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HomeMy WebLinkAboutRASHID CENTURY 062119ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: J • Building Permit Application Planning and Development Servltes Handing and Lode Wgulatrnn Divrsrnn 2300 Virginia Avenue, fort Pierce K 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical - PROPOSED INPROVEMENT LOCATION. Address:' 7� r Legal Description: .� Property Tax ID tt: I�' r 9b I ~ aD f n(� ^ C-) -Lot No. _ .� Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: [_DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to be rtormedun er this permit -- c ec ZHVAC Gas Tank ❑Gas Piping all t1hU apply: _ Shutters ❑ Windows/Doers ❑Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: I ( S . Ft. of First Floor: Cost of Construction: $j Utilities:]Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR. CENTURY AIR CONE) _ _ Name i4hma-_f %{ L Name: Jt7HN RILEY Company: CENTURY AIR COND Address ? : -1 , c-1 / zP,�<e r. city: 1 a1 .c State,: FL �� 1 1� Address; 3044 SE DOMINICA TERR Zip Code: Fax: City: STUART State; FL Phone N _ Zip Code: 34997 Fax: E-Mail: - Phone No. 772-781-3040 Fill in fee simple Title Holder on next page ( if different E-Mail: centuryac@aol.com from the Owner listed above) State or County License: CAC057676 If value of construction is $2500 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: City: State: Zip: Phone: Zip: Phone; FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY. - Name: Address: _ City: Zip: Phone: _Not Applicable 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 contlict 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 hrrrby agree that I 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. ner/,Anent/ Lessee OF FLORIDA TY OF ::) 7 Lixr_i to The f rgoing instrument was acknowledged before me thi 'A6y of 201M by kr Name of person acknowle gl ) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission ❑EISORAH Ru55��� p 0a M�a �; No ��miss�on p G4 t�1P9$6M ov 30. 2012 My ed through National Notary Rcviycd U 15/2 se Holder STATE OF FLORIDA COUNTY OF .�� The forgoing instrument was acknowledged before me th6?J�-O71ay of 20aDby (Name of person acknowl dgi ig ) 1:�P_LerLaL—':P1 LJ (Signature of Notary Public State of Florida ) Personally Known_ OR Produced Identification Type of Identification Produced Commission No. '``y�0 DEB eSELL ofFlorida Notary Commission N GG 279604 `ar �v' My Comm. Expires Noy 30, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATF COMPLETED Certificate of Product Ratings AHRI Certified Reference Number: 201664258 Uate : 06-12-2019 Model Status Active Old AHRI Reference Number: 8242629 AHRI Type: HRCU-A-G8 Series. GSZ14 Outdoor Unit Brand Name GOODMAN Outdoor Unit Model Number (Condenser or Single Package) CSZ140361K" Indoor Unit Model Number (Evaporator and/or Air Handler) ASP-47D14A' The manufacturer of this GOODMAN product is responsible for the rating of this system combination. Rated as follows in au;ordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating cf 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 : 34800 SEER: 15.00 EER (A2) - Single or High Stage (95F) 12 50 Heating Capacity (H12) - Single or High Stage (47F) : 32600 HSPF (Region IV) : 8.50 t"Active" Model Statue era thuee that an AHRI Certification Program Participant is currently prndicin0 AND AAlling or offaring for sale; OR ncN models that are being marketed but are not yet being produced.'Production Stopped' Model Status are thnse that an AHRI Cartiricaliun Program Participant K no longer producing OUT is still selling or offering for sal? F ltin4 that are accompanied by WAS indicate an Involuntary re rate. The new published ratina iA shown alone with the previous (i.e. WAS) rating. DISCLAIMER AHRI dot* hot endorse the product(s) listed on this Certificate and makes ne representations. warranties or guarantees as to, and aanuma5 nn responsibility for, the prnduct(a) IlAtnd nn this Certificate. AHRI expressly disclaims all liability for dmmAgAa of any kind arlslnp out of the use or performance of the product(s). of the unauthorized alleraCion of data 116ted air this Certificate. Certified ratings are valid only (or model+ and eunfiguratluns listed h) the directory at www.shrldlrectory.ovg. 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; `■ ILI entArAd into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, pernonRl and confidential reference. AIR-rONDMONING. HFOING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model citad on this certificate can be verified at www.ahrldlrectory.ord, dick on °Varlfy Carflfirdte" link �.,. ,,,,,kr Gfi• brWr' and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the cAmificata Nn., which Is listed at bottom right. t72019Air-Conditioning, Heating, and Retrigeration Institlltf- CERTIFICATE NO.: i�ses�18