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HomeMy WebLinkAboutJohnson (8501) SLC PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: to j 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 x
PERMIT APPLICATION FOR: Mechanical
I PROPOSED IMPROVEMENT LOCATION: I
Address:
Legal Description: La Buona Vita cooperative unit/ Lot50
Property Tax ID #:
Site Plan Name: Robert Johnson
Project Name: Robert Johnson
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace a/c equipment like for like change out
Amana 3 -Ton w/ 10kw heater 14SEER 35,600-BTUH
Package Unit: GPC1436H41 min:26 max:40 wire size:6
Lot No. 50
Block No.
CONSTRUCTION INFORMATION:
trona worK toa erorme under tispermit-checka appy:
HVAC 11 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction: _ _!r]MIA
�i j I ►���0p7�� S Ft. of First Floor: N I A
Cost of Construction: $ �T "IS'.op Utilities:CnSewer LlSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name G
Name: I
Address: V
Company: b
Address:
C 1
City: l State:%
Zip Code:ISZII -''II Fax: F'I
Phone No. ��Z' 23'" q --I2(0()
City:
Zip Code:
Phone No.��2�R�-
State: 'Fl
Fax:�2 Z�_ 1�
III-)
E -Mail: M 16
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: IL
�y1
1" l
State or County License:
-I
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Commission No.
DESIGNER/ENGINEER:
Na
Not Applicable
MOR AGE COMPANY:
Name:
Not Applicable
Address:
SUPERVISOR
Address:
VEGETATION
City:
Zip: one
State:
City:
Zip: Phon .
State:
FEE SIMPLE TITLE HOLDE
Name:
Not Applicable
BONDING COMPANY:
Name:
_ Not Applicable
Address:
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 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
commencing work or recording your Notice of Commencement.
Signature of O er/ Lessee/ ontract r as Aghpt for Owner
Signature of ConWactor/Licensfe Holder
STATE COUNTYOFOFF ORIDAM iAX-�1 COUNTSTATEOFL
Y OF ORI yl Vky
The fo goin ginstr m nt as acknowledged before me
this da of 20F, b
jiMCJ by \N nira-PSza_'�_
Name of erson dfaking statement
Personally Known _X_ OR Produced Identification
Type of Identification
Notary
Commission No.
REVIEWS I FRONT
COUNTER
C01 MPLET
Rev. 8/2/17
Thef r oInginstr nt was acknowledgedbefore me
this y day of �� 20 by
-TiMa1-hy WDN-CS7n v_
Name of person mak ng statement
Personally Known 2!!Z OR Produced Identification
Type of Identification
(SignAurofof Not
- State of Florida j
Nooff� �'±iIl�Icstate ofFlootle
Vwtbna7 Groolhouse
Commission No.
g My commission GG 243948
I Expires 07/312022
ZONING
SUPERVISOR
PLANS
VEGETATION
REVIEW
REVIEW
REVIEW
REVIEW
Notpq�glle State of Florida
Victon- a Gloroolhouse
My Commission GG 243946
Expires 07/312022
SEATURTLE I MANGROVE
REVIEW REVIEW
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 Ratinqs
AHRI Certified Reference Number: 200945845 Date : 10-11-2018 Model Status : Active
Old AHRI Reference Number: 6892357
AHRI Type: SP -A
Series: GPC14
Outdoor Unit Brand Name: AMANA DISTINCTIONS
Outdoor Unit Model Number (Condenser or Single Package) : GPC1436H41 D'
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, to, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, SC, SO, 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 regions) for
which they meet the regional efficiency requirement.
The manufacturer of this AMANA DISTINCTIONS product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 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 (9517), btuh : 35600
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 12.00
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'Pmduclion Slopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sal.
Ratings Thal are accompaenied by WAS indicate an involuntary re -rate The new Published rating is shown along with the orevious (i.e. WAS) rating.
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 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
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and Igo
confidential reference purposes. The contents of this Certificate may not, 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, Holm
personal and confidential reference. AIR CONDITIONING. HEATING.
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahrilfirectory.org, click on"Verify Certificate" linkh, un"
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.: 131837568836957290