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HomeMy WebLinkAboutBuilding Permit Application 1 ALL APPLICABLE INFO f1i UST,BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Tom,—�T Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:,(7723 462-1553 t=ax:{772)462-1575 Commercial Residential
PERMIT APPLICATION..FOR- To Select frDm,drop'box, cPick arf-.ow at fife end oof]ine
PRf�(flSEfl iN�PRCl1/Eflllf�(T LCtTIfl_ l
Address 'A 0 U S s,
Legal Description:
Property Tax.ID#z J Lot.IVo•..
Site Ptan Name: $lock iVo.
Project Name:
Setbacks Front Back: Righ.t,Side: Left.SW4:
DET �LE[9 DERiPT#: N 'MI. 1{
�l C Cti �G e-v Fv� 1�c 3-ted
c� Tu�Tct INFQRMT�Q ; 7777
F , ,.- _ .
Aclanforial work to be performed un er Y s perrhrf-c ec c a app V:
HVAC 'Gas Tank E]Gas-Piping
A _;Sf�a�tteas { �'IAliridows Dc c ss
.Electric .Plu.rttbing ;Sprtnkl:ers .Generator ;Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
"Cost-of-Corts'truction.-$. !?C) G ' Utilities; Sewer Septic Building Height.
OU�{NERSSI✓ CQ TRA
CTR
)Namet Zt;, J.:. �
t
lTT_ _ '� A.
;Address: = z LJ Cornpanyi v - C
City: r�S State: Address: CSL/
Zip:Code: v"3 c/13 Fax: t City:`F`y' t�}•-�•! ;
State
Ph6ne No. D Zrp Code: 3 3 3 q
Fax:
z
E-Mail: ' Phone No.
Fill in fee simple Title Holder on next page(it different E-Mail:
.from the Ow.nerlisted above) State or County,,Ucense:
if vatue.oftanstmction'is.$1500 or more,a iEcoMHDNotice of CormmemeMbffl is required.
77777777777777
OESIG !> E tGil E Q _Nat:Appl ica•b-1 e
IIOItTGE COMPANY—' l ©t ApplsabEc
-- tame.
Address: Address.:
City: State, :City: State:
Zip: ,Phone: Zip: -Phone:
FEE SIMPLE TITLE 14OLDER: Not Applicable SONDING COMPANY: Not Applicable
Nam,e: __
Adciress: Address:
=C`
Zip: Phone: Zip: Phone! ,
I:certify that no work or installation.hras commence&prior to the issuance of a.permit.
St.Lucie.County makes no represe.ntation,thatt,,Is granting a permit wIR authorize the permit holder to build,the.subject structure.
W
hich is imt6nflict with any applicable Home OwnerkAssociatton,rules,,bylaws or and.covenants that may restrict or.prohibit_such
structure please consulMith your Home Owners Association:and review your.deed'.for any restrictions. h:►nay apply
In,consideration of the granting of this requested permit.,f do hereby.agreg.tk at.I wiff,,In,alf respects,perform tfteft work,
in accordance with.the approved plans,the Florlda Building Codes and St.tacle'County Amendments.
The pt.Empty anBerg©ing-afuff-oQncoeresjzyxevlew:==morn.additions,
accessory structures,swimtniing poufs,fences,walls,signs,screen roorris and'accessory'uses to another non-Tesidentiai Use
WARNING TO!OiilijlER:Your failure to, ecord.a'-Notice:of�Corttm�enceme�rd mey'resuit in ►our pa 'Ing twice for
improvements to your proper£y. ,4 No ice of Commencement'must be recorded and posted on the jobsite.
before-the'first'inspecfion. if you intend t&.bbtain financing, consuft with lender-or-an••atto eY befx re.
cornmenoiri . or recording our Notice of Commencement.
�/�( 5
Signatu ,of nerf Lessee/Contractor as•Agentfor-Owner sknaYu a& raetor; icense l,aider
STATE OF FLORIDA � STATE OF FLORIDA
COUNtY OFCOUNTY OF i.� ` c ` �? d 0
The or oinginstnxment.0 sa ow dere Thefrgoi inst} ent tcriflwtedged, fore.resrr.
this day of C-'-\-c,k7 C� ✓. ((�_ ti is� j�of 0 C-lG oe� ZQ'. k
CU � �� Dct�
(Kame,ef fterson'ackKowl'edglng.I- � fume of'oerson acknowledging f
Ogt
PN
(Sf �atur�e ��:: ,(Si_gnat
grivy,
I t41oA�E WN�f� b14`► ` y, ML an y
PeTsarrally rt,Q�i6� cats n Aers n saced 1 e}�tification
Type&1de i�# � rod Type f., on'P
Commission ., 'ms's' (Seal) Commi o. (Seal)
Revised:07115120.14
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
ll\IFi`lA� _
.1
o This combination qualifies for a,Federal Energy
'. Efficiency Tax Credit when placed in service
betweemFeb:17,2009 and Dec 31,2016.
Certificate of Pro' duct Ratings
AHRI Certified Reference Number: 8242080 Date: 10/26/2016
Product:Split System:Air-Cooled Condensing Unit, Coil with Blower .
Outdoor Unit Model Number: GSX160421 F* .
Indoor Unit Model Number: ASPT49D14A*
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,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
i e
Man ufacturertresporisible for the rating of this+system combination is GOODMAN'MANUFACTURING;CO., LP.-
Rated,as follows In accordance with AHRI Standard 210/240-2008 forlUnitaryLAlq-Conditioning and AIr-Source
HeatiPumot ipment and`sllibject to.,ve"rification of ratiing-accuracy'by AHRI-sponsore' md'ependent;third
party,
testiri '
t
,
Cooling Capacity'(Btuh)` 41000
EER Rating (Cooling).. 13.00
SEER-Rating (Cooling)` —_ .__.__ _-1'6:00
IEER Rating (Cooling):
Ratings followed by an asterisk(')indicate a voluntary rerale 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 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. 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 we niake 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. 131219608249976006
©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: