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HomeMy WebLinkAboutBuildiing permit appAll APPLICABLE INFO MUST BE COMPLETED FOP. APPLICA T ION TO BE ACCEPTED Date: Planning and DevelopmentServices Building and Code Regulation Division 2300 Virginia Avenue, Fort pierce FL 34952 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application PERM iT TYPE: � PROPOSED IMPROVEMENT LOCATION: Address: 6�' �} Property Tax ID #: � T �G 5�j ( Site Plan Name: to CL L� Project Name: DETAILED DESCRIPTION OF WORK: QDO rn q CONSTRUCTION INFORMATION: gt'-Fei— Commercial Residential n(V Quo Lot Na. Block No. if Nle S ri PT Additional work to be performed under this permit-- check all that apply: °Mechanical ` Gas Tank — Gas Piping Shutters — Electric — Plumbing — Totai Sq. Ft of Construction: Cost of Construction: $ 6-7 V, OWNER/LESSEE: Name i !7 � Sprinklers — Generator _ Sq. Ft. of First Floor: City: H- State: Zip Code: 03a U Fax: Phone No. E-Mail: Utilities: —Sewer _Septic Fill in fee simple Title Holder an next page ( if different from the Owner listed above) CONTRACTOR: Name:fit Company:. Windows/Doors __._ Roof Pitch Building freight: City: / -� FL State: Zip Code: Fax: JrG� 1 �� tJO Phone No.��p�� �� QE..,L�(� E-Mail L.i✓ LUS I- CQr'll State or County License tiG 121 � .j If value of construction is $250D 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: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 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 Rome 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 morns 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." QI l Signature of Owner/ Lessee/Contractor as Agent for Owner Signatur of C ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH CO U NTY OF PALM BEACH The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this lay of ; 202L)by this 2zday o't 209Dy RORY RAMCHARAN RORY RAMCHARAN 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 l� i (Signature of Notary Public- S nature of Notary Public- St I i } Notary PUMC State of FI Commission No. Frq-10to (�y liLLEALI-AMRAT ,,ter C mission No. �g7oR(og f $�dFi°riva ommission GG 970989 SX&OS 0313012024 ALI-AMRAT !I GOfnfniSRian GG 970%9 F.Vim& 03MM024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE PIA MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/71,19 E`IFIE www.a�h�i�irecz� ry. Qrg rt! AHRI Certified Reference Number: 7516610 _ ... Date: 2/1120171 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140361 K* Indoor Unit Model Number: AWUF37XX165*+TXV Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN 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, SID, UT, 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. 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 210/240-2008 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): 33000 EER Rating (Cooling): 11.50 SEED mating (Cooling): 14.50 LEER Rating (Cooling): "Rafings followed by an asterisk (7 indicate a voluntary grate of previous) _ ___ _ .._...W ��--• ____.M���_ �. _ y Published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER-- AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the products}, or the unauthorized at alteration of data listed on this Certificate. Certified ratings are valid onlyfor models and configurations listed in the directory atc:.:±.uhiv? TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and canfiderhiai 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 utilised, in any form or manner or by any means, except for the use s individual, pemonat and confidential reference. CERTIFICATE VERIFICATION A4� CdNDI?tDHi34 , r7Elrrlvd, The i nformation for the model cited on this certificate can be verified at ;� : , �._,;__,;�,_�,�,,;. ��•.,._ .- click on "Vt:Fiiy vez.NJ cat :' link � RiwF?'?.Et`sEi{A707i;,'^;'?sr� and enter the AHRI Certified Reference Number and the date on which the certificate was issued, rse rna]ceIife hetter" which is listed above, and the Certificate No., which is listed at bottom right G02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131304378073696376 .. CERTIFIED"' www.ahri�irectory.org of Produvrt Ratir7r,,1 AHRI Certified e erence Number: 7516610 Date: 2/1/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140361K* Indoor Unit Model Number: AWUF37XX16B*+TXV Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN 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, 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 requi Series name: GSX14 rement. Manufacturer responsible for the ratting of this system combination is GOODMAN MANUFACTURING CO,, LP, Rated as follows in accordance with AHRI Standard 210/240-2008 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): 33000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.50 PEER Rating (Cooling): `Ratings followed by any asterisk (I indicate a voluntary rerate of previously published data, unless accampanfed with a WAS, which 4ndigpes an involuntary rerate. 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 products) 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 t ,, _;.c _ lL:rrcto:.aay. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRI. This Certificate shall only be used for individual, personal and on cfidential 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 far the users individual, personal and confidential reference. — CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at! and enter the AHRI Certified Reference Number and the date on which tits certcate was issued click on "{:er:`} Geri€ ca,e' link which is listed above, and the Certificate No., which is listed at bottom right —---__�- wea��lifc 1�4 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13130437807369637U