HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: January 31, 2017 Permit Number:
C[auNTY
F L V R 3 4 A
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residentia
Address: 2000 MacQuillen Road, Port Saint Lucie, FL 34952
Legal Description: ST LUCIE GARDENS 14 36 40 BLK 1 LOTS 9 THRU 16 AND BLK 2 LOTS 9 THRU 16 AND BLK 3 LOTS 1
THRU 16 AND BLK 4 ALL OF LOTS 1 THRU 15 AND N 1/2 OF LOT 16 AND E 1/2 OF S 1/2 OF LOT 16
Property Tax ID #: 3414-501-0009-000-1
Site Plan Name:
Project Name: Savannahs State Park
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 9 THRU 16
Block No. 1
Install Goodman 4 Ton, 14 SEER, 10 KW Heater Straight Cool Package Unit. Like for Like
CONSTRUCTION INFORMATION:
Additional work to b rformed under this permit— check all apply:
7HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
E] Electric Plumbing 1:1 Sprinklers Generator LJ Roof Roof Pitch
Total Sq. Ft of Construction: 1848
Cost of Construction: $ 4500
SFt. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Savannahs Preserve State Park
Name: Kelly Certosimo
Address: 2000 MacQuillen Road
Company: Air Temp Air Conditioning
City: Port Saint Lucie State: F:
Zip Code: 34952 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 flee simple Title Halder on next page ( if different
from the Owner listed above)
E -Mail: airtempac@yahoo.com
State or County License: CACI 814837
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LEEN 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.
s
Signature of er/Lessee/Contractor as Agent for Owner Signature of Cont actor/License Holder
STATE OF FLORIDA
COUNTY OF FLORIDA
Thefprg ing instrutnent was acknowledged before me
this �.�Cday of- �L ,�` 20 L. by
U
Kelly Certosimo -1,
(Name of person acknowledging )
U _
_ jSign2t �e tst#ot ry Public- State of Florida J
--Personally Krl-oWn -x OR Produced Identification
Type -of Idkntiiritation, Pmd'u ed
C.o3Trni5$ioft No..- �
Revised 07/15/2011
STATE OF FLORIDA
COUNTY OF FLORIDA
The forg Ing instrument was acknowledged before me
this Jatday of Y L=i_ 20 _L7by
C
Kelly Certosimo
(Name of person acknowledging)
(Signature of Not#y Public- State of Florida )
Personally Known x OR Produced Identification f-_
Type of Identification Produced _
(Sea�}HERYL A, FINK Commission No. %"l�i� RY�A'8 (Seale
PF �' ) CHERYL A. FINK
Notary ublic -Slate of Florida Notary Public - State ul Florid
My Comm. Expires Mar 28, 201 ? ^: :'My Comm Fxn'Ees Mar 28_2�1
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
Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 7428126 Date: 1/3112017
Product: Single -Package Air -Conditioner, Air -Coaled
Model Number: GPC1448H41E*
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): 46000
EER Rating (Cooling): 12.00
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 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 andAHR
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,
& REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information foe the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ,ve make life beiter-
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, 1313034642139752
02014 Air-conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: