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HomeMy WebLinkAboutSLC ANNENAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 06/0912020 Permit Number: -:. Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2360 Virginia Avenue, Fort Pierce FC 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FORWAC CHANGE OUT PROPOSED IMPROVEMENT LOCATION: Address: 3261 S. FFA Rd. Ft Pierce 34945 Property Tax ID #: 2321 501 001 1 0000 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Replace existing5 ton system with Goodman 5 ton 16.0 seer w110kw heat Models GSX16060 & ASPT61 D New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permits check all that apply: Mechanical _ Gas Tank —Gas Piping _ Shutters Electric —Plumbing _Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 5500.00 Generator Sq. Ft. of First Floor: Residential X Lot No._ Block No. Windows/Doors Pond Roof Pitch Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Michael Annen Name: Tracy Steele Address:2361 S. FFA Rd Company. Tracy D Steele Air Conditioning Inc City: Ft Pierce State: Zip Code: 34945 Fax: Phone No. 772-607-4060 Address:2750 SW Edgarce St City: Port St Lucie State: Fl Zip Code: 34953 Fax: Phone No772-215-1974 E -Mail- Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail tdsac@aol.com State or County License CAC035553 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,50Q or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: Address: City: Zip: Phone: City: Zip: Phone: 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commenciniz work or recording your Notice of Commencement_ ev. Signature of Owner/ L ssee/Co Tactor as Agent for Owner Signature of Contr ctor/Li rise Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie COUNTY OF stru-i- Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization X Physical Presence or Online Notarization this 9 day of iNNE 2020 by this 9 day of LUNE 2020 by Tracy D Steele Tracy D Steele Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida } Commission No.- (Seal) Commission No. (Seal) Notary Public Stale of Florida [xy My CCRnmissio26165 REVIEWS j;V&TS—xPi'i­ s o � JRVISOR Dani 4 F Stacey PLANS 0 4ye ln>LBS3 NGROVE IEW REVIEW "or EVIEW DATE RECEIVED DATE COMPLETED ev. Certificate of Product Ratings AHRI Certified Reference Number: 201299487 Date: 03-06-2019' Model Status: Active Old AHRI Reference Number: 79a4223 AHRI Type : RCU-A-CB Series = GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160601 F" Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT61 D1 4A* Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MID, ME, MI, MN, MO, MS, MT, NC, Nth, 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 centra{ 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 ANSUAHRI 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 : 54000 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 s%ll selling or offering for sale. Rati s tfiat are accom Arica b WAS indicate an involunta re -rate. The new cubfished rating is shown along with the previous i.e. WA ratio DISCLAIMIER 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, AIR-CONDITIONING, HEATING, personal and confidential reference- & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION 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. 1 31 963761 23624 6623 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: