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