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HomeMy WebLinkAboutTammy Crouse Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1S78 PERMITTYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 11295 Muller Rd Permit Number: Building Permit Application Commercial Residential X Property Tax ID #: 2333-422-0000-000-5 Lot No. Site Plan Name: 33 35 39 BEG AT INT OF SRIW LI MULLER RD AND E RIW LI OF I I MILE RD, RUN E ON S M MULLER RD 242 FT Block No. Project Name: TH 11TO E R1W 11 MILE RD 174 FT, TH WI TO S RM+MULLER RD 242 FT TO E RN! 11 MILE RD, THN ON SD R/W TO POB (97AC) (OR2077-266C2556-178) DETAILED DESCRIPTION OF WORK: AC CHANGE OUT LIKE FOR LIKE GOODMAN/GSX160181 F*IASPT25B14A* 16.00 SEER 5KW 1.5 TON AC CHANGE OUT LIKE FOR LIKE HEAT PUMP MITSUBISHI ELECTRIC MUZ-GLI2NA-U1IMSZ-GL12NA-U1 23.10 SEER 1 TON I 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: Cost of Construction: $ 6850.00 Sq_ Ft. of First Floor: Utilities: —Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Tamara W Crouse Name: Samuel T Durham Address:11295 Muller Rd Company: Advantage AC of the TC City: Ft Pierce State: VL Address:601 S Market Ave Zip Code: 34945 Fax: City: Ft Pierce State: FI Phone No. Zip Code: 34982 Fax: 772-465-4945 E-Mail: Phone No772-465-1606 Fill in fee simple Title Holder on next page (if different E-Mail Advantagepermits@hotmail.com State or County License CAC039664 from the Owner listed above) . va uQ asp Ldllliu uL.L1V11 IH ylL7VV Or mare, a KrLUKUCU F70[Ice oT Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: GINEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: — Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: _Not Applicable UWNtK/ 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 COMMFNrFMFNT " _:5��W)JAAJ�� Signature Owner of Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF St Lucie COUNTY OF 81Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 19 day of August 20 iq by this 19 day of August 20 iR by Samuel T Durham # Samuel T Durham Name of person making statement. Name of person making statement. Personally Known x OR Produced Identificatio Personally Known x OR Produced Identification Type of Identification f1c,m Type of Identification Produced -V z 8lrkgs.m Produced n� pxS4m� i G7 in m (Slgna re of r P - State of Florida) o; „' (Signatur of N t ublic- e o Florida) Commission No. cc ,2(0_J L�Jf (Seal) N Commission No. oo��['132,�C/ (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MAN COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED kev. L/ / J 1.7 This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 201754311 Date: 08-19-2019 Model Status: Active AHRI Type: HRCU-A-CB-O Series Name : M-Series Outdoor Unit Brand Name : Mitsubishi Electric Outdoor Unit Model Number: MUZ-GL12NA U1 Indoor Type: Mini -Splits Indoor Model Number(s) : MSZ-GL12NA-Ul Rated as follows in accordance with the latest edition of ANSI/AHRI 2101240 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 (95F) : 12000 EER (95F) : 13.00 SEER: 23,10 High Heat (47F) : 14400 Low Heat (17F) : 9200 HSPF : 12.50 Sold in?: USA i"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 sale. Raiin s that are accom anied by WAS indicate an involunta re -rate. The new Published ratina is shown alono with the Previous i.e. WAS ration. 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.ahvidirectory.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, Am personal and confidential reference. AIR CONDITIONING, HEATING, CERTIFICATE VERIFICATION A REFRIGERATION 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 132107034510629649 �, �, g CERTIFICATE NO.: Certificate of Product Ratings AHRI Certified Reference Number: 201384173 Date: 08-19-2019 Model Status : Active Old AHRI Reference Number: 8242074 AHRI Type: RCU-A-CB Series : GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160181 F* Indoor Unit Model Number (Evaporator and/or Aix Handler) : ASPT25B14A` 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, 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, 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 ANSIIAHRI 2101240 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 : 18000 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 sale. Ratings that are accom anied b WAS indicate an involuntary re -rate, The new ublished ratin is shown alon with the orevious 6.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.ahridFrectery.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and Alm 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-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.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. 02019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132107021154635067