HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL') F fi
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: D2/08/2021 Permit Number:
7
1' ILI L� I '
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: hvac Change -out
PROPOSED IMPROVEMENT LOCATION:
Address: 8809 Bally Bunion Rd
Property Tax ID #. 333460000200003
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 5 ton system with Goodman 5 ton 16.0 seer w/10kw heat
Models GSX16060 & ASPT61 D
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5000.00
OWNER/LESSEE:
Name Michael Costa
Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
Windows/Doors Pond
Utilities: _ Sewer _ Septic
Address: 8809 Bally Bunion Rd
City: Port St Lucie State: _
Zip Code: 34986 Fax:
Phone No.718-938-8989
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Roof Pitch
Building Height:
CONTRACTOR:
Name: Tracy Steele
Company: Tracy D Steele Air Conditioning Inc
Address:2750 SW Edgarce St
City: Port St Lucie State. FI
Zip Code: 34953 Fax:
Phone No 772-215-1974
E-Mail tdsac@aol.com
State or 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.
NEER:
SUPPLEMENTAL CONSTRUCTION
DESIGNI
Name:_
Address:
City: -
Zip. Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
LIEN LAW INFORMATION:
— Not Applicable
State:
— Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address.
City:
State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
—Not Applicable
Zlp: ,� 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
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may aply. such
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 lender or an attorney before commencin work or recordin our Notice of Commencement.
Signature of Owner/ L ssee/Cant actor as�Agent for Owner X_
Signature of Con acto icense Holder
STATE OF FLORIDA
COUNTY OF STLucIE STATE OF FLORIDA
COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or
this O8 Online (,Irrt=rization
day Of FEB., 2021
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature
Natal Public Stafe of Flom
Commission Daniel F Stacey
mission GG 29AIt)
�* ExpiresOW2212022
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Onlir- ^lotarization
this Q8 day of FEB. 2021
by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
{Signature
Commission eet N Nam Punic State of Florida
Daniel F Stacey ((��
y y ommiss'on GG 25 f l�
a w Espires bB/2212022
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
Certificate of Product Ratin
AHRI Certified Reference Number: 201299437 Date: 03-06-2019' Model Status : Active
Old AHRI Reference Number.. 7984223
AHRI Type: RCU A -CB
Series, GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX160601 F"
Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT61 D14A"
Region? : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, lL, IA, IN, KS, KY, LA, MA, MD, ME, Mi, MN, MQ, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, VVI, 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 ofANSIIAHRI 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 : 54000
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 stili
selling or offering for sale,
Ratings that are acco—ied_by 4NA5 indicate an involuntary re -rate,_ The newa_u..blished ratinq is shown aionq with the previous fl.e, WAS) ratinn.
DISCLAIMER
AHRI does not endorse the product($) listed on this Certificate and makes no representations, warranties Or guarantees as to, and assumes no responsibility for,
the product(s) listed art 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 sholi 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 users individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSInTUTE
The information for the model cited on this certificate can be verified at www.ahridlrentory.org, click on "Verify Certificate' link rse 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.
@2019Air-Conditioning, Heating, and Refrigeration Institute � FICATE NO.: 131963761236246623