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Home My WebLink AboutScan0153ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C0U N 7` Y F L Q R d O R Permit Number: Building Permit Applicatilan 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 X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: �l Legal Description: �� ` ��rC '© � t.t q\ 1A- -alsk , Property Tax ID #:` - - - Lot No. Site Plan Name: Block No. Project Name: Mi( -t (", r'1P„-�, i (�l�r�nn-f- ► r i`� Setbacks Front Back:. Right Side Left Side: DETAILED DESCRIPTION OF WORK: /C C �rz-o : 1r�S-!fit1a+,a-�, Q C�,cc irncar-, C_"Ac>r-" )I �0 �y p 1 4 * iS �fY-. / S 1'L Y� -e.� . / , � �:(' C �SyC�j1 �' �a,�1y� CONSTRUCTION INFORMATION: fii i5iial work toe e orme un er t is permit - C ec d appy: TffHVAC El Gas Tank ❑Gas Piping `Shutters Windows/Doors Electric D Plumbing Sprinklers ElGenerator Roof Total Sq. Ft of Construction:_ S . Ft, of First Floor: Cost of Construction: $ 1 rj —� Utilities: -Sewer 11 Septic Building Height: UWNER/LESSEE: Name Address:LQlsa a, ; tCt _� AINC City: SA Stater, Zip Code: ZLkciR Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: '�1 t©JG Company: - Address: L 1 .4 City:3�0 (jL State qF_ Zip Code: 131-nIrl Fax-6`1� - c kkSS ! Phone N o 0 5 E -Mail: CY- ` QtYYr �f C� r` fYL f�, . cc'� State or County License: 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: Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. Not Applicable State: Not Applicable 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 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 commencing work-ernecord in otice of Commencement. 1 _ � s _ Signature of Owner/ Le Agent' Signature of Contr ct icen older STATE OF FLORIDA COUNTY OF k"I �P4i� The g instrument was acknowledged before me this Zrt�- day of CA ;1-� t �Q� . 20 Ley m(o(%n � _ I(1 oLe- (Name of person acknowledging) STATE OF FLORIDA COUNTY OF Vl• D -A The forgoing instrument was acknowledged before me ` this U—clay of �k-�113.0 20 4� by (Name of person acknowledging) (Signature of Notaq Public- State of Florida a (Signature of Notary fi blic- Stade of Florida ) Personally Known � pvK ced Id P sonally Known K,o ll laelr I ��7Fl.�A LLgCTA Type of Identification Prod; qlz T e of Identification Prod M 1 c ": MY COMMISSION 0 EE22257 Commission No. �s August 06' 201 C mission No.E!-.-* " S August 06, 2016 (407►308-0153 FICr1AeNo1lrYs a 007)398-0153 FWW6N4MrrerA==m - I Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS P%noe:1 CERTIFIED' www.ahridirectory.org Ah a Ah • a ' • • nom; This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Ratings AHRI Certified Reference Number: 5756172 Date: 8/3/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160241F" 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, 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, VA, VT, WA, WV, Wl, 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 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): 23600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 LEER Rating (Cooling).- Ratings 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 shag 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. 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 and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make life better - which is listed above, and the Certificate No., which is listed at bottom right. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131147208427157524