague Wconstruction is�&)uu or more, a ftLUKOW Notice of commencement is requirreci.
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RTGAGE COMPANY: Not Appkab�je
Name:
Address:
City: States:
Zip: Phone
FEE SIMPLE 71"il LE HGL0ER',,,-0 Not Applicable
Name:
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Zip: Phone:
Name.
Address:
City:
Zip* -Phone.,
State.
BONDING COMPANY., —Not Applicable
Name:
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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.
wthichLucie County makes no representation that is granting a permit wilyauthorize the ermit holder to build the subject structure
is in conflict with awith�y�our alicable Home Owners Association rules, bylaws or anX covenants that may restrict or prohibit such
structure. Please consult 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 followilng 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 IMPROYEMENTS TO YOUR PROPERTYx A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
� INT D TO OBTAIN FINANCING, CONSULT
POSTED E JOB SITE BEFORE THE FIRST INSPECTION, IF OC' INTE 1 NOTICE WffH YA3UR LEND, R OR AN AT
TORNEY BEFORE RECORDING YOJR NOTICE OF COMMENCEMENT
Signature of Otvner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA r ":"4 0
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COUNTY OF
STATE OF FLORIDA
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COUNTY OF -
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before rme
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this day of I) 0�� 20,r)'O by this day of 20t by
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Name of person making statement. Name of person making staterrieft,
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Personally Known A OR Produced Identification
Type of identification
Produced
11 7L-,
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EWMNM
(Signs
av ftr, Notary Public State of Florida
Commi I Jennifer I Aguiar Sea
My C G-mmissie G 339874ea
Expires 06/2912023
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REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
Personally Known OR Produced Identification
Type of Identification
Produced
ida
Ite of Flor`7
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tit
Notary Public State of Florida
Jennifer I Aguiar
ON% N 9 (Seal)
0 lasion 0-a- 3W71
Expires 0569il-i2023:
SUPERVISOR I PLANS I VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REViEW
AHRI Certified Reference Number: 201461290 Date: 03-05-2020 Model Status. Production Stopped
Old AGRl Reference Number: 9103491
AHRI Type: RCU`-A-CB
Series: GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package): GSX160371A*
Indoor Unit Model Number (Evaporator and/or Air Handier): AVPTC37C 1 4A*
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, iA, lN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, 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 conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this GOODMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating of Unitary Air -Conditioning
& Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh - 35000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
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 accoTp������, re -rate. The new published ratina is shown al prig_
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. AHM 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 oily for models and configurations listed in the
directory at www.ahr'l,
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall ony be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in wWe or in part, be reproduced; copied; disseminated;
entered into a computer database; or otheruvise utiNzed, in any form or manner or by any means, except for the user's individual, Ar W011 I&A
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited an this certificate can be verified at www-ahridiragetory-org, e-He on "Verify Certificate" Unk we make life better -
and 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.
02020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132278967684430588