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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/23/2018 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 Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 8852 First Tee RD
Legal Description: POD 33 AT THE RESERVE PHASE 1 KINGSMILL LOT 60
Property Tax ID #: 3334-500-0071-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side:
Exact AC Changeout of Goodman 5 Ton 16 Seer - t Okw heater
Condenser Model: GSX16060
AH Model: ASPT61 D 14
Left Side:
Lot No.
Block No.
❑
Gas Tank
❑Gas
Piping
Address: 8852 First Tee Rd
❑_ Shutters
City: Port St Lucie State:FL
Zip Code: 34986 Fax:
Phone No.772-579-7610
❑
Windows/Doors
E]
Plumbing
❑Sprinklers
State or County License: State License #CAC1818622
❑Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 5900.00
S Ft. of First Floor:
Utilities:Sewer❑Septic Building Height:
OWNERAESSEE: -
CONTRACTOR:
Name Dennis J Farley
Name: Donald Myers
Address: 8852 First Tee Rd
Company: AC Care, LLC
City: Port St Lucie State:FL
Zip Code: 34986 Fax:
Phone No.772-579-7610
Address: 1500 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34994 Fax:772-252-3231
Phone No. 772-266-2665
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: office@accareheatair.com
State or County License: State License #CAC1818622
If value of construction Is 52500 or more, a RECORDED Notice of Commencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
utJIUNtK/tNUINEER: x Not ApplicableMORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:
Phone:
Not Applicable I BONDING COMPANY: X 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 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
,-
2� -
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF P avl
The forgoing instrumment was acknowledged,, ,b�efore me
this laday of JLdk 20 Eby
S
Signature of ntractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this .9-5 day ofJuT 20 V6 by
11J6na ld M2)ma I (I M L.�es
(Name of person acknowledging) (Name of person acknowledging)
(Signature of eta
Personally Known'
Type of Identificat(
Commission No.
Revised 07/15/2014
(Signature of
Personally Known
Type of Identificat
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
CERTIFIED 01,
Certificate of Product Ratings
AHRI Certified Reference Number: 201299487 Date: 07-23-2018 Model Status: Active
Old AHRI Reference Number: 7984223
AHRI Type: RCU-A-CB
Series: GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX160601F'
Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT61 D14A'
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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, VI-, 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 regions) for
which they meet the regional efficiency requirement.
The manufacturer of this GOODMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), bluh : 54000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
t'Activa' Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produoad'Production Slopped- Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT is still
AAlli^g or offering for sale.
s that are aaomoanied by WAS indicate an involuntary re-nate. The new Dublished rating is shown along with the Drevious (i.e. WASI ratina.
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 producl(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.ahrldirectory.org.
TERMS AND CONDITIONS it "12PThis 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; copled; disseminated; Now No -'
entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the users Individual,
personal and confidential reference. AIR-CONDITIONING. HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified atwww.ahridirectory.org, click on'Verlfy Certificate' link we make li& hewer^
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.
©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13176823e789ee6232