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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 X PERMIT APPLICATION FOR: Other PROPOSED IMPROVEMENT LOCATION: Address: 8496 Gallberry Circle Port St Lucie FL 34952 Legal Description: 3425-703-0244-000-4 Savanna Club Plat Three Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: A/C change out 3 ton 14 SEER 10KW Package unit model GCP1436H41 D Right Side: Left Side: Lot No. 34 Block No. 25 CONSTRUCTION INFORMATION: Additional wor to e ne ormed under this permit c ec a appy: HVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors Electric❑Plumbing Sprinklers Generator L1 Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 5000.00 Utilities: Sewer F] Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Stephen Bower Name: James Hafke Address: 8496 Gallberry Circle City: Port St Lucie State: FL Zip Code: 34952 Fax: Phone No. 716-799-5122 Company: James Hafke Address: 2200 Tall Pines Dr City: Largo State: FL Zip Code: 33771 Fax: Phone No, 727-277-1208 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: jhafke4547@aol.com State or County License: CMC1250196 V01— W- Ut ULP11 m -�Pcwv ur rnvre, a Kri_uKuru rvoxice OT Lommencement is required. SUPPLEMENTAL CONSTR[1CTI.W LIEN LAW INFORMATION! DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: X_ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable Name: Address: City: BONDING COMPANY: x Not Applicable Name: Address: 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 commencing work or recording your Notice of Commencement. of Owner as Agent for STATE OF FLORIDA COUNTY OFC, The forgoing instrument was acknowledged before me this � day of QQ QLxyA �Q L-, 20 1(pby s ig ature of Contract r/Li se Holder ATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this S-A day of . . wy 20 t (e by (Name of person acknowledging) I (Name of person acknowledging) (SignVe of Notary Public- State of Florida ) Personally Known_ OR Produced Identification Type of Identification Produced Commission No. My COMMISSION Revised 07/15/2014 (Sign ur o Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced mission No. � 15' EXPIRES: May 18, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ■ o This combination qualifies for a Federal Energy al CERTIFIEDEfficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. L www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 6892357 Date: 12/5/2016 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1436H41D* 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: GPC14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., 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): 35600 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 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 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 4. 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 make life better - enter the AHRI Certified Reference Number and the date on which the certificate was issued, which - which is listed above, and the Certificate No., which is listed at bottom right. 131254244145475780 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: