The URL can be used to link to this page

Home My WebLink AboutLezniewicz permit appliaction ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: //-0/'41 Permit Number: s 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 xx PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 6905 Ocala Avenue Legal Description: LAKEWOOD PARK-UNIT 10-BLK 130 LOT 16 (MAP 13/01S) (OR 3623-682:4081-1538) PropertyTax ID#: 1301-612-0278-000-5 Lot No. 16 Site Plan Name: Block No. 130 Project Name: Setbacks Front Back: Right Side; Left Side: DETAILED DESCRIPTION OF WORK: Replace a/c equipment,like for like Goodman 2.5 ton 16 SEER 8kw CONSTRUCTION INFORMATION: Additional wor to a performed under this permit—c ec a apply: DHVAC E]Gas Tank Gas Piping _Shutters L]Windows/Doors 11 Electric El Plumbing Sprinklers Generator El Roof Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: Cost of Construction:$ 3600.00 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Peter&Audree Lezniewicz Name: Wanda Gahn Address: 6905 Ocala Ave. Company: AC Buddy, Inc. City: Fort Pierce State: FL Address: 3746 Seminole Rd. Zip Code: 34951 Fax; City: Fort Pierce State: FL Phone No.772-713-9232 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: CAC1518909 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: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: 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. 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 our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORJ� / STATE OF FLORIDA COUNTY OF ,(_L c e' COUNTY OF st.ruse The forgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before ma a . this day of /. 20 /g by this day of 2D_ by w p CO Wanda Gahn C� ame/T (aame of person king statement Name of person making statement < � 12 m grsonally Known JX OR Produced Identification Personally Known xx OR Produced Identificaticn] tt.. a Abe of Identification Type of Identification x �%T a Po duc Produced WA � r ED 0 Q w Y Z G gnature of Notary Public-State of Florida) nature of Notary Public-State of Florida ) y� mmission No. ( � Seal Commission No. 00090836 (Seal) 4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 i 1 www.ahridirectory,org Certificate of Product Ratings AHRI Certified Reference Number:201785798 Date:11-01-2018 Model Status:Active AHRI Type:RCU-A-CB Series:6SX16 Outdoor Unit Brand Name:GOODMAN Outdoor Unit Model Number (Condenser or Single Package):GSX16S301A* Indoor Unit Model Number(Evaporator and/or Air Handier);ASPT37C14A' 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.tune 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 ANSl1AHRl 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:28000 SEER: 16.00 EER(A2)-Single or High Stage(95F) : 13.00 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`Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling ar offering for sale. Rai€n s that are accompanied by WAS indicate an involunta re-rate. The new published ratInU is shown aloe with the revious i.e.WAS ratio . 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 produet(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 ate 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; on Ali 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. Ali i--cUiIGERATI N INSTITUTE N HEATING, ITUTE &REFRIGERATION If�STITtITE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link nalse liYe uctcer'" 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 131855885178587877 0201$Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: