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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ©ate: -` � Permit Number: man cau r� F t n i Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: PROPOSED IMPROVEMENT LOCATION: Address: Property Tax ID #: Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Building Permit Application Commercial Residential_ Lot No. Block No. A ditional 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: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: f OWNER/LESSEE: I CONTRACTOR: Na City: '`f u State: _2L Zip Code CUL Fax: Phone No. - E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: V Company: _ Address: �V' -0 City: State: Zip Co' e: qq �� Fax*f-J - j, - JNA Phone No - E -Mail df liz.i_m0lI GC G State or County License A� / W 7 Q__'-14 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 LIEN LAW INFORMATION: DESIGNER/ENGINEER: — Not Applicable Name: _ Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Address: City: Zip: Phone: State: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: City: State. Zip: Phone: BONDING COMPANY; Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit Not Applicable 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 an structure. Please consult with youd covenants that may restrict or prohibit suchr 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencin worecordin our Notice of Commencement. --Jfgrra[ure oT uwner/ Lessee/Agent STATE OF FLORIDA COUNTY OF The forgoing instry} ent was acknowledged before me this Q. day of ''1 20 L�,y (Nam of person acknowledging j A r�k P A&j& I-) ( ignature of Notary Pu iic- State of Florida ) Personally Known OR Type of Identification Produced Commission Revised 07/15/2014 REVIEWS FRONT COUNTER DATE COMPLETE INITIALS ZONING REVIEW ure of Lortr STATE OF FLORIDA COUNTY OF The forgoing instru�r1p' ant was acknowledged before me this ��day of , (� y� _ 20 2111 by t�- (Name f person acknowledging) { ignature of Notary Public- State of Florida ally Knowmy ___ OR Prod J,ype f Identification Produced nda EMercado COfYtn 1=0n GG 136 1tom fission N0. aft 05/2012021 SUPERVISOR P REVIEW RE Wanda E Mercado 18I Ay Corrxn+saion GG 1 Es"s 0&20/2021 LANS VIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW Certificate of Product Ratinas AHRI Certified Reference Number : 202349756 Date: 03-27-2020 Model Status : Active AHRI Type RCU-A-CB Series : GSX14 Outdoor Unit Brand Name GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140361K' Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT35B14A` 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. ME, MI, MN. MO, MT, ND. NE. NH. NJ, NY, OH. OR, PA, RI. SD. UT, VT. WA, WV. WI.'JVY, 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 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 AHRI-sponsored independent, third party testing: Cooling Capacity (A2) - Single or High Stage (9517), btuh : 34000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.80 ?'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. Rat in s that are accom anted by WAS indicate an involunta re -rate Thenew ublished ratan is shown alonci with the Previous 6re. WAS satin . 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 CONDITIONSto 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.ahrldlfeetory.org, click on "Verify Certificate" link 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. 0202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132297903555852246