HomeMy WebLinkAboutpermit1ALL APPLICA LE INFO MUSTS 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
Cbmmerdal Residential
PERMIT APPLICATION FOR: To Select from dropbox, click here
iNPROVEMENT LOCATION:
'PROPOSED
Address::3 hj c nWr'1 u _)O� — _ i
Legal Description:
Property Tax 1 D -���"�
Lot No.
Site Plan Name:
Project Name; Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED -DESCRIPTION OF WORK:
pincer_ 1i ��cL4 4-0 n 16 LL01 (AASI�CLQ
CONSTRUCT16N'IN.FOR:MATION:
Addito orkto be ertormed under this permit—check all apply:
j
L14HVAC Gas Tank []Gas Piping i �1Shutters Windo
ws/Doors El
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Constructlo : S . Ft. of First Floor:
Cost of Construction: $ , 0 V Utilities: Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: ,
Namel Gros\b PAY 17f� Name: F-) on -Z •moi,
Address, ta
om a y 1 Yl(G4 �Vlm1hi
city: � .-, Qttn► r�
�, 0 lvklEallrj*
Zip Code'�i
f� Fax: clty:V0� �� G}r If' , State• L
Phone No `c —'3(0-?,
Zip Code:lc�-� Fax:
E -Mail: Phone No.�•4-_+_2 p.•- S_ 51�13
Fill in fee simple Title Holder on next }gage ( If different -Mail: rl>ar ury1 tho n M1 C,k r)�
from the Owner listed above) -;
State or County License:
5oo
if value of construction is $zor more, a RECORDED N of Commencement is requi d.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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, wails, 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 a first inspection. If you intend to obtain financing, consul waw-lerrdeea n attorney before
co enci r6rl< or recur i ur Notice of Commencem
_ _ s
_ Signature of Owner/ Lessee/Agent rn i�. Signature of Contractor/License Holder`-
L7 04 O
STATE OF FLORIDA X a;
COUNTY OF
The forgoing instrument was acknowledged before rr@ e
this a1 day of "Lr"F-'Ce,MVA_ 20 16by - z g
Roo
or ,
(Name f person acknowled^ ing)
%(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
STATE OF FLORWA 171- Q� Z!,
COUNTY OF
-- G
The for ping instrument was acknowledged before m
this ay of by = o
•5;a �s
Vi CC, CY4 a
(Name ofP rson acknowledging) 411}I�O
�� :6
( ignature oftart' Public- State of Florida) 'y'
nrlw�``
Personally Known L--'011 Produced Identification
Type of Identification Produced
Commission No.Fl/%�,-(J (Seal} Commission No. rF�t1� (Seal)
Revised 07/1.5/2014 ,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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 Ratings11
AHRI Certified Reference Number: 7428126 Date: 12/13/2616
Product: Single -Package Air -Conditioner, Air -Cooled
Model Number: GPC1448H41E*
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): 46000
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 products) 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 AHRL This Certificate shall only be used for individual, personal and
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confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated;
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-ail
entered into a computer database; or otherwise utilized, in any farm 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.ahvidirectory.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.
9)2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
131261332557997B46