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HomeMy WebLinkAboutCCE01142021_0001All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �_i �a. t= Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: - /,L (' 1'1 L on G PROPOSED _IMPROVEMENT J�OCATION', �� Q `T I _'c, Address: X. Property Tax ID Site Plan Name: Project Name: I New Electrical Meter Second Electrical Meter Lot No. Block No. CONSTRUCTION INFORMATION: I Additional work to be performed under this permit— check all that apply: XMechanical _ 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: $ 20 Utilities: —Sewer Septic Building Height: • '• �• Name r� 1 -qr Zip Fax ' ' • • - P" •�! ��.�!SIi� Fill in fee simple Title Holder from the Owner listed above) lu o . 1� 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. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. Certificate of Product Ratings AHRI Cerfified Reference Number: 201785242 Date: 01-13-2021 Model Status: Active AHRI Type : RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX16S481A' Indoor Unit Model Number (Evaporator and/or Air Handier): ASPT49D14A' 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, VIA, 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 AHRI 2101240 with Addendum 1; 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 IQ) - Single or High Stage (95F), btuh : 45000 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. Ratings that are accompanied by WAS indicate an. involuntary re -rate. The new published rating is shown along with the previous_(i.e. WAS) rating DISCLAIMER AHRI does not endorse the products) 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; AM 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 confdential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link .;.e 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. (• - """ T.-_- 132550102242369T82 ©2021 Air -Conditioning, Heating, and Refrigeration Institute I[i1FlCATE NO.: SUPPLFMFKTALCONSTRUCTION LIEN LAW !NFORMATION� DESIGN ER/ENGINEER: MORTGAGE COMPANY- Not Appitcable Name- Name: Addre:sT� city, City: State: Zip: Phone_ Zip: Phone: FEE SIFyIPLE Tiiii N it NG COMPANY: OLDEJRNot APVI Ica'414e 6Nw —�Not Applicable Name- Addretis: Zlp, Ph 7i OWNER/ CONTRACtOR AFFIE)VM tvpi,cadbo rs her,'tiv -made to obtain aoemrat to Bathe work and instaffahoo as indicated- - cesth-; that ria woo or io6taltahor. poriroltht ivifz ate call 1perfrill M, uiWFe Tol I - which 1" mt.,'4110 With Aaudiurp Please tonsult Anth your Horne- Uvanas AsSociadrara and review vour-dee-A f,,ang �c r:ci ant ,;high may apply_ - In curnidisratitin of thegm-ling of trns-lequesled permit, fdo betetivagree trai i woc in riespects- perform the ww* "' Re"Ordanm `sIth the IPPrOved Plant, driol'Jonda Building Cadvs and Si *he followin lawl'Aft of -MR Al'o eXeff)Pt from mhteygOlng a fiAt C(HlrorfenEy re'dow, 030M AddineM5, :tl ri(jm 0, 6&1mrn'r*' pool s, wvrils' 51#1 is, -wf room, and aci, rsary uses-tar.miothief i ion-re4dentoij u50- WARNING TO OWNER: Your failure to Record il Notice of Commencement may result in paying twice for properiv. A Notice of CoMIrriencernent mtoSt be recorded in the public records of St I ,i,, i e Ciw r, tj and pasted on the jobsito before t I-w first inipecher, it vats intend to obtain financing, cons (31 will 1c,,dei of iii attorney before conam v "rIp -P of Commencement, art" �m STATE OF FLORIDA STATE OF f LORIPA f OUNTY C#F COUNTY OF SvAirn to tCX hwn�wc b, Triw P;r= Of• r, t-v;r 4ifuroeth and wbicribeki before me of PhyLtal Pf.eia vos Otiline Notai-i4atka, G&v 'Narriv of oprF'on making statement, Name of Person masing r%,r,rrnallyxnow", OR fircamcov wentification I Personally Anown. OR Produced Idernif icaz,orr i Type of Identl 11 Type of ideraffi P Produced77r __ __ CHRJSTYWALTE�,�, M#GGI Im tj EXPIRES: Am 4,2021 wwy f*&- L11111 ws 2 KING "'RWSOR PLAN, VECEW.10NI SEA !r+'tL[ !41A1N('R0Vr F V%3 W 'DA RECLOVU; DATE COMPLETED R&--wRw--