HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7201 Marsh Terr
Legal Description:
Property Tax ID #- 332180500210009
Site Plan Name:
Commercial Residential X
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 5 ton system with new Goodman 5 ton 16.0 seer wf10kw heat
Models GSX16060 & ASPT61 D
Like for like
Lot No._
Block No.
CONSTRUCTION INFORMATION:
A itiona wor to e performed un er t is permit — check a app y:
HVAC FI Gas Tank Gas Piping _ Shutters Win
a doves/Doors
Electric ❑Plumbing Sprinklers ❑ Generator L1 Roof Roof pitch
Total Sq. Ft of Construction.
Cost of Construction: $ 4000-00
OWNER/LESSEE:
Name Roger Humbert
Address: 7201 Marsh Terr
City: Port St Lucie State: FI
Zip Code: 34986 Fax:
Phone No. 727-224-1474
S Ft. of First Floor: _
Utilities:0Sewer ❑Septic
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Tracy D Steele
Building Height:
Company: TRACY D STEELE AIR CONDITIONING INC
Address: 2750 SW EDGARCE ST
City: POET ST LUCIE State: FL
Zip Code: 34953 Fax: 772-336-4171
Phone No. 772-215-1974
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 Applica
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 Nome 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 Aork or recordin our Notice of Commencement. .
Signature of Owners/Less e/C ntractor as Agent for Owner
Signature of Con ctor
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCAE
COUNTY OF STLuCIE
The forgoing instrument was acknowledged before me
this (7 day of 20 Zby
TRACY 0 STEELE
(Name of person acknowledging)
(Signature of Notary Public- State of Florida }
The forgoing instrument was acknowledged before me
this j2 day of .4a 2d by
.49
TRACY D STEELE
I(Name'off Pers n acknowledging
j)
(Signature of Notary Public- State of Florida )
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
DANIEL F STACEY
Comm
Revised j' EXPIRES February 23, 20t8
r 407.1 196-0153 FloridallotaryService.com
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW
DANIEL F STACEY
bAxcoM rssic,nr F�Eral068
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EXPIRES February 23, 2019
396-0153
FloridallotaryService.com
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW
This combination qualifies for a Federal Energy
goal CERTIFIED" Efficiency Tax Credit when placed in service
between Feb 17, 2009 and Dec 31, 2016.
Certificate of Product Ratincis
AHRI Certified Reference Number: 7984223 Date: 919/2016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: GSX160601F*
Indoor Unit Model Number: ASPT61D14A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
TradelBrand 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: 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 (8tuh): 54000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
* Ratings fotlowed by an asterisk (`) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which €rldicates an involuntary rerate
DISCLAIMER
a -®
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
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
of the product(s), or the
directory at www.ahrldirectory.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 nut, 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.
CERTIFICATE VERIFICATION
AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at vavw.ahridirectory.org, click on `Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the
we rnalce life hetter-
certificate was issued,
which is listed above, and the Certificate No., which is listed at bottom right
062034 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
131179257406682376