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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 07/02/2021 Permit Number: COUNTY Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: HVAC Change -Out PROPOSED IMPROVEMENT LOCATION: Address: 2402 River Hammock Ln, PSL 34981 Property Tax lD #: 340470200030005 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X Replace existing 4 ton system with Goodman 4 ton 16.0 seer w110kw heat Models GSXC16048 & AVPTS49C CONSTRICTION INFORMATION: Lot No. Block No. Additional work to be performed under this permit — check all that apply: Mechanical Gas Tank _ Gas Piping _ Shutters Windows/Doors Electric PlumbingSprinklers i Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 5500,00 Utilities: —Sewer _Septic Building Height: OWNERAErSSEE: CONTRACTOR: Name Cody Cook Name:Tracy D Steele Address: 2402 River Hammock Ln Company:Tracy D Steele Air Conditioning Inc City: Port St Lucie State: _ Address:2750 SW Edgarce St Zip Code: 34981 Fax: City: Port St Lucie State: FI Phone No. 772-341-9233 Zip Code: 34953 Fax: E-Mail: phone No 772-336-2448 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 construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC 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 FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: City: State: Zip: Phone: 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 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: 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 Owner/ Le ee/ actor as Agent for Owner Signature of Coutr cto tense 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 02 day of July 20_?_1 by this 92 day of July 20'�-? by TRACY D STEELE TRACY D STEELE Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Personally Known S OR Produced Identification Type of Identification Type of Identification Produced Produced 41 (Signature of Notary Public- State of Florida) {Signature of Notary Publi � o Florida ) Commis n Qb"_Rublic StMe of Flarlkal) Cammi for 1p, or Florida I� Daniel F Stacey `� Daniel F Stacey My Commission GG 251653 xpires of M1 Expires 081" 2i)22 REVIE UPERVISOR PLAN MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7 Certificate of Product Ratin AHRI Certified Reference Number: 201520122 Date : 07-12-2018 Model Status : Active Old AHRI Reference Number: 10492006 AHRI Type: RCU-A-CB Series: GSXC16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSXC160481C" Indoor Unit Model Number (Evaporator and}or Air Handler) : AVPTC49C14A` 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, Rl, SC, SD, TN, TX, UT, VA, VT, WA, VW, Wl, 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 Juty 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 ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to sating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or Higli Stage (9517), btuh : 46000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 12.50 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new modets 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. Ratio s that are accom anted b WAS indicate an inyolunta re rate- The new ufalished ratio i shown alon with the revious i.e WAS ratio . 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 an this Certificate. AHRI expressly disclaims all liability for damages of any hind 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.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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; WILE entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION' INSTITUTE: CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify certifleate" link use make lire beirer- 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~ 02018Air-Conditioning, Heating, and Refrigeration Institute '' CERTIFICATE NO.: 1317587t68t2771A99