HomeMy WebLinkAboutBuilding Permit Application 05/18/2016 11:36 3219518735 FLORIDA BREEZE PAGE 02/05
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
r
Date, permit Number.•
..
ECEIVE`
Building Permit Application MAY 18 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierre FL 34982,
Phone:(i72)462-1553 Fax:(772)462 Commercial Resit
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:y � 31T -
Legal Descliptlon: —C)105
Property Tax ID#: Lot No.
Site Plan Nlame: Block No_
project Name: -
Setbacks Front_ Back: _Right Side: Left Side:
lno bur-kworv- Dexo-c+ .e Chcznc � ate
�.5 0-iryi nnn so �A 5-cillile-v
rtron wor to be performed—uncler this permit—checK all appy:
I fnHVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric Plumbing ❑Sprinklers I�Generator 4...1 Roof
Total Sq.l Ft of Construction; S .Ft.of First Floor:
Cost of Construction:$ J�� �Q� Utilities; 5ewer Septic Building Height:
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Name Name:
Address4:4 1�rc'����R 11 � � CG_t Company TlL7rC l �Ur�- C7-12,
City: State: , Address: ,. Ill 1k C, IA.)
Zip Code: l Fax: City: State:.EL
C� w Fax:
Phone i o.����r��—d IZ Zi °p Code ,�Z..
E-Mail Phone No.
Fill in fee simple Title Holder an next page(if different E-Mail:
from tie owner listed above) State or County License: ,
IEvalue of Construction is$2500 or mons,a RECORDED Notice of Commencement is required.
05/l8/201.' 11:36 3219518735 FLORIDA BREEZE
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DESIGNER/ENGINEER: Not Ap MORTGAGE COMPANY: Not Applicable
Address. I -- Address:
City: I State: City: State*
Zip: I Phone: Zip- 'Phone:
FEE SIMPLE TITLE HOLDER. Not Applicable BONDING COMPANY. Not Applicable
Name: Name:
Address: I Address:
City: I City:
Zip: i Phone; Zip: Phone:
I certify that�no work orinstallation has commenced pl�for to the issuance of a permit.
Lucie CoV I nty makes no rep re-sentation that I&granting a ermit will authorize the permit holder to build the subject structure
w chi , tion rules,bylaws or and covenants that may restrict or prohibit such
s in conflict with any applicable Home Owners As:socra
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 accordan I with the approved plans,the Florida Building Codes and Sit,Lucie County Amendments.
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I he following building permit applications are exempt from undergoing a full concurrencV review:room additions,
accessory A I iuctures,swimming pools,fences,waHs,signs,screen rooms and accessary uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result In your paying tiarice for
improvenients to your property.A Notice of Commencement must be recorded and posted on the jobsite
before th�first inspection. If you intend to obtain financing,consult with tender or an attorney before
commencing work or recordina your Notice of Commencement.
Signature of Owner/Lessee/A Signature of Contractor/License HoV
1 94
STATE OF FLORIDA STATE OF FLORIDA
COL11NTYJOF' COLINTYCIF b--C.,ff-\SG-n:A
The forgoing instrument was acknowledgeq before me The forgoing Instrument was acknowledged before me
jftme of person acknowledging P (Name of person acknowledgino
of Notiiy Public-'state ofFlotj�
(Signafu of Notary Public-State of Florio (Signat�ure
Personally Known OR Produced Identiffication Personally Known-.)(-., OR Produced Identification
Type of Identification Produced- Type of Identification Produced---
MX COMMISSION X 11- 25
Reviseld 07/15/2014 1 -U., m2e2mm]IF
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
— I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
/
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05/18/2016 11:36 3219518735 FLORIDA BREEZE PAGE 05/05
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This combination qualifies for a Federal Energy
■ r Efficiency Tax Credit when placed in service
between Feb 17,2009 and Dec 31,2016.
Certif i Cate of Product Ratinus
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AHRI Certified Reference Number:742812.4 Date:5/18/2016
Product:Single-Package Air-Conditioner,Air-Cooled
Model Number: GPC1"2H4lE
Manufacturer:GOODMAN MANUFACTURING CO.,LP.
Trade/Srand 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,HI,ID,IL,IA,IN,KS,KY,LA,MA,MD,ME,
Ml,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,NV,OH,OK,OR,PA, R1,SC,SD,TN,TX,
UT,VA,VT,WA,WV,WI,WY,U.S.Territories)
Region Note:Central air conditioners manufactured priorto January 1,2015,are ellgible to be
insta1190 in all regions until June 30,2016. Beginning July 1,2016,central air conditloners
can on be installed in region(g)for which they meet the regional efficiency requirement.
Series name:GPC14
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Ratingsioifowed by an asterisk V)Indicate a voluntary rerate of previously published data,urdess ArWMp:0ied with a WAS,whleh indicates an Involuntary rerste.
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AHIrf does totllllflAER
endorse the product(S)hated an thlg Certificate and makes no representations.waymnthX,or guatdtltees d5 to,and ammes no respowblitry for,
the product(s)listed on this Certificate AHRi expressly dfiWims all pabillty for damages of any kind arising out of the use or performance of the product(s),or the
unautltorizf d alteration of data listed on this Certificate.Certified ratings are valid only for models and configuratiors listed in the
directory st�www,ahrldlrectoryorg.
TERMS ANb CONbITiONSam
This Cortlfi.ate and its contents aye proprletazy products of ANRi.This Certificate shall only be used tar Individual,POVEohal and
eonlldenthrl reference purposes The contents of this Ccrdflaatc may not,In whole m M part,be reproduced;copied',dtsmmtni,
entered Into a computer database;or etherwlse utilized,In any form or manner or by any means,eXcept for tete user's iWIVltlual,
Personal and confidential reference, AIR-canolTIONINa,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTRIITE
The Information forthe model cited on this certificate can be verified at www.ahridireotory.org,click an"Verify Certificate'link tw make life better'
and enter the ANRi C&Med Reference Number and the date on which the certificate WHO iesaed,
whleh Is Med above,and the Certificate No.,which Is listed at bottom dgtn.
�'ATE•�IO.: �3�os�ii�aeae#sy�::,,•
@2014 A r-Condltioning,Heating,and Refrigeration Institute ;:;,Y•,.`:; ^�., �'