HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:([)S/20j WIle Permit Number:_
Building Permit Application
Platuun.;and Development Services
Buitdi.i :nd Code Regulation Division
2300 V -iriia Avenue,Fort Pierce FL34982
PhOI'i.·,'72)462-1553 Fax:(772)462-1578 Commercial ----Residential --,.p.L---
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I PE:::_i '\PPU~ATION FOR:To Select from dropbox,click here
PROPOSED iN.BRQVEMENJ,LOCATIQN:.'
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LeE'd riPlion:Dl)(lelMd SlD -A-t-J Unrecorded PItt:±-Seclt6Y'l 27-35-4D Bu<S lo,S a
CLnd_L\-le~E 15 FT-Af-)b f::!15 FT of Vac-S+AhI on W (Q.!o5Rc)(O(l '39~-2/1q:33Sq-<Js\.f5)
Prorv-:T1X 10 It:2}../27-£)01-0106 -OOD-2.Lot No.3 +l./
su..:,!l1C:Block No.6
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!'onstruction:_
~I •ion:$.330D o..E.
S'f.£!;of First Floor:
Utilities:USewer DSeptic
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Building Height:_c
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:S'P,~gi1E,ME~JAL CO,NSTRUETION ~1~N,lAWINFOR~A;nON:;i'.;']B~""~f'''\l!>\'''''\'l~t,~~;i(S''~~~".•."N',.•,',',,.....'......•,",'.'",'...>'""C:;i,<,:~~,;"':;",'L ",".'
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:
OWNERI CONTRACTOR AFFlDVIT:Application is hereby made to obtain a permit to do the work and installation asindicated.
Icertify that no work or installation has commenced prior to the issuanceof a permit.
St.Lucie countx makes no representation that is granting a permit will authorize the germ it holder to build the subject structurewhichisinconlictwithanyapplicableHomeOwnersAssociationrules,bylaws or an covenants that may restrict or prohibit suchstructure.Pleaseconsult 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 Codesand 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 usesto another non-residential use
WARNING TO OWhlER: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 attorney before
commencing work or recording your Notice of Commencement.
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,Sfgrrcitureof eVencl';';'·.,"'nt!Lessee VSignature of Contractor/License Holder./"\
STATE OF FLORI~g •.STIHE OF ':1[,PI '1,::........J '
LC!Ct~Lc:e,;i COUNTY C ~Y1{fci--COUNTY OF I1lnt
!Thel~ing instrulff./was aCknowledmefore me T~"',,,rum'wa'),k'OWled,'d befor me!this ~ay of qjJ ,20 I by!this day Of~.20rn21by
(7 )j v2f!llleIT<.))(.1 rk£#~"2li12~,_....L__._-r-'~Il !-hil!Jf
(f\!;:;{~:<.,~r .~Jer·.'-!Iedging)"-(Name of person acknowledging)<,
,L!/~t\\\II"''Jf1 7?a~LAj/.»;J ~/II.I /7 <1iZrr'~<","__.'.~,!.'"A>r,,;".r.~,\\\\111111/11.!(Signature of ,<ota",l>tfc;,s'~~f§fFroi~(Signature of Nota~-Stat~!~~:i!t~J.*::~J ~rJ<-~~V~~\.r;.,.\Y~*~.....~~I .('"'-..'..,.I.J.--~~.'~'/..I'IRES".~~I Personally I(I'='\,n_..i,~~pr~~<!~!"ication ___Personally Known o~&~~~tfentific<i\j~Tvpe (,';iel"l'.:!.dlJ~d 4 ~i!S:~:::Type of Identification ProductSlLLIi~:::,,9>%.~'5:::!.;'..~~~~it ;....C/J$=~:~~.~~.g~:lU~'.'./J ""'~~-A.-O?~<:::),=>.$.1-.-'!COI.~"~-,ion "J --'Commission No.%·"07.~(~~~.&•••~~•.~••••••••••f(...::s~\~•••~K~~,i·~':..~I ,---,,--11111//NOn\~~,\,,"~.........~:..:~'Y~II -"1111 ..';':9.T~r:~.\\\'"i Revised 07.:i ..01 ~"'/lfll\l\\"
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'IL:!"\<)i r ·IT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE~I ,.'ER REVIEW REVIEW REVIEW REVIEWI REVIEW REVIEW,----d DATE;!RECEI\'FO
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.!!I CERTIFIED®
.www.ahridirectory.org
r:tificate of Product Ratings
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crtified Reference Number:8655532 Date:5/20/2016
:Split System:Air-Cooled Condensing Unit,Coil with Blower
r Unit Model Number:GSX140241L*
'nit Model Number:ARUF29B14A*
turer:GOODMAN MANUFACTURING CO.,LP.
lnrl name:GOODMAN;JANITROL;AMANA DISTINCTIONS;EVERREST;ONE HOUR AIR
,uNING AND HEATING;ENERGI AIR
~'outheast and North (AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA
r T,ID,IL,lA,IN,KS,MA,ME,MI,MN,MO,MT,ND,NE,NH,NJ,
Jf~,PA,RI,SD,UT,VT,WA,WV,WI,WY,U.S.Territories)
'ole:Central air conditioners manufactured prior to January 1,2015,are eligible to be
.,<111 regions until June 30,2016.Beginning July 1,2016,central air conditioners
>.ns talled in region(s)for which they meet the regional efficiency requirement.
'le:GSX14
·''lling Capacity (Btuh):
'-::R Rating (Cooling):
'-FR RClting(Cooling):
"~l~Rating (Cooling):
23600
11.50
14.00
nn asterisk n indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate.
se the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for,
'1 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
1 of delta listed on this Certificate.Certified ratings are valid only for models and configurations listed in the
,ce'ory.org.
TtONS
contents are proprietary products of AHRL This Certificate shall only be used for individual,personal and
e:j «oses.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated;
:t :cI,,;.,b<Jse;or otherwise utilized,in any form or manner or by any means,except for the user's individual,
ual rcterence.
CERTIFICATE NO.:
AIR-CONOITIONING,HEATING,
&REFRIGERATION INSTITUTE
we make life better"