HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/21119 Permit Number:
J s
•
R
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: M ECHAN ICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 4911 MAGNOLIA AVE
Property Tax ID #: 3404-501-0409-000-4
Site Plan Name:
Project Name: MOORE, BETTY
DETAILED DESCRIPTION OF WORK:
Building Permit Application
Commercial Residential xl.
Lot No. 1,2,3&4
Block No. 72
A/C CHANGE OUT LIKE FOR LIKE, 14SEER, 2.5 TON, GSX140301 L, ASPT35B14A, 8KW HEAT KIT
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
Total Sq. Ft of Construction:
Cost of Construction: $ 5800.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer —Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name BETTY MOORE
Name. SAMUEL T. DURHAM
Address:4911 MAGNOLIA AVE
Corn pa ny: Advantage A/C of the Treasure Coast
Address: 601 S. MARKET AVE.
City: FORT PIERCE, FL State: _
Zip Code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No.
Zip Code: 34982 Fax: 772-465-4959
E -Mail:
Phone No772-465-1606
Fill in fee simple Title Holder on next page ( if different
E-MailAdvantagePermits@HotMail.Com
from the Owner Misted above)
State or County LicenseCAC039664
it value or conszruciion 1s:1L3UU or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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Signature of Contractor/License Holder
DESIGNER/ENGINEER: _ 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 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."
3
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Signature of Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 21 day of MAY 20_ by
this 21 day of MAY 20_ by
SAMUELT.DURHAM
SAMUELT.DURHAM
Name of person making statement.
Name of person making statement.
Personally Known x OR produced Identification
Personally Known x OR Produced Identification
Type o entification
Type of enti ication
Pro ced
NNIFER E. CAGAS
Prod a '"'� NIFER E. CAGAS
E*Iftainy pubic. State of Florida
Notary Public State of FloridaCc>rnn•ission
x'`'�Gomr fission No. GG263239mmll
No. GG283239
M Expires 0"0/2022
Commission Expires 9913012022
(Si ure ic- State of Florida }
(S' a otary Public- State of Flori a
Commission No. G0263239 (Seal)
Commission No. GG263239 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 2///19
Certificate of Product Ratings
AHRI Certified Reference Number: 201511506 Date : 05-21-2019 Model Status : Production Stopped
Old AHRI Reference Number: 10341503
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 Handler) : ASPT351314A"
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, %NY, 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 ANSVAHRI 210/240 with Addenda 1 and 2, Performance Rating of
Air -Conditioning $ Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28000
SEER � 14.00
EER (A2) - Single or High Stage (95F) : 12.00
testing:.
f"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 ate those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratin that are accom anied bv WAS in icate an involunta re -rate. The new Published rating is shown alone with the orevious fie WAST 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 possibility 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 roduct(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.atiridirectory.org.
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. AIR-CONgrr10NING, HEATING,
CERTIFICATE VERIFICATION & REFR14ERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify 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.: taz�2s3s21s2ossa53