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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date, 9117/19 Permit Number: Y ..,� • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPE: AC Change Out- Mechanical PROPOSED IMPROVEMENT. LOCATION: Address: 4706 SUNSET BLVD Property Tax ID #: 3402-608-0112-000.7 Site Plan Name: INDIAN RIVER ESTATES -UNIT 07- BLK 41 LOT 11 Project Name: Thomas Huddleston DETAILED DESCRIPTION OF WORK: AC Change Out- no duct work AHRI#9103491 Condenser- Goodman ModeW GSX16037 SEER16, 3.0 Tons, 8KW Air Handler- Goodman Model# AVPTC037 SEER 16, 3.0 Tons, CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank Gas Piping Shutters _ Electric Plumbing _ Sprinklers Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ _ -% ?'2 - v Utilities: T Sewer _ Septic Lot No. LOT 11 Block No. BLK 41 Windows/Doors — hoof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name Thomas Huddleston Name. Adam Emanuel Address:4706 Sunset Blvd Company-Arnold's Air Conditioning of South Florida Address:1413 SE Conference Cr City: Fort Pierce State: Zip Coda: 34982 Fax: Phone No. 772-370-5492 City: Stuart State: FL Zip Code: 34997 Fax: Phone No561-515-5527 E-Mail:fomhudd@msn.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail adam@arnoldsairconditioning,net State or County LicenseCAC1814146 —W �• ��••�•...�.......� y� ova. v. 41{v1c, P Itc1 i%J[% JCU 11vL1L;e ur4vmmencemenI is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. -IV.a1u1[Cn/C11143INot 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: Not Applicable Name: Address: City. Zip: Phase: OWNERI CONTRACTOR AFFI©VIT: 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 Coun manes 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 Caries 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, wails, 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 PAYNIIG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECOROW AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TQ 0ByA1IV FWAXCI G, CfiNSUI_T WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCFM " Signature ofCiwnerl Lessee/Contracto s nt for COUNTOY O L�QA The forgoing' rument as cknowledged before me this L da of�20-Ll- by Name of person making statement. Personally Known v- OR Produced Identification Type of Identification Produced {5i nature of Notary Public- State of Florida j REVIEWS RECEIVED )ebble M. Pow Comm.# GG348877 of Contractor/License Holder STATE OF FLORI COUNTY OF - The for oing in menu as a cnowledgep before me this day a r" 20 'l by Name of person making statement. Personally Known — OR Produced Identification Type of Identification Produced (Signature of NotaryPublic- State of Florida } Commission No, ` M. pA" `!, 0G344977 OMUim Ytamew s ykypw4R" 11M UPERVISOR PLANS COUNTER I REVIEW r REVIEW REVIEW REVIEW u�was CERTIFIED www.ahridirectary.org Certificateof ProductRatin ! AHRI Certified Reference Number: 201461290 Date: 09-17-2019 Model Status : Production Stopped Old AHRI Reference Number: 9103491 AHRI Type: RCU-A--CB Series:GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) _ GSX160371A- Indoor Unit Model Number (Evaporator and/or Air Handler) -, AVPTC37C14A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 0, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, 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 GOODMAAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANS1fAHRl 210/240 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 (950, btuh : 35000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHR I 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, Ratincis that are agMrnoanied bv WAS indicate an involuntLfy n rate. The new published rating is shown alorm with the Wevious (i.e. WAM rating, 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.ahrldirectory.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-CONDMONING, HEATINit, CERTIFICATE VERIFICATION & REFRIGERATION INSMUTE The information for the model cited on this certificate can be verified at www.ahridlreetory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Dumber and the date on which the certificate was issued, we make lire better which is listed above, and the Certi fcate No., which is listed at bottom right. I-- -- -- ----- -- --- 0201 SAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132132065230959272