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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: COUNTY Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 811 Kearney Rd Ft Pierce, FI 34982 Property Tax ID #: 3410-601-0024-000-7 Site Plan Name: White City Estates Project Name: Wendy Dittmar DETAILED DESCRIPTION OF WORK: AC Change out like for like Permit Number: Building Permit Application Commercial Residential GOODMAN/GSX16S361A* GOODMAN/ASPT47D14A* 16.00 SEER, 8KW, 3 TON CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: ZC Mechanical `Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing ` Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ '925.00 OWNERAESSEE: Name Lisa Burns Lot No. I & 4 Block No. 12 I I Windows/Doors j i Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: Address:811 Kearney Rd City: Ft Pierce State: F L Zip Code: 34982 Fax: Phone No.772-971-0190 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: Samuel T Durham Com pa ny: Advantage AC of the TC Address: 601 S Market Ave City: Ft Pierce State: Zip Code: 34982 Fax: 772-465-4945 Phone No 772-465-1606 E-Mai1Advantagepermits@hotmail.com State or County License CAC039664 If value of construction is $2500 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: DESIGNER/ENGINEER: _ Not Applica Name: Address: City: State: _ Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State; Zip: Phone: BONDING COMPANY: Not Applicable Name: II Address: City: 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 str�cture which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohi it 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, CmNSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." '("� ;,;7 L�� 4, Signature of Own Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this 27 day of August 20_ by Samuel T Durham Name of person making statement. Personally Known x OR Pr jcpd I i i n Type of Identification �..�• JENNIFER E CAC Produced Notary Public, State of Commission No, GGZ Commission Expires 001 (Signature o ota " blicc__§ta't�e of Florida ) Commission No. �L rb(Seal) REVIEWS I FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED ure of Contractor/License Holder STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this 27 day of August . 20_ by Samuel T Durham Name of person making statement. Personally Known x f Identificatior (Signature of Commission I JENNIFER E. C GAS Notary Public, State f Florida �ntrission No. G 63239 Commission Expires /301202: (Seal) SUPERVISREVIEWOR REVIEW W PLANS I VREV EWON I SEA REVIEWLE MAN( Certificate of Product Ratinas AHRI Certified Reference Number: 201785534 Date : 08-27-2019 Model Status: Active AHRI Type: RCU-A-C8 Series : GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX165361A* Indoor Unit Mode! Number (Evaporator andlor Air Handler) : ASPT47D14A* Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, 11), IL, ]A, 1N, KS, MA, ME, MI, MN, MO, MT, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, VW, WI, VVY, 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 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 (A2) - Single or High Stage (95F), btuh : 35000 SFFR : 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 offfor sale. Ratings that areering accompanied by WAS indicate an involuntary, re -rate. The new Published ralino is shown along with the previous (i.e. WAS) ratino. 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.ahridirectory.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-CONDITIONING, EATING, CERTIFICATE VERIFICATION &REFRIGERATIONI TITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate" link we make life bet r- 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 I CERTIFICATE NO.: 132113a36611T78417