HomeMy WebLinkAboutSLC REGISTER two and a halfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
n,gtp • 11/02/2020
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
PERMIT APPLICATION FOR: HVAC Change -Out
PROPOSED IMPROVEMENT LOCATION:
Address: 7370 Reserve Creek dr
Property Tax ID #: 332260100390005
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 2.5 ton system with Goodman 2.5 ton 16seer w/5kw heater
Models GSX16031 & ASPT39C
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No.
Block No.
Additional work to be performed under this permit –check all that apply:
,/Mechanical — Gas Tank � Gas Piping _ Shutters _ Windows/'Doors _ Pond
Electric — Plumbing Sprinklers ^ Generator ` Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4500.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE: CONTRAcrOR:
NameJohn Register Name: Tracy Steele
Address: 7370 Reserve Creel Dr Company: Tracy D Steele Air Conditioning Inc
City; Port St Lucie State: _2750 SW Ed arce St
Address: 9
Zip Code: 34986 Fax: City: Port St Lucie State: FI
Phone No, 772-519-1987 Zip Code: 34953 Fax:
E -Mail: Phone No 772-215-1974
Fill in fee simple Title Holder on next page ( if different E -Mail tdsac@aol.com
from the Owner listed above) State or County License CAC035553
If value of constructinn is ySnn nr rnn. n Dri'nonen wl.,a: _r
- ewcneei4 a Mqu1ICu.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Lity: State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
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 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: FOUR 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 13EFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature
STATE OF FLORIDA
COUNTY OF St Lucie
as Agent for Owner
The forgoing instrument was acknowledged before me
this day of 20's=3 by
Tracy D Steele
Signature of Corgrac r/License Holder
STATE OF FLORIDA
COUNTY OF St Luce
The forgoing instrument was acknowledged before me
this ? day of 20Z,> by
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 y
Commission
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Mate
Daniel F
Expires
COIFrn,r NoNo1aW3yWW Steee of Ft«ida
1S�Daniel F Stacey
+s _ My Commission GG 251653
(Seal)
ERVISOR I P4r
E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
This combination qualifies for a Federal Energy Efficiency Tax Credit when
® placed in service between 1/1/2015 and 12/31/2020.
OMAN: CERTIFIEr
ficate r0 duct Ratinq
AHRI Certified Reference Number: 201830134
Date. 07-07-2020 Model Status :Active
AHRI Type: RCU A -CB
Series : GSX16
Outdoor Unit Brand Name : GOODMAN
Outdoor Unit Model Number (Condenser ar Singfe Package) : GSX160311A"
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT39C14B*
Region: Alf (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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, 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 fellows in accordance with the latest edition of ANSI/AHRI 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 patty testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 28001:41. Iffiff4a
SEER. 16.00
MA
EER (A2) - Single or Hirth Stage (95F) :13.00
f"Active" Model Status are those that an AHRI Certification Program participant is currently producing AND selfing or offering for sale; OR new models that are being
marketed but are not yet being produced."Productlon Stopped' Model Status are those that an AH R1 Certification Program Participant is no Longer producing BUT is still
selling or offering for sale.
Rahn s That are accom anied by WAS indicate an involunta re -rake. The new ublished rafin is shown along
w fh theprevious (i.e. WAS rating.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties ar guarantees as to, and assumes no responsibility for,
the protluct(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 AH Rt. 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.
rim
CERTIFICATE VERIFICATION AIR-coNOiTtaNING, HEATING,
The information for the model cited on this certificate can be verified at vaww.ahridirectory,org, click on 'Verity 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 ��r^+. e
0202OAir-Conditioning, Heating, and Refrigeration Institute LERTEF&TE NO.: 1323861641418766$2