HomeMy WebLinkAboutSLC REGISTER 3 tonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/02/2020 Permit Number:
I� � Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: HVAC Change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 7370 Reserve Creek dr
Property Tax ID #: 332260100390005 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 3 ton system with Goodman 3 ton 16seer w/10kw heater
Models GSX16037 & ASPT37C
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
Mechanical _ Gas Tank .w. Gas Piping ^ Shutters
_ Electric —Plumbing _Sprinklers _ Generator
Windows/Doors Pond
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5100.00 Utilities: —Sewer —Septic
Roof Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
NameJohn Register
Name:Tracy Steele
Address: 7370 Reserve CreeKDr
Company: Tracy D Steele Air Conditioning Inc
City: Port St Lucie Stater
Zip Code: 34986 Fax:
Phone No.772-519-1987
Address:2750 SW Edgarce St
City: Port St Lucie State: FI
Zip Code: 34953 Fax:
Phone No 772-215-1974
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
va,ue u1 wn5uuLuun is zauu or more, a Ktt.VK17t1J Notice or LOrnmencement 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
Name:
MORTGAGE COMPANY: Not Applicable
Name: —
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 Count 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 Own erftes eOContracT`or as Agent for Owner Signature of Codfrac r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this c day of ,ti.FcYl , 201-6 by this _ day of 20 > by
Tracy D Steele Tracy D Steele
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida }
Commission
Daniel F
rMy com
Expires
REVIEWS
State
COUNTER I REVIEW I REVIEW
DATE
RECEIVED
DATE
COMPLETED
R
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida y
Co p@Q NoN Fwxm (Seal)
Daniel F Stacey
My Commission GG 251653
REVIEW I REVIEWT REVIEW MRE EWVE
,� ■..� �E�T�F�Fpri�
Certificate of Product
AHRI Certified Reference Number : 201461290 Date: 03-06-2019 Model Status . Active
Ofd 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*
lndoor Unit Model Number (Evaporator andlor Air Handler) : AVPTC37014A*
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 ANSIIAHRI 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 (9517), btuh :35000
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 still
selling or offering for sale.
Ratirs s that are accom anied by WAS indicate an involuntary re rate. The newublshed ratinc is shown along yriih tine arevio�uns(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.ahrid i recto ry.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. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTMUTE
The information for the model cited on this certificate can be verified at www.abridirectory.org, click on "Verify Certificate" link m 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 13
a2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: �3zsssrroassz7sisa