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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLIC`ABL)E� , NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4 "A f I Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort pierce FL 34992 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APR KATION FOR: To Select from dropbox, click arrow at the end of line Address: 5 1 � ` Legal Description: ��_) '1 . C1 Property Tax ID #: 34,cA - (OK- 04,9cl .- D3 Lot No. -� Site Plan Name: Block No. 75,E Project Name: Setbacks Front Back: Right Side: Left Side: HVAC © Electric FISprinklers "5hutters Plumbing Generator Roof Roof pitch 1-1 Windows/Doors Total Sq. Ft of Construction: Sq. Ft. of First Floor: _ Cost of Construction: $ c1 — Utilities:Sewer 0 Septic Name ���'Q735- ?. , Address:') IC"4� LCFl f' °r E I d Cit ' y: � � - State: " Zip Code:'1 Fax: Prone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: Name: Company: Address: Q-( ¢ V City: �4 _X-C State: .t Zip Code: 1 Fad Phone No. `l")-2 4 1 L E -Mail: o4C! .fr�)1i N_"L State or County License: (2- C- f 3 C1Ir) (A- If value of construction is $2SI30 or more, a RECORDED Notice of Commencement is required. C-Ct)l 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: 8242079 Date: 7/24/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160361F* Indoor Unit Model Number: ASPT47D14A* 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: GSX16 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). 35000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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 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 purposes. 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; fill Armmentered 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•CDN17ii10NING, PLEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTmrrE The information for the model cited on this certificate can be verified at www.ahiidirectory.org, click on Werify Certificate" link we make 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. — ®201.4 Air -Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO,: 1314537060328711 06/03/213 16:25 772452114- 5T LUC1E CQUNTy f - PAGE 01101 RE; Permit # Credit Card Users: 1.5% SYMOMPO added por tralymc, U� �-b rifrr Processed that day,, If not it will be pressed the following business day. A MASTERCARD Credit Card NumberNxI i < 4 Cl .` � Expiration Date Ol �F Zip Code 73 c7; 3 digit secu*coda �:.'� Amount $ - + 1.5% surcharge Business Name:��-���'L�d� f_ � ��' ��.. �� ;� �iS. uc LS- �- Authorized Signature: Print Names Fax: Uh2 Comments. SLC��i3SD ReWsetd 4/0112010 Eil