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Home My WebLink AboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � � Permit Number: w Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential �'�► PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 116 NE a'ha Late Legal Description: Q6JER MIR[-.- L NVE 5 RLL, `t� �� (Hep /1(8N CCR -1460-- 2502) Property Tax ID#: 34-19 - 540- 0015 (– 0(-")C) – I Lot No. 15 Site Plan Name: Block No. —3 Project Name: AC c MOCK C} it Setbacks Front Ba Right Side: Left Side: DETAILED DESCRIPTION OF WORK: VEYnoNe CAC3 AC Ur# a -5 -Cr)S on6 ()a CAItir ccn6t t i cn i Q -15 +onS 14 SEER , CONSTRUCTION INFORMATION: itiona I work to be eFformed under this permit–check all LOJHVAC Gas Tank Gas Piping Shutters Q Windows/Doors L_J Electric ® Plumbing Sprinklers FIGenerator Roof Total Sq. Ft of Construction: S . Ft. of First Floor: Cost of Construction: $ C Utilities: _Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name_li I(Y)CO Red Q� lf q\sfSffflC-'A Name: &C– Address: (,x C–eT Company: �I 1Y- 7e. City: RA &_ LL. CAa State:EL Address: P34 8y\l V lhm 6e -ee Zip Code: 4q.Da> Fax: City:RA ��Iny 6-e' Stater Phone No. -1-4L G 2J 06 111� _ Zip Code: 34q F)4- Fax: E-Mail: ko':k_-am _hM' WCO , axo Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: tin6wV nil co Ce Ed from the Owner listed above) State or County License: CAC 51606 3 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 1 will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing,consult with lender or an ttorney before commencing work or recording our Notice of Commencement. , s Signature of Owner/Lessee/Agent Signature ofd _ cfar/License N ld r STATE OF FLORIDA STATE OF FLOR DA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of _ 20 by this 7-6 day of ' t,-� 20 _by Nar^`ne 0person knowledging) �J�trbftilerson.ak @,vledging l r'1 / (Signature�f Notary Public-State of Florida) (Signator sof N fitary Public-State of Florida) /�` Personally Known ORProduced Identification Penally Known OR Produced Identification Type of Identification Produced Type of Identification Produced AMMIS MABEL Git Commission 15S10N#FF914194 Commission No �cea i..> GIL [ IIS5AMARIS 101 FF941 Noll'�l / 5 �1� /`J M"Se ' �5oAded3hfU3W a N0WYWft �.14M a EXPIRES:August 30,201 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS MARTIN COUNTY BUILDING DEPARTMENT 900 SE RUIEWE STREET STUART,FL 34494 (772)288-5916 FAX(772)289-5911 Air Conditionine Chance Out Form Florida Building Code 5th Edition (2014) Air Conditioning System Residential Commercial Single Package Unit: Split System Ductless Mini Any Duct Replacement: Yes _)(_No Refrigerant Line Replacement: Yes iX-No *Rooftop A.C. Stand Installation : Yes )C; No *Smoke Detector Installation(over 2000 efm) : Yes X No *Commercial Permits Only One form required for each separate AC system installed NEW REPLACEMENT System Components Manufacturer GooD.-AAf� Manufacturer AIR HANDLER Model No ASR3GC14-A CONDENSER Unit Madel No 6SX1403 C)I K SEER/EER 1:47 12 SEEWEER 14-SO / A`. . Size 2--5 tons Heat Strip �KVA/KW Size Mons HACR Breaker/Fuse size: HACR Breaker/Fuse size: L(O Min. Max. Min, Q Max. Wire size (p Wire size (o Refrigerant piping sizes (Liq)�(Suc) 34 Refrigerant piping sizes (Liq)-6/E3 (Sue) , Refrigerant type Refrigerant type Location: JXExisting New Location: ?( Existing _ New Configuration: Horizontal Vertical Location: X Ground Roof top OLD EXISTING System Components Manufacturer if known too N__ Manufacturer if known ("�,waN SEERTER if known SEER/EER if known Size 15 tons Heat Strip :KVA/KW Size Z,S tons Existing HACR Breaker/Fuse size: 1-(0_ Existing HACR Breaker/Fuse size: Q ExistingWire size Cp (A.W.G.) Existing Wire size (A.W.G.) Refrigerant piping sizes (Liq) - (Sue) Refrigerant piping sizes (Liq)_/j(Suc)_. Refrigerant type_ -�`� _ Refrigerant type 1-Z Z Certification With the authorization o installing Contractor, I certify that the information entered on this form accurately represents th ystem(s) ns fled. Signature Date Revised 7174/1.5 www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7516241 Date: 2/26/2016 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140301K* Indoor Unit Model Number: ASPT36C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR 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, SD, 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. Series name: GSX14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity(Btuh): 29000 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.50 IEER Rating (Cooling): Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. 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 user's individual, emu on ki 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 we make e 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. e@2034 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131009922935454276