HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/1812018 Permit Number:
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Building Permit Application AUG 087018
Planning and Development Services ""Itting p
Building and Code Regulation Division St. Lucie countm'
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Mechanical 0
PROPOSED IMPROVEMENT LOCATION:
Address: 604 BRACK ROAD, FORT PIERCE, FL 34982
Legal Description:
Property Tax ID#: 3403-701-0024-000-2 Lot No.
Site Plan Name: Block No.
Project Name: RANKIN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE AC CHANGEOUT
2.5 TON GOODMAN, 14 SEER
CONSTRUCTION INFORMATION:
Additional work o be pe orme un er this permit—check all appy:
HVAC L 1 Gas Tank []Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing �Sprinklers �Generator �Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4380.00 Utilities: Sewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MICHAEL RANKIN Name: PHILIP NISA JR
Address:604 BRACK ROAD Company: NISAIR AIR CONDITIONING
City: FORT PIERCE State:FL Address: 3700 S. US HIGHWAY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No.772-777-6387 Zip Code: 34982 Fax: 772-468-9745
E-Mail: Phone No. 772466-8115
Fill in fee simple Title Holder on next page(if different E-Mail: KRISTIN@NISAIR.COM
from the Owner listed above) State or County License: CAC041199
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: xx Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:MICHAEL RANKIN Na me:PHILIP VISA JR
Address:—BRACK ROAD,FORT PIERCE,FL 34982 Address: 804 BRACK ROAD
City: FORT PIERCE State: City: FORT PIERCE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:3700 S.US HIGHWAY 1 Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 apermit 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.
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Signa re of r/Lessee/Contractor as Agent for Owner Signatur of ContIr*tor/license Holder
STATE OF FLORIDA STATE Q FLORIDA
COUNTY OFSTLUCIE COUN OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8TH day of AUGUST ,20_ by this 8TH day of AUGUST ,20_ by
PHILIP NISAJR PHILIP NISAJR
i
Name of person making statement Name of person making statement
Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(iigVature of Notary Public a)— Si n ture of Notary Public- to g
KRISTIN sAI1'SHOI, S =? *r: KRISTIN 13AITSHO T
FEBRUARY 199 ." FEBRUARY 19, �,' I�
Commission No. _: M� MISSION#FF20 g mmission No. MIS$10N#FF20
s. EXPIRES FOIDMa 4 EXPOIES Fere}� IS
` rY �.10'9 1407)i9"163 - FWId*
SIG!154"M FkmdaNam.vJK..u;o am Noh
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -- -- - _—- _
RECEIVED _
DATE
-- I
COMPLETED _-
Rev.8/2/17
gnu NNIA 1
Certificate of Product Ratings
AHRI Certified Reference Number:201298732 Date:08-08-2018 Model Status:Production Stopped
Old AHRI Reference Number:7984193
AHRI Type:RCU-A-CB
Series:GSX14
Outdoor Unit Brand Name:GOODMAN
Outdoor Unit Model Number (Condenser or Single Package):GSX140301 K'
Indoor Unit Model Number(Evaporator and/or Air Handier):ARUF31 B14A'
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,MI,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.
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
Alr-Conditloning&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),btuh:28200
SEER:14.00
EER(A2)-Single or High Stage(95F) :11.50
t'Active'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.Troducton Stopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratlnae that are accompanied by WAS indicate an Involuntary re-rale. The new published rating is shown elono vAth fine previous(i a WAS)rating
DISCLAIMER
AHRI does not endorse the product(s)Refect on this Certificate and makes no representations,warranties or guarantees as W,and assumes no responsibility for,
the product(s)listed on this Certificate.AHRI expressly disclaims all Ilabulty 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.Certlfled ratings are valid only for models and configurations listed M the
directory at www.shrfdiroatory.org.
TERMS AND CONDIT10N8
This Certificate and its omrtarrts 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; i�. .■ -'
entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's Individual,
perscinel and confidential reference. AIR-CONDMONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITWE
The Information for the model cited on this certificate can be verified at www.shridirectory.org,dick an*Ve tr CartNloslEe'Ink
and enter the AHRI Certified Reference Number and the date on which the certificate wee Issued, �is"iwkv ffi^betuT-
which Is listed abae,and the Certificate No.,which Is listed at bottom right.
02018 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 1317821149035128L
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