HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEME T LOCATIO
Addres i
IKOLot
Property Tax ID ti No.
Site Plan Name: Block No.
Project Name:
Df TAILED DES RIPTION OF WORK:
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New Electrical Meter Second Electrical Meter —
'RUCTION INFORMATION-:
Adddiittional work to be performed under this permit— check all that apply:
lulechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
(_
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _ Sewer _ Septic Building Height:
OWNS (ESS €:
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Name
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Nam
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Adore
Company
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City: State:
Addres .
City: State:
Zip Code:
Phone No.
Zip Code: F x" -
E-Mail:
Phone O
Fill in fee simple Title Holder on next page ( if different
E-Mail
State or County Licens
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
RECEIVED 08/11/2020 11:22
DESIGNEK ENGINEEM Npt Appllcabie ;
MORTGAGE COMPANY: a App Ica le '
Name: !
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Address:
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FEE SIMPLE TITLE HOLDER: atA Npplicabie"
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Name
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work aria igstatlaiion as redo ated. I
I certify that no work or in tTliotion has commenced prior to the.Wu.ance of a permit. l
s. Lode COUOratWmake3 no represerrtation that is granting o permit wilt authorize the permit holder to build the subject structure'
which Is to coJttiictwithara f ppticabip Hame Owners Assocration rules, bylaws gr and covenants that may repthet or prohibit such
sirtrctute,:Plea3e,eo!?SultI your Home 9wgers Association and review your esd.far any restrictions which may apply;:.
in cansideiatron Of't irx.grarettrig; f this requested permit, I do hereby. agree that t will, in all respects,: perform the work
in accordancawlih�: the approved,plons, the Florida Building Codes end St Lucie County Amendments
T'10toileV ingbuiltbaag:permitapplicationsareexemptfromundergoingafullcooeurrencyreview roamadditions,
aceeSsory.Aructµrem;.swimmung poots, fe'nces;.walls, signs; screen rooms and accessory uses.to ancdier n6g42sidential use
WARNING To OWNER: Your failure to Record a Notice of Commencement. may result in Qa0hg tvvice `os
mr rovemttits to your pro !Notice of Gommencemen ust 6e recarde e public reeorcis of St.
LucieCou yndpostpd ihe'jo tebefcethefrstinsp. t', ri,lfybu in dtoob tnfinancing,consulT
WWI (err_ e ar an ettorfi kretore ea mencln work or rec r n our No ce of Cc,rri a tcement,
++ ature of Lwnerl. L sseef rim as Age7stfor cwner 5ignatu Contractor/License Holder
i ,STA1E:QfFLOR11VA STATE OF. FLORIDA
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i . Swo: n to (n, affirmech and SUbsyrsbed before me of Sworn to Jar affirmed) end sobecrtb,nd before me of
Physkc 1, Pi esIt re or _ Onike Notarization. Physical Presence or Online NOtari[Cil Oil
if is A_�'-„day of .,,_, 2020,:bV this ,;,A,�.. day of.�J�—, 20�C rJ
Name of person makins stai:ement. - Name of pOrstltl making statement.
ersorrt,Known__,�OR.Producedidentification_ Wally Known_ ORPmducediderltificanon
.. ..Yype of idntrfiCation .. Typo Identification,
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(SIgn, tug of Notary Pubic State„Of Florida,'). ('gnajurt' Of NotaryPu ic- State of t Willie )
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Certificate of Product Ratin
AHRI Certified Reference Number: 201817151 Date: 08-11-2020 Model Status: Production Stopped
AHRI Type: HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source)
Series: GSZ14
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSZ140361 K•
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT39C14B'
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 : 34000
SEER: 14.00
EER (A2) - Single or High Stage 111.50
11.50
Heating Capacity (1-112) - Single or High Stage (47F) : 32000
HSPF (Region IV) 8,20
?"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
sei llng or oRedng for sale.
Ratngs that are accompanied by WAS indicate an involuntary re -rate The new Dublished rat' is shown alone with the Drevio s (i.e. WAS) rat o
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 produchs), 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 CONDITIONS
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.ahridirectory.org, click on "Verify Certificate' link ur. make lire bete,, -
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.: 132416362302270587