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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COM'P'LETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 4111111111111 IN Building Permit Application Planning and Development Services Building and Corte Regulation Division 2300 Virginia Avenue, Fort Pierce F1.34982 Phone: (772) 462-1553 Fax: (772) 462-1.578 Commercial Residential XX PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address:. 7105 Sebastian Rd. Legal Description: LAKEWOOD PARK-UNIT 12- BLK 162 LOT 14 (MAP 13/125) (OR 3105-2411) Property Tax ID ##: 1301-614-0148-000-1 Lot No. 14 Site Plan Name: Block No. 162 Project Name: Setbacks Front Sack: Right Side: Left Side: DETAILED DESCRIPTIONOF WORK: Replace a/c equipment, like for like. Goodman 2.5 ton 14 SEER 8kW CONSTRUCTION INFORMATION: Addition@]work toa Der ed under this permit— check all appy: 11HVAC Gas Tank FIGas Piping _ Shutters ❑ Windows/Doors ❑ Electric ❑ Plumbing Sprinklers ❑ Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: 3500.00 Height. Cost of Construction: $ Utilities:11 Sewer Septic Building OWNER/LESSEE: CONTRACTOR: Name Ashley Woodin Name: Wanda Gahn Address: 7705 Lakeside Way Company: AC Buddy, Inc. City. Fort Fierce state: FL Address: 3746 Seminole Rd. Zip Code: 34951 Fax: City: Fort Pierce State: FL Phone No, 772-940-2109 Zip Code: 34951 Fax: E-Mail: Phone No. (772) 480-4136 Fill in fee simple Title Holder on next page [ if different E-Mail: acbuddyinc@gmail.com from the Owner listed above) State or County License: CAC1818909 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 Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable Name: 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. 5t. Lucie County makes no representation that is granting a permit will authorize thepermit 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 1 will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and 5t. 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. re of owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Sttade The far g instru a was acknowledged before me t1- ay of '701g by Wanda Gahn Name of perso aking statement Personally Known OR Produced Identification Type of lde tification Produced,' `� ' l Signature of Contractor/License Halder STATE OF FLORIDA COUNTY OF St Labe The forgging instrument was acknowledged before me this anay of 0 C+. . 20 19 by Wanda Gahn Name of person making statement Personally Known xx OR Produced Identification Type of Idenjification Produced XA r _ nature of Notary Public- State of Flog�hh R. Parsons nature of NotaryPub - Sta*RUM% sons ate N ARY PUBLIC � �, NOTARY P LI Commission No. �AII'V'r N bF FLORIDA Commission No. GG TATE of �I3A o} Comma GG090M ? Comm# GG090836 'F=xnires 412312021 '�1 E Ig1 Expires 4123/2021 REVIEWS RECEIVED DATE COMPLETED Rev. 8/2/17 FRONT ZONINGSUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW NOTARY PUBLIC STATE OF FLORIDA Comm# GG090836 6 Certificate of Product Ratings AHRI Certified Reference Number: 201476314 Date: 10-29-2018 Model Status : Production Stopped Old AHRI Reference Number: 9117245 AHRI Type: RCU-A-CB Series : GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140301 L* Indoor Unit Model Number (Evaporator and/or Air Handier) : AWUF31XX16A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, IA, 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, Rl, SD, UT, Vr, 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 ANSIIAHRI 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 (95F), btuh : 28000 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 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. _ Ratiings. that are accompanied. by WAS indicate an involuntary re -rate. The new -published rating is -shown along with the previous (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($) 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—, - ...::......::_....... • 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 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, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at , click on " _ - link I ,;�•,_ .,i,.,: and enter the AHRI Certified Reference Number and the date on which the certificate was issued, i which is listed above, and the Certificate No., which is listed at hOttOm right. 131853063880581805 CERTIFICATE M©.: ®2018Air-Conditioning, Heating, and Refrigeration Institute