HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 1, 2017
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 X Residential
� PERMIT APPLICATION FOR: Mechanical I
I PROPOSED IMPROVEMENT LOCATION: I
Address: 9551 Gumbo Limbo Way, Jensen Beach, FL 34957
Legal Description: 05 37 41 ALL THAT PART OF E 112 of NE 114 LYG W OF GUMBO LIMBO LN MPDAF: BEG AT INT OF
N LI OF FEE SID AND FEC RUN S 64 DEG 56 MIN W ALG WLY EXT OF SD N LI 100.01 FT TO W R1W FEC RR
Property Tax ID #: 4505-110-0005-000-5
Site Plan Name:
Project Name: Savannahs State Park Admin Office
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Lot No.
Block No.
Install Goodman 3.5 Ton, 14 SEER, 10 KW Heater Straight Cool Package Unit. Like for Like
CONSTRUCTION INFORMATION:
Additional work to be i)ertormedunder this permit —check all that apply:
ZHVAC LJ Gas Tank ❑Gas Piping _ Shutters
DElectric Plumbing Sprinklers 1:1Generator
Total Sq. Ft of Construction: 3796
Cost of Construction: $ 4420
ScFt. of First Floor: _
Utilities:
Sewer QSeptic
L1Windows/Doors
E]hoof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Savannahs Preserve State Paris
Name: Kelly Certosimo
Address: 9551 Gumbo Limbo Lane
Company: Air Temp Air Conditioning
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-267-4659
Address: 651 NW Enterprise Drive, #107
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 772-340-0740
E -Mail: Joseph. Roberts@dep.state.fl.us
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E -Mail: airtempac@yahoo_com
State or County License: CAC1814837
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
l SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: ` Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip:. Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: —Not Applicable
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 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 or recording your Notice of Commencement.
Signatu e o Owner essee/Contractor as Agent for Owner Signature of Contractor ' lcense Holder
STATE OF FLORIDA
COUNTY OF FLORIDA
The foing instru e t was acknowledged before me
this day of 20 O by
Kelly Cerrosimo 1
(Name of person acknowledging)
(Signatatre-a-144ary Public- State of Flora j
Psona!dp CCriovrH OR Produced identification
Type 5f-1dentifrg'aticn Prczduced
STATE OF FLORIDA
COUNTY OF FLORIDA
The for Ing instr meat was acknowledged before me
this 'May of Ag11
20 sl by
Kelly Certosimo
(Name of person acknowledging )
(Si nature of Nory Public- State of Florida —
Personally Known x OR Produced lderltis,catidn _
Type of Identification Produced
Cofrmis_sion-No.- (6HE*YL A. FINK Commission No.
t\o a Notary Public -State of Florida
7} - 7 -- - ''•0"'OF1 Commission # FF 104667
Revised 07/15/2- '��m.
(Se�6;YL A. FINK
Notary Public - State of Florida
Commission # FF 104667
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy
emu goal CERTIFIED Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 7428124 Date: 1/31/2017
Product: Single-Package Air-Conditioner, Air-Cooled
Model Number: GPC1442H41E*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN
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 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): 40000
EER Rating (Gaoling): 12.00
SEER Rating (Coaling): 14.00
IEER Rating (Cooling):
'Ratings foitowed 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.abriditectory.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.ahrldirectory.org, click on "Verify Certificate" link e rnal:e lite hetrer"
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.
13130346$4132479267
02014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: