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HomeMy WebLinkAboutSUBMITTED PAPERS'Date: Fee Due: Receipt# Permit # 7 / Planning & Development Services , Building & Code Regulations Division SCANNED 2300 Virginia Ave. S g Y Fort Pierce, FL 34982 �cie COUnty (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ Shed ❑ Demolition Seepage 2 for instructions and 1. Location/Site Address: 2. Parcel ID Number: �51. I �1F LJl ® HVAC ❑ Fence ❑ Gas ❑ Siding paperwork requiredfor specialty permits Office Use Section Township Range Map Page Zoning Land Use Initials Only 3. Complete Description of Project or Wor4, , LIKE FOR LIKE CHANGE OUT 5. Contractors Information rr FL Reg/Cert #: CA901 6 4 4 6 I� County Cert#: 8283 _ Business Name: SEA COAST A/C (tone:466-24A00 Fax: 466-3053 6. Value of Construction: S ' OWNER'S AFFIDAVIT: I certify that all of the information contained in this compliance with all applicable laws regulating con: JOHN V LANGEL PRINT OWNER OR CONTRACTOR NAME SIGNATURE STATE OF FLORIDA, COUNTY OF ST . LUCIE ACKNOWLEDGED $EF ME THIS M DAY OF 2 HASPRODUCED NOTARY PUBLIC O'�"�iE Ala FLORIDATRACY LANGEL �' '.s 1^dlYil�I ���11124 TYPE OR PRINT NAME OF NOTARY �C)ffQ 1<ti'3a/ 92 4 NOTICE:TO�OWNER: FAILURE TO: RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER.OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C=HEATREP.LACEMENT WITH CONTRACT UNDER $7500.00 Revised,04/26/2010: AHRI Certified Reference Number: 5677889 Date: 2/19/2014 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1448H41C* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Series name: GPC14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Ratings followed by an asterisk (*) Indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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.ahrldlrectory.org. TERMS AND CONDITIONS1341 This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and r,., 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 user's individual, 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 maize 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. ©2014 Air -Conditioning, Heating, and Refrigeration •institute 02/20/2014 09:16 7724663053,_ SEACOAST AC PAGE 02 Date: Fee Due: receipt# Permit # ..R, Planning & Development Services Building & Code Regulations Division >♦ 2300 Virginia Ave. Port: Pierce, FL 34982 (772)462.1553 SPECIALTY PERMIT APPLICATION ❑ Electrical 1:1 Plumbing 0 Shed 1l Demolition See page 2 fa hystruchons a.nd 1. Location/Site Address: f 2. Parcel ID Number: II HVAC ❑ Fence ❑ Gas Gl Siding iganai paperwork rlequired for specially) perndi,5 Office USE Only Section Tnwuship •I11ingc Map Page 7,4041g Land Use Initials Description o Project: or Wftw. LIKE FOR LIKE CHANGE OUT :)n . - 4. Ownet•4 En ormation 5. Contractors Wormation acne: ,�.4 FL Reg/Cert#; CA0016446 Addres.ss t /C/ V� County Cert#: $ 2 8 3 City. State: Business Natne: SEA COAST A/C Zip: 1 Phone: � � (lone:466-2400 Fax: 466-3053 6. V;Ilue of Construction: $ OWNUR'S AFFIDAVIT; I certify that all of the hiform.:ition contained in this compliance with all applicable laNVS regulating cony, _J_C?HN V L Nam,, , _ PRINT OWNER OR CONTRACTOR Kiw[; STONAT IRE STATE,. OF FLORIDA- COUNTY OF $T • r LUCIEQ ACKNOWUDGL;D I, THIS l DAY OF 6L_ �' WT I • UONAI,I,Y KNOWN T G TJT{'VgHO HAS f'RO.DUCGD OMMf. 3UN N Rry done in NOTARY Pais is ATATE OF PLOR113A PA"Mi 12004924 "-iiplr 59, * da4, NO•TIC ETOOM'NER; FAILURE 1-0 RECORD A NOTICE, OF COMMENCEMENT MAY RTSLILT IN YO11R PAYIIVG TwTCE FOR IMPROVEMENTS 'TO YOUR PROPERTY. IF Yplf fNTEND TO OBTAIN F'INANCTNG, CONS111,'f WITH YOUR LENDER OR AN ATTORNEY .T3E.FORE RF,.C,'O.RDTNG YOUR NOTICE OF COMNIENCEMENT, EXPMPT; A/C,.ITIGAT REPLACEMENT W TII CONTRACT TINDER 57500-00 RIeVIZed (14/2(,/2010 02/20/2014 09:16 7724663059 _ SEACOAST AC PAGE 03 Certificate of Product Ratin AHRI Certified Reference Number: 5677889 date: 2/19/2014 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: OPC144SH41CI S Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Series name: GPC14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third party testing: • Ratings fellmved by an asterlyk (') IndlCala s voluntary rorate of previously publlahad date, unless accamponled with a WA$, which Indicah,s an Involuntary rerele DISCLAIMER AHRI does not endorse the pradurt(s) listed on this Certificate and makes no representatlpns, warranties or guarantees at to, and assumes no responalblllty for, the product(&) listed on this Certificate. AHRI expressly dIxcltrlms all Ilabillty for damages of any kind orlsing out of the use or performance of the product(s), nrthe unauthorized nitcratlon of data listed on Ihls Certificate, Ccttlffed ratings are valid only for model's and configurations listed In the directory at www.ahrldlrootory.org. TERMS AND CONDITIONS This Certintatc and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and confidential ■cference purposes, The eohtcnts ofthis CertifICAIo may not, In whole or In part, be rePvoduced: copied: disseminated: entered Into a tomputer databorc: or otherwise utilized. In any form or manner or by any means, oXcopt for the user's Individtiai, A-M, pemonsl and confidential reference. A!n•OOIvgITIONINp, ttFATING. CERTIFICATE VERIFICATION R-COMPITIONorv, KATING The Information forthe model cited on this Certificate Can be verified at www.shvidirectory.org, click on •vorlfy Certificate" link OTP And enterihe AHRI Certified Reference Number and the date on which the certificate was izsuad, „s mai:c 16C bectcr- which Is listed abmo, and the Ccrtlflcato. No., which Is listed at bottom right. —� - -- .._ —�_ ___••, ©2014 Air -Conditioning, Heating, and Refrigeration Institute 101 :.,• •. • , � ��"�CATE fNO.:130372986343712555 TRANSMISSION VERIFICATION REPORT TIME 03/11/2002 20:10 NAME FAX TEL SER.# BROF3V449734 DATEJIME 03111 20: 09 FAX NO./NAME 94663053 DURATION 00: 00: 52 PAGE(S) 03 RESULT OK MODE STANDARD ECM