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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (ice Permit Number: .26a y Building pp Permit Application RECENIVE® Planning and Development Services APR.Z 2016 Building and;Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential i PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION Address: -$055 TL)AN►PiVe FezJ(2,-L X A S�1 Legal Description: LA 11--C— L uoc:>,,1 P-*-;L 14 Property TaxjlD#: f o► -�l S ' ®a7-Es ' �p '� Lot No. Site Plan Name: Block No. Project Name':: yr�.nti10 -t ,�e �NGW"S Setbacks Front Back: Right Side: Left Side: DETAILEDDESCR,IPTION QF WORK Re-P1 1eP Z( Td iR- Co,.3L1 , Tforj o °`'� SlyS .CO,NSTRUCTION INFORMATION i na wor to a orme under this ermit-c ec a appy: HVAC Gas Tank as Piping _ I]Shutters E]Windows/Doors U Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft.of First Floor: VN Cost of Construction:$ 6,000-d % Utilities:llSewer Septic Building Height: OWNER/LESSEE ,CONTRACTOR: , Name Paope,&1-t 1jo1S LLC. Name: Sc-PT^t AAS ,j0� Address: IL110 C QT- J00 Company: De i6c," A +rL Shu oce% , r-i c- City: Po—TI`5'r LSC State: Fr— Address: 5) S'I NO N­--�AjL6C tri Zip Code: j`15 �>6 Fax: City: 190ti7-sr C J c- , & State:PL Phone Na'77a. 8-7�( — a 7v`( Zip Code: SY9 63 Fax:'7a'7S-79 "" 7O DLI E-Mail: Phone No.­77�L "$-73 Fill in fee simple Title Holder on next page(if different E-Mail: Ce 6a�'�`�n-S��i rQS @ el.1e• C�}'I from the Owner listed above) State or County License: C?A-C1 G1 3 6 9-r if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i I I 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: I FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: I Address: City: City: Zip: Phone: Zip: Phone: I I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie Coun 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 Codes and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory strulctures,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 frst inspection. If you intend to obtain financing, consult with lender or an attorney before commencin work or recording our Notice of Commencement. 42 s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder Aj,•L STATE OF FLORIDA °" STATE OF FLORIDA COUNTY OF P�'+ COUNTY OF ' _'�', "A- The forming instr ent was acknowledged efor 1rhQ-0 a The forgoing instwent was acknowledged be r��crrez this day of 20by z m0 X9 thi�day of DZ.I� 20�r0 w O ?L � fA6 am c" cnm ��Uc y0= 2 MK c S' C'S n Cmy< V�L[. 25� T'D _ ( ame of person acknowledging) g (Name of person acknowledging) g s-n 3 a,�1 'f A&- f (Signature of N ary Public-State of Florid (Signature of N6fary Public-State of Flori a) Personally Known OR od ced Ident'fication/ Personally Known O d ed Idea tification Type of Identification Produced JYC Type of Identification Produce Commission No. (Seal) Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I I www.ahridirectory.org Certificate of Product Ratings AHRI!Certified Reference Number:7984200 Date:4/24/2016 Produ :Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:GSX140481 K* Indoor Unit Model Number:ARUF61D14A* Manufacturer:GOODMAN MANUFACTURING CO., LP. Tradelprand name:GOODMAN;JANITROL;AMANA DISTINCTIONS;EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Region':All(AK,AL,AR,AZ,CA,CO,CT, DC, DE, FL,GA, Hl,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,Vi,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=ed in region(s)for which they meet the regional efficiency requirement. Seri14 Manufacturer,•responsible for the rating of this;system combination is GOODMAKMANUFACTURING CO.,LP. i da --i i ; Rated as follows in-accornce�with-AHRI Standard 210/240-2008'for,iUnitary Alr.-Conditioning and Air-Source Heat!Pump,Equipment andsubject to`ve-rification of ratting accufacy by AHRI-sponsored;independent,ithird party,testing: 1 - - Cooling Capacity'(Btuh): 45500— V 5500w EER Rating (Cooling): 11.70 - SEER-Rating(Cooling):" - -- 14:00 _:__ 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"W.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, Am 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.ahrldlrectory.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. ©2014 Air-Conditioning,Heating,and Refrigeration Institute F- GE RTIFICATE NO.: 131059944529452319 I