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Building Permit Application
R ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1540 w' ML 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: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 2714 S. 27th ST Legal Description: Property Tax ID #: 242080100390007 Site Plan Name: Project Name: Setbacks Front Back: Right Side DETAILED DESCRIPTION OF WORK: Left Side: Lot No. 17-18 Block No. Replace existing 3 ton system with new Goodman 3 ton 14.5 seer sytem w15kw heat Models GSX14036 ASPT36C Like for like CONSTRUCTION INFORMATION: Additional work to be pertormed under this permit-- check all that. apply. V HVAC Gas Tank FGas Piping Shutters Q Windows/Doors aElectric 0 Plumbing 0— Sprinklers Generator 0 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 3500.00 Sq. Ft. of First Floor: Utilities: []Sewer []Septic Building Height: OWNER/LESSEE: Name Michael Miller Address: PO Box 13208 City: Ft Pierce State: FI Zip Code: 34979 Fax: Phone No. 772-216-1872 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Tracy Steele Company: Tracy D Steele Air Conditioning Inc Address: 2750 SW Edgarce St City: Port St Lucie State: Fl Zip Code: 34953 Fax: 772-336-4171 Phone No. 772-336-2448 E -Mail: tdsac@aol.com State or County License: CAC035553 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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 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. Sign of Ow erJL a/Contractor as Agent for Owner Signature of Con actornse Holder STATE OF FLORIDA h COUNTY OF The forgoing instrument was acknowledged before me this � day of )q lf-J L , 20 L`7 by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known 'L/ OR Produced Identification Type of Identification Produced Commissionn4MIEU F STf%_Qa Y =,o . JL V - MY COMMISSION #FF081098 a ;re 77 hila - - � OF fl'O�, tiE� ...� Revised �,f>i_, FlmcecoN01ary _ fi(/ 24K1 REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS STATE OF FLORIDA COUNTY OF tai The forgoing instrument was acknowledged before me this 3 day of K P (,l L , 20 )) '_/ by (Name of persdn acknowledging) 2Iff �� (Signature of Notary Public- State of Florida) Personally Known OR Produced Identification Type of Identification Produced Commission N•. DANII L IF STACEY MY COMMISSION :�FF081M EXPIRES Febniary 23, 2018 (407)39"153 Pc•rldarlc!ar. :;.... .,gym SUPERVISOR IPLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW ,L I 1 II 1 1111 1 II te -&ftificate of Product ti AHRI Certified Reference Number: 7516606 Date: 4/3/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140361K* Indoor Unit Model Number: ASPT36C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN 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, M1, 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 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): 34200 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.50 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 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 far the user's individual, -AM 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.abridirectory.org, click on "Verify Certificate" link vre ,Hake 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. 13 f3569S2705$75493 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: