HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C0UNTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F! 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: MECHANICAL
Permit Number:
Building Permit Application
Commercial Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: 18486 GLADES CUT OFF ROAD, PORT ST LUCIE FL 34987
Property Tax ID #: 4210-443-001-000-5
Site Plan Name: PHILLIPS
Project Name: PHILLIPS, CHERYL
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
A1C CHANGEOUT, LIKE FOR LIKE GOODMAN GSX106481F, ASPT49D14A, 16 SEER, 10KW, 4 TON
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
Mechanical _ Gas Tank — Gas Piping `Shutters _ Windows/Doors
_ Electric — Plumbing ` Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 4500 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PHILLIPS, CHERYL C.
Name:SAMEUL T. DURHAM
Address: 18486 GLADES CUT OFF RD
Comp anY; ADVANTAGE AC OF THE TREASURE COAST
City: PORT ST LUCIE State: L
Address: 601 S. MARKET AVE.
Zip Cade: 34987 Fax:
City: FT. PIERCE State: FL
Phone No. NA
Zip Cade: 34987 Fax: 772-465-4945
E -Mail: NA
Phone No 772-465-1606
Fill in fee simple Title Holder on next page if different
E-MailADVANTAGEPERMITS a@HOTMAIL.COM
from the Owner listed above)
State or County LicenseCAC039664
if value of ennctnirtinn 4- C7enn
- -- -- ---- -- ----•-f an a VF11Fnen[t!MUnJ Is requlrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER /ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
n1AIKICDI f`Yf AITd AeTnn ArP1M%frr_
— -- • —•-. .•++�. • vs� rarnuv 11 : HppncaTion Is hereby made to obtain a permit to do the work and installation as indicated.
certify that noYY work or installation has commenced prior to the issuance of a permit.
St. Lucie
which is in confli t with any applicablelHo eaOwnnersAsssociatl nl ru esabylaws or andpcovenaholder
s that may restrict ojrprohibits ch
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LUCIE COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5TH day of MARCH , ZQ fGl by this 5TH day of MARCH , 2i) by
�^1
SAMUELT. DURHAM SAMUEL T. DURHAM
Name of person making statement. Name of person making statement.
Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature 11 tart' P I - 5ta of Florida /rid(/a`
;4i�i;� }}17� (Signature of N a Public- Stat f Florida
4 KATHY �,. r DER �,,RY P
My COMMIS 8886113 �° .....N KATHY 3M'DER
Commission No. * * Commission No. WCOMMISS10461 818
,y* � s, xPIAES m , �D EXPIRES: July 12, 2019
�WoBonded TIvu B arya 9o+Ided itw N
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev, 1
.:i CERTIFIED'
www. ahrid irecto rv.org
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Product Ratings
AHRI Certified Reference Number: 201384390 Date: 03-18-2019
Old AHRI Reference Number: 8242082
AHRI Type : RCU-A-CB
Series: GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX160481F"
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A*
Model Status : Active
Region : All (AK, AL, AR, A2, 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, 2015 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 : 45000
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 or offering for sate.
Ratin s that are accom anied by WAS indicate an involunta f re -rate. The new ublished rutin is shown along with the previous i.e. WAS ratin .
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.afirldirectory.org,
TERMS AND CONDITIONS
This Certificate and its Purposes are proprietary products of AHRI. This Certificate shall only he 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,
In
personal and confidential reference.
ArMS M
AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahrldirectory.org, click on ">Jorir'y C ;tfit'vca3e" link
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, we make life better
which is listed above, and the Certificate No., which is listed at bottom right. — —
02019Atr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131973874999636953