HomeMy WebLinkAboutBUILDING PERMIT APPLICATION J
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/13/2021 Permit Number:
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- Building Permit Application
Planning and Development Services
Building and Cade Regulotion 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
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PROPOSED IMPROVEMENT LOCATION:
Address: 271 NE Airosa Blvd, PSL, FI 34983
Property"fax ID#: 341957000950009 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace existing 2.5 ton system with Goodman 2.5 ton 15 seer w/51kw heat
Models GSX16030 &ASPT35B
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 _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: CONTRACTOR.:
Name Alica Ortiz Name: Tracy Steele
Address:271 NE Airosa Blvd Company: Tracy D Steele Air Conditioning Inc
City: Port St Lucie State:_ Address:2750 SW Edgarce St
Zip Code: 34983 Fax: City: Port St Lucie State:FI
Phone No.772-985-6831 Zip Code: 34953 Fax:
E-Mail: Phone N0772/215/1974
Fill in fee simple Title Holder on next page (if different E-Mailtdsac@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 HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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 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 fender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owne Les Contractor as Agent for Owner Signature of Conti tor/ nse Hol
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 13 day of July 202t by this 13 day of July 2021! by
TRACY D STEELE TRACY U 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 F )
Commission Commission No. S 1)
..►w Notary Public State of Florida
Dan1iti F StaceyNotary Public State of Florida
My Commission GG 251653
RI VIEWS °' Q eS B� GAVIEW
ERVISOR PLAN `TA o8/ 2rb4TURTLE MANGROVE
[ REVIF REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5
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Certificate of Product Ratings
AHRI Certified Reference Number:206226024 Date:07-13-2021 Model Status:Active
AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Call with Blower)
Series:GSX16
Outdoor Unit Brand Name:GOODMAN
Outdoor Unit Model Number (Condenser or Single Package):GSX160301 F*
Indoor Unit Model Number(Evaporator and/or Air Handier):ASPT35B14A*
Region; All(AK,AL,AR,AZ, CA,CO,CT,DC, DE, FL,GA, HI, ID, IL, [A, 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 AHRI 210/240 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(A2)-Single or High Stage(95F),btuh:28000
SEER: 15.00
EER(A2)-Single or High Stage(95F) : 12.20
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
marketecl 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.
Ratin s that are accom anted b WAS indicate an involunta re-rate. The new oubiished ratin2 is shown alon2 with the previous i.e.WAS ratlncl.
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.ahridi€ectory.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 farm or manner or by any means,except for the user's individual, ARK
personal and confidential reference, AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we 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. -
CO 2021 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 132706606632655495
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