HomeMy WebLinkAboutBuildling permit appAll AP A L� INF
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E COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit N urnber;
Building Permit Application
Plaa ring and DewOopment Services
Building and Code Regulafao n Division Commercial
21300 Virgtn o Avenve, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772� 462-1578
PERMIT APPLIC TION FOR:
PROP05ED IMPRO E ENT L
AddEe�s�� _
Property Tax I R
Site Plan Name
Project Name:
New Electrical deter
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Second E l-ectrical deter
CONSTRUCTION INFORMATION:
Resident[aI
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A ditional work to be performed under this Permit — check all that apply=
echanical Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq , Ft of Co nst ru" t
Cost of Construction_ .
Lat No,
Block No,
W i rkdows/ [boo rs Pon d
Generator Roof
Sq. Ft. of First Floor;
Utilities; _ Sewer _ Septic
B- i l d I rig Height,
OW N E R/L E �E : CONTR701R: ti i A
Namel I V
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Fill in fee simple Title Holder on next Page ( if different
f rom the Own er 11 steel a bo ve )
Nam
Com Pa rtiyIff
Address,
City,
ZipCo-de,
:Rhone o
E-Mai I Y l
State or County Picns
If va Jue of co n 5truction is 2 500 or more, a RE CO RDE D Notice of Comm err e m e nt is requ iced.
If vaIue of HAVC is $7,500 or mere, a RECORDED Nmice of Commencement is required.
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Certificate of Product Ratinas
AHRI CerWied Refereri NLmMbOV ; 201830179
Dole: W-18-2021
AHRi Type: RCU-A- S (Split Sysliem; Air - oar Cundeo&ing Unii1, Coil with Blower)
Se rips : GS 14
Outdoof Unit BrEind Name : GOC)VIVIAN
Mad.@9 Status : Active
Outdoor Unit Model Number (CorriJenser or Single Fatikage) ; GS 1 40361 K'
Indoor U nit Model N umbe r (Evaporalor andior Air Hared leo : AS PT39C 14B'
Region : Southeast and Norti7 (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, SIG, QK, SC. TN_ TX, VA. AFC, CO, C7. ID, IL,
IA. IN. KS. MA. ME, MI, MN. MO, MT, ND. NE, NH. NJ, Nor', CH, OR. PA, Rt, Si . UT, VT. WA. M. Wl.'4 V. U.S.
Territories)
Regior1 Note ; Cenlrai air condilionpm rnartufactured prior to January 1, 2015 are eligible to be instailed In all reglons
until June 30, 2016. Beginn-ing July 1, M 6 central air conditioners tin only be installed in region(5�fvf
whir-h they meet the region al efficiency re-quirement.
The man ofactu rer of this GOODMAN prod uct is responsi brie for the rating of thl:5 5yr3.tem oornbi.natiOr).
Fated as follows in aocurdance with lh-e Ia[e!st eWorr of AHRI 21 Df240 vw0 Addendum 1, Performance Rating of Unitary AlR-Conditioning
& Ail -Soup Heal'Pump Equipment and subjee4 to rafino ac-,mrocy bar AHR1:-sponscired, independent, third p:80y teSting;
Coa4i ng Cap;Wly ( ) - Si n9le or High Stage (95F), btu h : 3420G
SEER : 14.00
E ER ( � - Single -or High 5lage (95F) : 11.50
t'Adiwia' M000l 3lakuo pre thane that an AHRI Certi: ation Pxiagrarn Participant is cunrerAV prod ucing AND selling or-offeriN for &a%: 4F, new n dels chat are tieing
markeiad bul are rM yO t)eing produeed.'Produchon Slopped' NIo.�eI SjyLus at@ Mope kMat 3n AHRI Certifiratiart Program Participanl is rho Ipngef producing BUT is alill
sc llir or Ofer,ng f-pr sale.
Ratina that r niinorwe are involunWry re-ra;W faun :s shown -along wish _ nating.
DISCLAIMER
AH RI dues not erdorW the pradwt{5) I Isted on this Certificate and mftkM hO eep e-esentallomr., warranties or gua ranted a-S to. an.0 Ekvwrnes no responsibility for,
the prod uctrs) listed or) this Ctrtlftaile. AH Ri; expre-s%ly dliclalms all Iiabil itw f-or darejages -of -aery kin¢ arl yang out of the use or pe rtorftance 01 khe Grodkkc#(Fb). Qr the
ijoaWthoiI2�_-d alteration -of data listed -on this Ccrtif ate, CertlTlep ratings are valid only for models and conflyNraWn5 listed In the
dirt C L-bry at wwrw,s h r1dire cta'r y.org.
TER I IS AN D G4N11) I T I ONS
This Certill att and Its- oonkeints are propriMryr pmducts of AHRI. This Camillo&tE ON311 only w. used for individual- pun&onal and
conflder�liel rslerenre purpow&. The Contents.of this Carlrflc�ns may rot. in whole -or ir5 :P3rq, -Ue reWduced; copied; drsseminaled.
ChWrM Win a carrnp-ales database: or ot'Itiatobe itilized. In any form or manner or by any means, except tor the users Ind ivid ual.
p21rxonal ;2prtid oonfldential rererenc*_
C€RTIF ICATE +DER I FI C4TI01Y
The i-mrormation for Me model cne-d an this certWcate Gan ba verMd at w+ww_ai rldireotary Xig, click un 'Vririq 0artifLicate' link
-Bnd enter lf7e AHRI Certified ReFerenoe NurrLWr and the data Dn which thu uMltifiC$te *435 Rued,
which Is lWea .3Wo *. and the Gertfficate No.. which M IWO at bottom right. ---
@ 0 1 Alt -Conditioning. Heating. and RefrIgeration InEititute
CERTIFICATE NO.:
AIR44NUT10WNG, HEATING.
& REFI 0111R±ITION L f TITME
mt- in.akt life hcrrrr '
13 5702581 d13217