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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2/20/2019 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 PROPOSED IMPROVEMENT LOCATION: Address: 8817 Bally Bunion RD Port St Lucie, FL 34986 Legal Description: POD 32 AT THE RESERVE PUD III SPYGLASS LOT 15 (OR 2392-2914) Property Tax ID #: 3334-600-0018-000-6 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Exact AC Changeout of Goodman 1 1/2 Ton 14 Seer - 5kw heater Condenser Model: GSX140191K AH Model:ARUF25B14A HVAC ❑ Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4735.00 Lot No. Block No. Jci iniL — u ICUN m,-pp'y. Gas Piping Shutters ❑ Windows/Doors Sprinklers []Generator � Roof SFt. of First Floor: _ Utilities:5ewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameAudley A Haynes Winsome C Haynes Name: Donald Myers Address: 8817 Bally Bunion Rd Company: AC Care, LLC City: Port St Lucie State:FL Zip Code: 34986 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 Halder 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 CONSTRUCTION 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: Zip: Phone: City: 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 commencing work or recording vour Notice of Commencement. lz) (7"_ s _ Signature o Owner/ Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA I STATE OF FLORIDA COUNTY OF N­ka_k ky% COUNTY OF t-' &J-+ 1 V1 The forgoing instru ent was acknowledge before me The forgoing instrument was acknowledged before me this day of 2�) 20 by this `_0 day of fQ . 20 J �L by --J�pn0.J d —bald �e � (Name of person acknowledging) (Name of person acknowledging') Personally Known Type of Identifical Commission No. Revised 07/15/2014 ProdMLLYdeB9WPJn EXPIRES March 22.2021 (Signature of NbteryPybr}c- State of Florida Personally Known Type of Identifical Commission No. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings AHRI Certified Reference Number: 201298599 Date: 02-19-2019 Model Status: Active Old AHRI Reference Number: 7984188 AHRI Type: RCU-A-CB Series: GSX14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140191K' Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF25B14A' 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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, Wl. 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-Condiboning & 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 : 17800 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 12.20 t'Active' Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for We; OR new models that are being marketed but are not yet being produced'Production Slopped' Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still Melling or offthatering for sale. - — - - -N re -rate, The new published ratina is shown along with the o (i.e. WAS1 ratina. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representatlons, warranties or guarantees as to, and assumes no responsibility for, the products) 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 date listed on this Certificate. Certified ratings are "lid only for models and configurations listed in the directory at www.ahrldlrectory.org. TERMS AND CONDITIONS u 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 CertDlcete may not, In whole or in part, be reproduced; copied; disseminated; A. ■� 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. AIREFRIG RATINJG. NFTITUTE CERTIFICATE VERIFICATION &REFRIGERATION INSTIME The Information for the model cited on this certificate can be verified atwww.ahridireetory.org, click on Nerify Certificate' link we make life better' 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: +31950e031eee73159