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Building Permit
All 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) 462-1578 Permit Number: Building Permit Application Commercial Residential X PERMIT TYPE: M E C HAN I CAL PROPOSED IMPROVEMENT LOCATION: Address: 5006 MATANZAS AVE Property Tax ID #: 143331-701-0028-000-1 Lot No.B&9 Site Plan Name: HARMONY HEIGHTS Block No. C Project Name: BUSH, THOMAS E & BUSH, CONSTANCE J DETAILED DESCRIPTION OF WORK: A/C CHANGE OUT LIKE FOR LIKE, GOODMAN PACKAGE UNIT GPC1430H41E, 2.5TON , 14SEER, 8KW 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: Sq. Ft. of First Floor: Cost of Construction: $ 3900.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: NameThomas & Constance Bush Address:3503 Ave P City: Fort Pierce, FL State: _ Zip Code: 34947 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name:Samuel T. Durham Company: Advantage A/C of the Treasure Coast Address.601 S Market Ave City: Fort Pierce State: FL Zip Code: 34982 Fax: 772-465-4945 Phone No 772-465-1606 E-Mail State or County LicenseCAC039664 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 Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone. BONDING COMPANY: Nanne:_ 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. 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." Signature of Owner Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OFSTLUCIE The forgoing instrument was acknowledged before me this 4 day of SEPTEMBER 20_ by SAMUEL T. DURHAM Name of person making statement. Personally Known x OR Produced Identification Type of identification NIFER E. CAGAS Notary Public, State of Florida * *d Commission No. GG263239 r� Commission Expires 09/30/2022 ( nat otar ate of F166da Commission No. GG263239 (Seal) REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW RECEIVED DATE COMPLETED STATE OF FLORIDA COUNTY OFSTLUCIE The forgoing instrument was acknowledged before me this 4 day of SEPTEMBER , 20_ by SAMUEL T. DUIRHAM Name of person making statement. Personally Known x OR Produced Identification TypSqf.14,entification PWUuced NIFER E. CAGAS Notary Public, State of Florida P7Stfat_e_0fT0"riaT) Commission No. GG263239 CommissionExores0913OM22 (Signa of Notary Pub Commission No. GG263239 (Seal) PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW kill :�/ CERTIFIEDR' www.ahridirectary.ary Certificate of Product Rath AHRI Certified Reference Number: 201152959 Date: 09-04-2019 Old AHRI Reference Number : 7428122 AHRI Type: SP-A Series: GPC14 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GPC1430H41 E* Model Status : Production Stopped 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 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 : 28400 SEER: 14.00 EER (A2) -Single or High Stage (95F) : 12.00 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. . _ a DISCI.AINIER 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 ail 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.abridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal at dated; confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; dissemin 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. CERTIFICATE VERIFICATION AIR-CONDITIONING, HEATING, The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link & REFRIGERATION INSTITUTE and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we inake life berier' which Is listed above, and the Certificate No., which is listed at bottom right. ©20lgAir-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 132120883300707625