HomeMy WebLinkAboutSLC MartsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/29/2020
9ro
Permit Number:
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
PERMIT APPLICATION FOR:hva cChange-Out
PROPOSED IMPROVEMENT LOCATION:
Address: 304 Holly Ave, Port St Lucie, FI 34952
Property Tax ID #: 341951002580004
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 3.5 ton system with Goodman 3.5 ton 16.0 seer w/10
Models GSX16S42 & ASPT49D
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additi nal work to be performed under this permit— check all that apply:
Y:
jJ Mechanical `Gas Tank _ Gas Piping — Shutters
_ Electric — Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 4500.00
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors
Utilities: _Sewer —Septic
OWNERAESSEE: CON
Name George Marts
Address:304 Holly Ave
City: Port St Lucie State:
EL_
F
Zip Code: 34952 Fax:
y:-
Phone No.786-659-2368
Zip Cc
E-Mail:
Phonc
Fill in fee simple Title Holder on next page ( if different
E-Mai
from the Owner listed above)
State
Roof
Building Height:
Pond
Pitch
TRACTOR:
-Tracy Steele
any.Tracy D Steele Air Conditioning Inc
ss:2750 SW Edgarce St
'ort St Lucie State: FI
de: 34953 Fax:
No 772-215-1974
tdsac@aol.com
)r County License CAC035553
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable].MORTGAGE COMPANY:
Name:
Address:Name:
City: Address:
State: City.
Zip: Phone Zipy Phone:
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: ` Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:
City: Address:
Zip: Phone: 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 noworkor installation has commenced prior to the issuance of a permit.
whichisis iCount flic with any applicable HomeaOiwners granting
Association r els,abylaws or andpcovenantss that may thesubject
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 lend r or an attorne before Cammencin work or recor "n our No ' of Commencement.
Signature of Owner/ Le see/ o ractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF STwciE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 29 day of SEPT. 2020 by
TRACY D STEELE
Name of person making statement.
Personally Known x OR Produced Identification
Type of identification
Produced
i
(Signature of Notary Public- State of floricla )
Commission No.
REVIEWS 1
DATE
RECEIVED
DATE
COMPLETED
NotarY PubliC StM of Florida
1653
Signature of ContraiCtor/Lic se Holder
STATE OF FLORIDA
COUNTY OF STLUCic
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 29 day of —r. 2020 by
TRACY D STEELE
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission
P_E41ISOR PLANS .
W REVIEW
Notary Public State of Florida
INGROVE
EVIEW
f U�/ o
.�u■.■I CERTIFIED
www.ahridireetpry.argCertificate of Product Ratin
AHRI Certified Reference Number: 201785374 Date: 05-31-2019
AHRI Type; RCU-A-CB
Series ; GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX16S421A"
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A*
Model Status: Active
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 ANSIIAHRI 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 (95F), btuh : 41000
SEER: 16,00
EER (A2) - Single or High Stage (95F) : 13,00
fi"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 stilt
selling or offering for sale.
V fGltll
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. AM
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 make life better"'
which is listed above, and the Certificate No., which is listed at bottom right.
002019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.; 132038062016971539