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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/26/2018 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 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION: 771. -moor
Address: 2013 NW Laurel Oak LN
Legal Description: HARBOUR RIDGE -PLAT 6- LAUREL OAKVILLAGE UNIT 20 (MAP 44/26N) (OR 3925-979)
Property Tax ID #: 4425-605-0053-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Exact AC Changeout of Goodman 5 Ton 14 Seer - 10kw heater
Condenser Model: GSX140601 K
AH Model: ASPT61D14A
Lot No.
Block No.
I CONSTRUCTION INFORMATION: III
onai worK co De errormea
HVAI 11
unser anis
Gas Tank ❑Gas
perms— cnecK all apply:
Piping _Shutters ❑Windows/Doors
Name: Donald Myers
Electric El
Plumbing ❑Sprinklers
❑Generator ❑Roof
Address: 1500 NW Federal Hwy
Total Sq. Ft of Construction: _
Cost of Construction: $ 6000.00
SFt. of First Floor: _
utilities Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTheodore D Gaeta (TR)
Name: Donald Myers
Address: 184 Harbor LN
Company: AC Care, LLC
City: Massapequa Park State:NY
Zip Code: 11762 Fax:
Phone No.
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 $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONS UCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF Mtn -ho
The forgoing instr en was a cknowledge�efore me
this day of I 20 I by
STATE OF FLORIDA /
M
COUNTY OF
The forgoing instrument was acknowledged before me
this Qkday of SCa6MIOPr 2013 --by
l l�nn ld MLS � na id Ewt!1�
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Notary Public -State of Florida ) /
Personally Known V OR Produced Identification
Type of Identification Produced
Commission
Revised 07/15/2014
) (3%M�Y PINZON
MY COMMISSION # GGO
(Signature of Nota Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Y PINZON
MY COMMISSION # GG086200
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
�+.:�i CERTIFIED°
www.ahridirectory.org
ProductCertificate of
AHRI Certified Reference Number: 201299368 Date: 09-26-2018 Model Status : Active
Old AHRI Reference Number: 7964220
AHRI Type: RCU-A-CB
Series: GSX14
Outdoor Unit Brand Name; GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX1140601 K.
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, 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.
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), btuh : 57000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.70
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 Produced. -Production Stopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings That are ac .saolo led by WAS indicate! an involuntary re -rat.. Thpublished 1' h th the(i.e.WAST 1
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responslbllltyfor,
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 As RA'
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; copled; 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 to verified at www.ah cafe cas 1 S rg, click on "Verify Certificate' link
and enter the AHRI Certified Reference Number and thedateat
which the certificate was issued, me make ffc beuer^
which Is listed above, and the Certificate No., which is listed at bottom right.
©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131824517617073626