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Home My WebLink AboutBuilding Permit ApplicatgionAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:.- 11 � 12U2--0 Permit Number: a1 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 IMPROVEMENT LOCATION: Address: S i Property Tax ID #: � 4 ` 5D E ?D -31D Site Plan Name: Project Name: L) L)2_ Lot No, Block No. DETAILED DESCRIPTION OF WORK: 1 New Electrical Meter Q Second Electrical Meter LCONSTRUCTION INFORMATION: I Additional work to be performed under this permit- check all that apply: AMechanical — 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: $ 52- S Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name I j 4) Q t6S CYA h C46,1 ct Name: �' Z .c Z Address: ` � I [nit � �L Company:ftoh'd__ �d G ��r City: �,-� State: ` Zip Code: iz3`f Lu JZ Fax: Phone No. C-71 2 L-7 - Z_Laol, r Address:�I City: State: Zip Code: 2`j �' Fax: 12-, -7 - lU. -(5 Phone No (1�1 E -Mail: Fill in fee simple Title Molder on next page j if different from the Owner listed above) E -Mail �� 'G(tn�f 6( ex 'frS +` C'0 State or County License ('I 12 I -11 �J (a 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name:. i 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: Prone: 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 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 Godes 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attornev before commencing work or recordinRyraw Notice of Commencement. Rev. 5/6/20 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature o ontractar/License Holder STATE OF FLORIDA STATE OF FLORIDA �',�'i�� COUNTY OF� �� - �- t� (� I� COUNTY OF ✓ti S o n to (or affirmed) and subscribed before me of S n to (or affirmed) and subscribed before me of Physical Presence or Online Notarization ±�_ �V ,� ysicai Pr car .�_, Online Notarization _ltthis 2020 by ( _, 2020 by ]j� day of ar,.e� this day of i fd1✓ tri! I !`•i�1 "1 in. i`i l� rh ..,�i . Name of person making statement. Name of person makingem t. Personally Known OR Produced Identification Personally Known OR od ced Identification _ -type of Identification Type of Identificatio Produced Produce ``�,lUlIIIIl111I72�,i Q�G I SfYi �� (Signature of No P - o F ori a Notary PuAhC Slew 01 F1p[0a (Signature of Notary Public- State o to x'18,p`�.. = OaF,� Zj , Commission No. ^I� - Jc) a* ;iser� 1 Lauren Bru t1 Commission o. My LGG 168770 Eipree 1211CW2021 #GG983309 �': an O co REVIEWS FRONT Z0N19�flhz��1,� ti 'tiISOR PIANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW i III)VIEW REVIEW REVIEW REVIEW REVIEW TATE RECEIVED V DATE COMPLETED Rev. 5/6/20 Certificate of Product Ratinas AHRI Certified Reference Number 202541518 Date : 10-13-2020 Model Status : Active AHRI Type : SP -A (Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1436M41 B* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ; NM, NV, NY, OH, OK, OR, PA, RI, 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 ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Ratsng 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: 14.00 EER (A2) - Single or High Stage (95F) : 11.00 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. Roti r that are accompanied by WAS indicate an involuntary re -rate- The new published ratinv is shown alono with the previous (i.o. WAS) rating. 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 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 users individual, JUN personal and Confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION fNSTITLrrE The information for the model cited on this certificate can be verified at www.ahridirectory. 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. 9)2020Air-Conditioning, Pleating, and Refrigeration Institute CERTIFICATE NO.: 132470733804235273