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HomeMy WebLinkAboutBuilding Permit ApplicationAll APP L F T COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Sal LULM� 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- 578 FPERMIT APPLICATION FOR: a -- c64 PROPOSE I PrVEENT L CATIgN: tt Address II Property Tax ID #: ' O O V O3- Lot No. Site Plan Nam^ Block No. Project Name: C DIETAILED DE CRIPTION OF WORK: -erT KW New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATfON: Ad_ diyvnal work to be performed under this permit – check all that apply: Mechanical Gas Tank Gas Piping Shutters Windows/Doors Pond — — _ Electric _ Plumbing _ Sprinklers —Generator Roof Pitch Total Sq. Ft of Construct i Sq. Ft. of First Floor: Cost of Construction: $ . Utilities: -Sewer —Septic Building Height: OW R/ JESSE CONTR TkR: �. Nam ✓ Nam r O Address. I company: City: State: _ Addre S f State: Zip Code: aCity: Phone No Zip Code: Fa – Phone N E -Mail: Fill in fee simple Title Holder on next page ( if different E -Mai • bA from the Owner listed above) State or County Licens Y 11`13 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 09/01/2020 10:09 ..v $x4....,...„:ir-. MORTG CQN9RANY... } uE Rppl ,:able DESIGNER .EfNGINi ER: Not Applicable ( Name. ---Name: _. I AddrP s address: C'rtY _ $tate: City: —State Zp,----- -P11CJ11C' :: : Zip:.,.. Phone: :.. ........_� BQNRtNGCOMF'ANY; �.. fV(XA(ppJitaifle:.. FEE 5IMPi_t:TITLt MOLDER Not App � ',I NaEnw ., I Name; _.. I Address: vi�ire« Zsp- Phone-' ZIp P:torr OWNER/ CONTRACTOR .;AFF10M.:Application. is hereby made to obtain a permit to do the work andiin5oflttion as iridiektei lcel tify ihat lYd;uvarkar istsNlation has commenced prior to the .issuance of a peri'nit. Str Lucis Cqun r7makes rro reprksentatk�S that is granting a permit will authorize the pertnit hWder to�bulld the subject structure which19xt CfWithanyapplicableHq aOwners.Associationrules,..bylawsorandcovenantstPatrnayresxrir orprohibitsue}i 0.p strngttire ;Consultwith .your Home L7wnersAssociaNvitaindreview.yqur4 ed. ford•inyr8sttrc rn 'Wt!*A.m yap�ily.,In fio ideratlon.of the gr0nting of this reijuested permit, I do Hereby agree that I will, ill all respects, form the. wwk -pe iry accordanca tjmthe approved plans, the Florida Building Dudes and SL Lucie Cou!rty:Amefldmgrit& Tho fpliawirig buildirgp@rmit.dppllcations. are exempt from undergoing ahill toncurrenot*vjewua'omo.yrdl &vt accxseary5truu+,res wtmrriingpopl�,fenaes,walls,slgos,screenroomsandaccessoryusrstst>tnother/wnrtesW,miafuse .'. WARNING TO U4iVNER: Ynut faI(ure:#u Rer{trd a Notice of [omme"cement may rasuk at.:patwnce far i improvements toyour property. A Notice of Commencement most 6e;ret4rd�d:irt tYfa publie records of 5 1_ucie County and poSted.an the jobsite before the first insp. i h. if you,! itain'.l naneing, cons vrlth lender nr �„ attorrley_3aefore r:amttacnciwork or rec .d your s#ce.0;f Cot mentement.. I ,iKnaL,rr, off• ner/ LesseefContractoras Agent for Owner ignature of ContrQdor/b+ iihsm Hbldgr 1, l STATE OF FLORIDA STATE OF FLORIDA a �C� i . COONTY OF COUNTY OF777 Na. u'oi atfircnedj and subserit ed before me of Sw�un to (ar affirmed} and tjbSCrlbkd bbfore.ma of hr Presenca Notarization 7� �r H:.ai nr _ Online PF ysical Presence or, tlANne ¢7ptat+g&tiort ia•r o r,,. 2020 by .'� Lhis;.,�day ofQ..,_. 2020 fly Name r f personnia R B ---- i statemenT, � - Nameof V" PAY' -31y Known 'ClR Produced. rdentifii¢atigM� PerSQnalEy Known , CAR Produu�G !aent'Cc.atiorl .. p a`! " ; r i TYPe . tderttifiiaiion C Prod Fed Pro c ( (gnat yiaetr� .....� (Signat. de') FMC TORRESPx+atk''s MI5510N NGO 207950 C.bnim� :s' MY�A ISSO SG6207I kV =Il LgSM t5,102l a Commis 8 W pip 15.2a?2.15e } s�.�p�pygrL'NW h'AWCOrAaM�r>< . Bp�ded*IYHOIfYPMIG th�eiwiiw*._ ''.I, I REVIFV;s - FRONT ZONING sU.pERViW11 '. PLANS.. I VEGETAT(ON SEEITURT F MANGROV! ii _ �(turvicfi REVIEW 'REVIEW REVIEW j REVIEW REiJ1E.W ,l REVIEW aATe - RSCErVE ATE- This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. Certificate of Product Ratin AHRI Certified Reference Number: 201785242 Date: 09-01-2020 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX16S481A* Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT49D14A* 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, SO, 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. 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 (95F), btuh : 45000 SEER : 16.00 EER (A2)- Single or High Stage (95F) : 1300 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. R tin s that are accom anied by WAS indicate an involuntary rte. The new published ratings shown alonq with the previous (i.e. WAS) retina. 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.ahrldirectory.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 my �n,t„ fire lorrtrr` 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. - ----- _.-- ©2020Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132434436757931066