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HomeMy WebLinkAboutJohansen permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/5/22 Permit Number: 9tLo LUCLL o 1T a ;M -� 0 "` Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: A/C Changeout PROPOSED IMPROVEMENT LOCATION: Address: 6673 Campanilla, Fort Pierce Property Tax ID #: 1306-500-0263-000-8 Lot No. 10 Site Plan Name: Spanish Lakes Fairways Block No. 54 Project Name: DETAILED DESCRIPTION OF WORK: Remove old A/C unit and Install Goodman 3.5 ton 16 seer Heat New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: X Mechanical _Gas Tank _Gas Piping _Shutters _Electric _Plumbing _Sprinklers _Generator Total Sq. Ft of Construction: _ Cost of Construction: $ 6937 Sq. Ft. of First Floor: -Windows/Doors _ Pond Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Thomas Overholser Name: Thomas Overholser Address: 574 NW Mercantile PL#107 Company: Kuebler Mechanical LLC City: Port St Lucie State: FL Zip Code: 34986 Fax: Phone No. 772-878-2281 E- Address: 574 NW Mercantile PI #107 City: PSL State: FL _ Zip Code: 34986 Fax: Phone No 772-878-2281 Mail: kueblermechacc@email.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Kueblermechacc@email.com State or County License CAC1820289 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. DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: X Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 lender or an attorney before commencing work or recording your Notice of Commencement. ignature of Owner/ Lesse /Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Sfi Sworn to (or affirmed) and subscribed before me of X Physical Presence or _Online Notarization this Sth day of January 2022 by Thomas Overhoiser Name of person making statement. Personally Known X OR Produced Identification Tyr of Identification Produgce"10, (Signature of Notary Public- State of Florida) o{Florida ,,,v nv Notary pip oState Commission No. GG 312804 (Seal) € Kandice P West GO 312e04 _ My Commission Expires o311712023 W W REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kiev 5120121 Old AHRI Reference Number: 8331287 AHRI Type : HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit-AirSource) Series: GSZ16 Outdoor Unit Brand Name. GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSZ1604218' Indoor Unit Model Number (Evaporator andfor Air Handler) : ASPT47D14A' 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 - 2017 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: Coofing Capacity (A2) - Single or High Stage (95F), btuh : 39000 SEER: 16.00 EER (A2) - Single or High Stage (95F) :13.00 Heating Capacity (H12) - Single or High Stage (47F) : 40000 HSPF (Region Iv): 9.09 t"Active" Model Status are those that an AHRI C;inrfication Program Participant is cunerdly producing AND selling or offering far 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 ate accompanied by WAS indicate an involuntary re -rate. The new published ratnq is shown alorei with the pre-riws tioe WAS) mtmq. DISCLAIMER AHRI does not erNorse the products) listed on this Certificate and makes no representations. warmaties or guarantees as to, and assumes no responsihikty for, the product(s) fisted on this Certificate. AHRI eipresdy disciaims ail 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 miry for models and configurations listed in the directory at TERMS AND CONDITIONS " S This Certificate and its egments are proprietary products of AHRL This Certificate shall only be used for Individual, personal and confidential reference purposes. The cements of this Certificate may not. in whole or in par. be reproduced: copied; disseminated; '.. entered into a computer dartabase; or otherwae utimed, in any form or manner or by any means, except for the owes individual. personal and confidential reference. CERTIFICATE VERIFICATION The information the the model cited on this certificate can be verified at :. click on' " fink and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed allow, and the Cer"cate No., which is listed at bottom fight ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: szasa7oa�lasDsszl )9/?1 I &PROPOSAL `fin` f 3 � aDc7a , -- KUEBLER VETERAN MECHANICAL LLC �4NW TEL: Mercantile 72�878 228111-- kueblenn Port echaco@gmad.CW OWNED "' OPERATED CAC1820289 CustomerNanre: jan I c e ,lo hal)5VAI oats a1- 0 3 oZo,.�Z- wOet (o 7' 2 [7') 11c� Cny, stare. Ax r-00Lr iP t c f cc F r 3 g 5 / Phorm r n Z— $ 2- b 30 5 6 Email: )FPreddon connection of new sy�t�n to existing duct, OAIr Handler Riter Frame, 2 ; t' krafr�rxit Ines, electric and drain line O New Disconnect Box and electric Vft. CU to AH and (To Ronda Code. as aaessible) sc&) hemwsiat fucatteN �i�lew W Plywood top for Air Handler Box i.i Orerfbw drain Me safety seltch (Main Oraira ❑ New Ref i erarrt Copperiines with nsrdaflon and bmvlor Une Cow O Ale HardlaMaGl stand 1 Treat &Flush Drain Line O HumidWW ORehgera tIlrecordidwterfornew410Areftigerant OCardensotePump to06 *6Pltg O Emergency drain pan math chain supports and overflow I�x^,r- mgt*W Permits & moMdnatbn ofinspecdw drain pan safety wAtch FAllwoorkp to codes byllowdWadvidan �1Preost Concrete Padm— x 410 - k%!dsim and Recycle RWerant per EPA Regulatlm 'S" wricane Strap outdoor unit to concrete pad O Remowl of editing eclulpmwR and debris from premises Otigtid foe filter dry {compressor protection) ❑ High Efficiency Faradm: O5 Wn. Time ddayralay (compressor protection) O UV Air PwlRer: NOTES: NeM 1 n CLLQ 0o S Rwone'Scheduled Maintenance Must be Pefiormed on New System) OP11ON am M ar. OYrm -c StrAU HP/ Pkgunitr Water HP I AC/ HP/ P1giMR/ WaOsHP SWA I H P*gUnW Water Sze 3 S Ton. SEER Rid 1(0 Ton, SEER Rating: 5 T tRRati, I �J Cu Model Model AH AM Model Heat Stria Stria MN Heatstri warranty Compressor 0year Com _Year Compressor. 1 Year —t Al Other Parts & Coile: —iSt Year M Other Pans _ Year A/ Other Parts lbr Yew With in House Warranty Registration With N H egistration �im With in Heise a Regi IabwWwranty: 1, 5 1 Year taborWa Ye:w taborWazr 1 S t0, Year Total irrreatrnrent a Taal Illvea tt '?�3?• cal MMelihllMlt od A�cosT: s TorAL s o s Rebate s _ Mi. to f $fie Dd In All wane s T n Alkw ance f owmce s"8©O jr nufaebnar Rebate f utacww Rebate f er Rebate sdencyBonis f Bonus f onusfcal Customer Cost : taa)CustanerCost i 1customerCost s We to furnish all material and labor as spedflad above for the sum of S 1P : c5b propose fl 77yy CJ� l7 Due Acoeptau� Balance Due upon Completionf $ k N37a 0V Payment Terms: Deposit S at Deposit Paid by Check 8 , C ftCa Cash. Financed through Respectfully Submitted by: . Now This Proposal may be wkhdrawn If not accepted wxxhin _days Acceptance of Proposal The above prices, specifications and condition are satisfactory and are hereby accepted. You am authorized to do the work as specified; payments will be made as outlined ate. Customer Signature: Date�- v U