HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, FortPierce FL 34982
Phone: (772) 462=wl553 F
ress:
r
ax
Site Plan Na
Project Name::
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772) 462llllll=
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Permit Numbers.
Building Permit A PP licat
F
Commercial
ion
Residential
Lot
Block No
New Electrical Meter Second Electrical Meter (Affidavit required)
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W
dda,,nal work to be performed under this permit —check all that apply:
_ chanical _Gas Tank _Gas Piping _Shutters Windows/Doors Pond
Electric
Total Sq. Iot t
Cost of Construction
a $
Plumbing
`Sprinklers
Generator
Sq. Ft. of First Floor
Utilities:
Roof Pitch
_Sewer _Septic Building Height:
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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.
V
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D S1 GNE V ENGINEER* Not App11cable I MORTGAGE COMPANY: Nat t�pplicable
Name:
Address:
City: State:
Zip: Phone-.
FEE SIMPLE TiTLE 14OLDER.0 Not App,icable
Name:
Address:
city*
Zip: Phone•
Name.-0
Address:
M A
City:_01 State:
Zip: Phonel,•
SONDIN COMPANYi,
Narne;
Address:
e1
ty:
Zip: Phone:
OWNEftj COFTRACTOR FFIDVIT.Application i
s hereby made to obtain a perm
1 certify that no work or installation has commenced prior to the issuance of a permit.
...,Not App i ble
it to do the work and installation as indicated.
St. Lucie County makes no representation thatis granting a permit will authorize thege
which is in Conflict with any applic�b{e Home Owners Assoe►ation rules, bylaws or anc
structure. Piroase mnsult with your Home C)wnp-rs Association and review your deed tor any restrictions which may appty.
n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects,, perform the work
n accordance witty thimar nrnuod plans, the Florida Building Cndpsa nd St. LuCl'e County Amend ents.
i
i
r holder to bu"Id the subject structure
ovenants th-at may_ restrict or prohibit such
The following bulldi*ng permit appl*lcatlons are exempt from undergoing a foil concurrency review: roam additions,
accessory structures,, swimming pools, fences,, watts, signs, screen rooms and accessory uses to another non4wres*ldlenttal use
WARNING TO OWNERYo u r failure to Record a I4ccrti ofcam onceMfflft may result Inpapng twice for
ImprolIPITIents to your property. A Notice �f �ornmencement fust be recortded in the public records of St.,
Lucie County and posted on the jobsite before the first inspection. if you intend to obtain financin90consult
with ender car �r� attvrn�Y Iefore commencing work oriecording_ your Notice o
Signature of der/ ssee[Contractor as
srasE of F����a�a
coin a�
go
e t for TYwner
Sworn to (or armed) and subscribed before me of
this day ofAWE . 20 Y
Name of person making stateme
Personally Known _� OR Produced ldent4l'ficati'oon.
Y I ication Produced
-.
re of Notary Puot of Florida j
Commission No.,
REVIEVIIS
DATE
RECEIVED
Qar�
COMPL ED
ev
M -
FRONT
COUNTER
(seat)
ZONING
REVIEW
f Commencement.
Physl I Presence or � OnIlibne Notarization
�',�j�a `"• ERIN AI►E PARKER
d*
'?� Notary Public -Slott of F(�a
Commissim # GG 922167
My Comm. Expires W 13, 2021
.... Bonded through National NotaryAssn.
SUPERVISOR
REVIE�►l
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
R�v�Ew
M NGROVE
R�u�Ew
AHRI Certified Reference Number: 201785374
Date : 07-O2-2021
AHRI Type: RCU-Ao-wCB {Split System: Air -Cooled Con-
densing Unit, Coil with Blower)
Seraies: GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package): GSX1 6S421 A*
Indoor Unit Model
Region
Region Note:
Eligible for Federal Tax Credit
Model Status :Active
Number (Evaporator and/or Air Handler) : AS PT49D 1 4A*
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)
1, 2016 central air
which they meet the regional efficiency requirement.
Central air conditioners manufactured prior to January
until June 30, 2016. Beginning July
11201
conditi
5 are eligible to be 19
installed
oners can only be installed
The manufacturer of this GO.O.DMiQN product is responsible for the rating of this system combination.
Rated as IbIlow.W.s in accordance with the lates
& Air -Source Heat Pump Equipment and su
Cooling Capacity (A2) - Single or High Stage
SEER : 1'6.00
in all regions
in region(s) for
t edition of AHRI 2101240 with Addendum I'S Ref-_ftormance Rating nf UnitaryUnitaryAirnn'nditioning
bject to rating accuracy by AHRI-sponsored, independent, third party testing:
(95F), btu t
EER (A2) - Single-, or High. Stage (95F) : 13.00
:41000
11
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"
sailing or offering for sale..
Ratings that are accompanied
DISCLAIMER
WAS indi
an invi
Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
. The new published rating- is shown abn4 with the arevious (i.e.W)SI rating.
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. Cert"Ified ratings are valid only for models and configurations listed in the
directory at www.ahr'id'irectory.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 for 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 Certlof 81cate" link we make Life better'
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is 111sted above, and the Certificate No., which ls listed at bottom right.
02021 Rir-Conditioning, Heating, and Refrigeration Institute 132697149108496352