HomeMy WebLinkAboutKarel Kirk Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Building Permit
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
CBDG Funding
PERMIT APPLICATION FOR:
Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #:
Site Plan Name: Regina Palms
Project Name: Karel Kirk
ETAILED DESCRIPTION OF WORK:
AC change out like for like
Goodman 4 ton, 16.00 SEER, 10KW
M# GSX160481 F* M# ASPT49D14A*
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Permit Number:
Additional work to be performed under this permit —check all that ap�ly:
plication
Residential
(Affidavit required)
Lot No. 44 & 45
Block No.
X Mechanical — Gas Tank
_ Gas Piping
i Shutters
Windows/Doors Pond
'
Electric _ Plumbing
, Sprinklers
_ Generator
^ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of Fi
st Floor:
Cost of Construction: $
Utilities: _ Sewer
_ Septic Building Height:
0 NER/LESSEE:
CONTR
CTOR:
Name Karel Kirk
Address: 354 Traub Ave
Name:
Company
Samuel T Durham
Advantage AC of the TC
City: Ft Pierce
State: FL
Address:
601 S Market Ave
Zip Code: 34982 Fax:
Phone No. 772-464-2024
N/A
City: 1:7t
E- Zip Code:
Pot -rep State: FL
34982 Fax: 772-465-4945
Mail: N/A
Phone No
772-46 -16D
Fill in fee simple Title Holder on next page (if different
E-Mail
vanta a ermits(&hotmail.com
from the Owner listed above)
State or C
unty License CAC039664
If value of construction is 2500 or more, a RECORDED Notice of Commenceme t is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is tecluired.
UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMA iON:
DESIGNE
Name:
Address:
City:
Zip: Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
/-Ip: Phone:
INEER: 4 Not Applica
Name.
Addre:
State: City: _
Zip:
Not Applicable
BONDI
Name:
Address
City:
Zip:
COMPANY: Not Applicable
Phone:
COMPANY:
Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obta n a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of permit.
St. Lucie County makes no representation that is granting a permit will author
structture. Please consu�t with your Homeowners
Association and review you,
In consideration of the granting of this requested permit, I do hereby agree tl
in accordance with the approved plans, the Florida Building Codes and St. Luc
The following building permit applications are exempt from undergoing a full
accessory structures, swimming pools, fences, walls, signs, screen rooms and
WARNING TO OWNER: Your failure to Record a Notice of Comment
improvements to your property. A Notice of Commencemen
Lucie County and posted on the jobsite before the first inspei
with lender or an attorney before commencing work or recor
ignature of Contracto�-o r �-OwwBuilde�rra applicable
STATE OF FLORIDA
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
this 16 day of March 2022 by
Samuel T Durham
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
of Notary Public - State of Florida)
Commission No. HH141082 (Seal)
REVIEWS I FRONT I ZONING
1 COUNTER REVIEW
DATE
RECEIVED
DATE
COM PLETE
!e the permit holder to build the subject structure
nd covenants that may restrict or prohibit such
feed for any restrictions which may apply.
t I will, in all respects, perform the work
County Amendments.
)ncurrency review: room additions,
:cessory uses to another non-residential use
,ment may result in paying twice for
must be recorded in the public records of St.
ion. If you intend to obtain financing, consult
ing your Notice of Commencement.
_X Physical Prejence or
Notary
Marine
My Con
NOV Expiresar
A ON
SUPERVISOR PLANS
REVIEW REVIEW
Online Notarization
Stale of Florida
lion HH 141002
112025
VEGETATION I SEA TURTLE 1 MANGROVE
REVIEW REVIEW REVIEW
Eligible for Federal Tax Credit
'Certificate of Product Ratin s
9
AHRI Certified Reference Number: 201384390 Date : 03-16-2022 Model Status: Active
Old AHRI Reference Number: 8242082
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coi! with Blowe )
Series: GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX160481F`
Indoor Unit Model Number (Evaporator andlor Air Handler) : ASPT49D14A*
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, CA, HI, ID, IL ir, 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, f C, 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 conditio ers 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 syst$m combination.
Rated as follows in accordance with the latest edition of AHRI 2101240 - 2017 with A endum 1, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 45000
SEER: 16.00
FER (A2) - Single or High Stage (95F) : 13.00
V'Active" Model Status are those that an AHRI Certification Program Participant is currently pr
marketed but are not yet being produced: Productian Stopped" Model Status are those that an
selling or. offering for sale.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, war
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kii
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models
directory at www.ahridlrectory.0Vg.
TORM5 AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be use.
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be rel
entered into a computer database; or otherwise utilized, in any form or manner or by any means, a
personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridirectory.org, c
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.
AND selling or offering for sale; OR new models that are being
ertification Program Participant is no longer producing BUT is still
sties or guarantees as to, and assumes no responsibility for,
arising out of the use or performance of the product(s), or the
d configurations listed in the
for individual, personal and
oduced; copied; disseminated;
cept for the user's individual,
on `Verify Certificate" link
al
amma
AIR-CONDITIONING, HEATING,
& REFRIGERATION INSTITUTE
we snake life better-
02022Air-Conditioning, Heating, and Refrigeration Institute ]CERTIFICATE NO.: 132919197921046045