Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
COUNTY
F 1 0 R i n
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
PERMIT TYPE: MECHANICAL A/C CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 35 FLORES DEL NORTE FT PIERCE, FL 34951
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
REPLACE HVAC SYSTEM EXACT SIZE CHANGE OUT NO DUCT WORK, INSTALL 3 TON 14 SEER GOODMAN PACKAGE UNIT
WITH A 8 KW HEAT STRIP
CONSTRUCTION INFORMATION:
Additio I work to be performed under this permit— check all that apply:
_Mechanical Gas Tank _ Gas Piping W Shutters _ Windows/Doors
— Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5286
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARY ANN SECRETOAWNNE BUILDING CORP
Name: KRISTIN KELLY
Address: 35 FLORES DEL NORTE
Company: FLORIDA BREEZE
Address:6928 VICKIE CIRCLE SUITE B
City: FT PIERCE State:
City: WEST MELBOURNE State: FL
Zip Code: 34951 Fax:
Phone No. 845-332-9254
Zip Code: 32904 Fax:
E-Mail:
Phone No ;'&
Fill in fee simple Title Holder on next page ( if different
E-Mail 'C� a J- eZ. ? IV - 6 . Ct��
from the Owner listed above)
State or County License[
IT value or construction is ti25uu 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
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address.
City:
City:
Zip: Phone:
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 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."
1 � F
Signature of Owner/ Lessee/C n ra r as Agent for Owner
Signature of Contractor/License . Ider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF BREyARo
COUNTY OF BREVARr)
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 9TH day of SEPTEM8ER , 20 ' by
this 9TH day of20 y
IySEEPTEMBER ,
Name of person making statemen
Name of person making st�ate�m t.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
-ft
otar ublic- State o FI rida )
(Signatur7rtN
(Signature of Notayy ublic a of Flori
Commissi Ym (Seb SCHWARZ
z{ �� MY COMMI5SIDN #GG100441
EXPIRES: MAY 02, 2021
AMYSCHWARZ
Commission No. ` M1�i 5SION#GG100441
ExNIRES: MAY 02, 2021
Banded throi
01st State Insurance
REVIEWS
FRONT
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
e
1. �.-2
{ j AIR A MAY
J 6928-8 V(CK1E CIRCLE, W. MELBOURNE 32904
l WWW..FLORIDABREEZE. COM
(C) 321-863-5078 (W) 327 951-8767 (rAX) 321-951-8735
ned kes i n j r a@g mai Loom
Proposal Date Due Date SP-.
6953-110371 91312020 10/3/2020
MAR r ,° NN SECRET O
35 FLORES DEL NORTE
FT PIERCE, FL 34951
645-332-9254
We Hereby Submit Specifications And Estimates For:
FPL Stress free a/c, 10 yr parts ,10 yr labor,1 maintenace and 4 filters a yr for lienght of lease, Florida Breeze Air <
Heat will provide a 3.0 to Goodman 14.00 Seer packaged with r410 refrigerant made!
(GPO-1436M41D) with a waux. Beat strip. System will be hooked to existing electrical and ductwork or as
stated.This also includes axes, permits and the following:
Honeywell programmable thermostat, easy to use.
-We will install outside unit to new concrete pad, add isolation pads to allow bottom to air out and secure to pad
with Hurricane anchors.
-New custom shroud, to protect duct -work where it attaches to packaged unit.
Total: $5,286.00 ARI: 201186891 $1000 down
We propose hereby to furnish material and labor - complete in accordance with the above specifications, for the
sum of: $5,286.00
FPL $137,09 A MONTH PLUS TAX FOR 48 MONTHS
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection, including attorney's fees.
This proposal may be withdra_jA . if-net4cceptPd by the above due date . All sales final after installation.
O
Acceptance i
Signature I:J ale
Certificate of Product Ratings
AHRI Certified Reference Number: 201186891 Date : 09-09-2020 Model Status: Active
Old AHRI Reference Number: 7513342
AHRI Type : SP-A (Single -Package Air -Conditioner, Air -Cooled)
Series : GPC14
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Mode! Number (Condenser or Single Package) : GPC1430M41A*
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, 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 GOODMAN product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning R 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 : 28600
SEER : 14.00
EER (A2) - Single or High Stage (95F) : 11.00
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 accompanied by WAS indicate an involuntary re -rate. The new published rating Is shown_alonq with the previous (i,e. WAS) 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.ahridirectory.org,
TERMS AND CONDITIONS AMIN
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal andconfidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; r
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, HiATING,
CERTIFICATE VERIFICATION & 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. —
©202OAir-Conditioning, Heating, and Refrigeration Institute C REC RE TIFICATE NO.: 132441317833586285