Loading...
HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � � �- Permit Number: 14-1 1' 0 RECEIVED Building Permit Application NOVlanning and Development Services I� 2'9 206 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line .. E PROPOSED IMPROVEMENT"LOCATION: ` = Address: Legal Description:�i✓1�1 � )D 1�Zgr Property Tax ID#: o k04-00 3S 0 00-9` Lot No. ' Site Plan Name: Block No. / Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION'OF WORK: C L , T , ;'CONSTRUCTION INFORMATION : AcicEnonal work to be performed under this permit-check a appy: YHVAC Gas Tank Gas Piping _Shutters Windows/Doors Electric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: SFt.of First Floor: Cost of Construction:$ 3,C7 CIO Utilities:12Sewer OSeptic Building Height: QINNER/LESSEE: CONTRACTOR•. Fu Flamer`1 i -V� ✓ Name d Address: '-D � � Arty D Company: ��' � �� � 4 i r c�v< City: J State: Address: ] Zip Code: t9 �65� Fax: City: 1ti- i C- w Stater- L Phone No. l �a SY 3 D 0 Zip Code: Fax:- E-Mail: Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: i from the Owner listed above) State or County License: CAC 1(73 If value of construction is$2500 or more,a-RECORDED Notice of Commencement is required. �I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: - 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: 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 thepermit 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 commencin ork or recording our Notice of Commencement. [:4C( ( s Sign&u reessee/Contractor as Agent for Owner Sign ture Contra-t-or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF_ COUNTY OF k/— Cc- :. t `'A 1' e The foing instrument was acknowledged�efore me The f rgoing instrument was acknowledged before me this day of )i1 7; J Al 6' 20(by this day of yl O��Q V x'"20 by 6J C' ,1 0 (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of ori (Signature of Notary Public-State of Florida) Personally Known Personally n Type of Identific :,��iu Type of Id i i , P r g 114 Commission No. ``-� )22,20 20 Commissio ,� EXpREs May � I .wn+ Revised 07/15/2014 REVIEWS FRONT. ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE ; COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS NUN Uerfificate of Product Ratings AHRI Certified Reference Number: 7984196 Date: 11/22/2016 Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140361 K* Indoor Unit Model Number: ARUF37C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Region: Southeast and North (AL,AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK,SC,TN,TX,VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, -NY, OH, OR, PA, RI,SD, UT,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:`GSX14 Manufacturer,responsible for the rating of this systemcombination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accoedance with AHRI Standard-210/24.0-2008 for Unitary Air-Conditioning'and Air-Source Heat Pump'Equipment andsubject to,verificatipa of rating accuracy by AHRI-sponsored; independent,:third party testing:.,, Cooling Capacity(Btuh) 33600 EER Rating (Cooling) 1.1.50 SEER'Rating (Cooling): 14.00 IEER Rating (Cooling): Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerale. 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.ahridlrectory.org,click on"Verify Certificate"link we make 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 131243036489876507 ©2014 Air-Conditioning, Heating,and Refrigeration Institute ,,CERTIFICATE NO.: