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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:O(p/QZ/20/(P Permit Number:_r } _:"l;"-:::.~'""'~.. ,"'"~"-.'~ ,_.~<.',.••.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 )0~.--- I Property Tax ID#:dlloZ-/olD -OQ3h-Oco-7 Site Plan Name:_ Project Name:_ Setbacks Front _ Lot No.\3(0 Block No.~5 Back:Right Side:Left Side:_ Shutters D Generator o Windows/Doors DRoof Total Sq.Ft of Construction:_ Cost of Construction:$0BDD o.E S~of First Floor: Utilities:USewer DSeptic Building Height:_ City:State:F( Zip Code:~...1:lfqg~Fax:_ Phone No.772--Q'7/-75Q(P E-Mail:_ Fill in fee simple Title Holder on next page (if different from the Owner listed above) If value of construction is $2500 or more,a RECORDED Notice of Commencemen _Not Applicable _____--,--State:________Phone:_____-::-:-State:_______Phone:_ _Not ApplicableFEESIMPLETITLEHOLDER:_Not Applicable Name:_ Address:_ City:-:---_ Zip:Phone:_ BONDING COMPANY: Name:_ Address:_ City:._ Zip:Phone:_ OWNER!CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. 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 structurewhichisinconflictwithanyapplicableHomeOwnersAssociationrules,bylaws or and covenants that may restrict or prohibit suchstructure.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 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 attorney before commencin work or recordin our Notice of Commencement. I ature of Owner/Agent/Lessee STATE OF FLORIItA()J.L"'/lL'~) COUNTY OF ~~/c{uae» Signature of Contractor/License Holder ~~tT~~Fcf~ORI~~t~~l Luc:e..; The W~..9ing insr;::uent was acknowled~efore methis,;Ll.!!l"__day of un e..,201!!!.J by Dfltnile/T :allrh,z1J( The W~ing instrument was acknowledged before me this:z.'"day of CJii.n-€.-,20[i;]by cSanwe!·. (Name of person acknowledging) \\11111/11 (ignature of Nota7b'-StatB:~ri!t<})*%'_ ~'••-•••Y/)'/'~~"~'l.I'IAE8 ".v~ Personally Known O~@~~~~ntifici\j~;.....-._ Type of Identification Producfiul i!:t;;:,'(79:'~~'i5f;-Z.::!&J •t 2t::.'CO"••• §~~a~~~~1:;::~Commission No..~••u.../'(~<IW$':~~ :J'•'4'~~.G?~~••••~'!~oo~~~~~ Revised 07/15/2014 '111111111 Iltl I\\\\\'\'\( REVIEWS MANGROVE REVIEW DATE RECEIVED FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW DATE COMPLETED A.~!!ICERTIFIED@ www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17,2009 and Dec 31,2016. Certificate of Product Ratings AHRI Certified Reference Number:5756173 Date:6/2/2016 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:GSX160301 F* Indoor Unit Model Number:ASPT30C14A* Manufacturer:GOODMAN MANUFACTURING CO.,LP. Trade/Brand 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,lA,IN,KS,KY,LA,MA,MD,ME, MI,MN,MO,MS,MT,NC,NO,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SD,TN,TX, UT,VA,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:GSX16 ,...~ Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTU~INGCO.,LP. Rated as follows in accordance with AHRI Standard 210/240-2008 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):27600 13.00 16.00 -EER Rating (Cooling): .SEER Rating (Cooling): lEER 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 productts),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, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org.click on "Verify Certificate"link 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.C7,••~.>S7","",~~---;-,-~'~.- ©2014 Air-Conditioning,Heating,and Refrigeration Institute ii'"CERTIFICATE NO.: AIR·CONDITIONING,HEATING. &REFRIGERATION INSTITUTE we make life better? 131093693281904600