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HomeMy WebLinkAboutSUBMITTED PAPERSrDate: Fee Due: Receipt# Permit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERIMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence SCANNED ❑ Shed ❑ Demolition ❑ Gas ❑ Siding St. Lucie CCOLinty Seepage 2 for instruction and Wtional paperwork reRiryd for specialty permits 1. Location/Site Address: 2. Parcel ID Number: Ous 1appi coo 6 Office Use Only . Section Township Range Map Page Zoning Land Use Initials 0 Owners Ipif ati^ n Name: s 1'0�cj( N\v��l{, �L I'� 5. Cont City: ai State: Zip: V� Phone: ��� 6. Value of Construction: O ts— ractors Information -%eo ��; f (' FL Reg/Cert #: County Cert#:-WO �+O Busm Us Name: ���. �— Phone• ' `-at) Fas: ' OWNER'S AFFIDAVIT: I certify that all of the information contained in this appli I—%— co'Tpliance with all applicable laws regulating constructi &n , V�'% PRINT OWNER OR CONrRACTOR NA E // SIGNATURE 0 STATE OF FLORIDA, COUNTY O l.�l ACKNOWLEDGED BEFORE ME THIS DAY 0 iE L BY NOTICE OR k will be done in �Cel )NALLY KNOW OR WHO HAS PRODUCED r TYPE OR PRINT NF A NOT� �,���.�j���� NUMBER C 'Cy (�"(�(1 AM K 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 -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00 Revised 04/2612010, AHRI Certified Reference Number: 5696965 Date: 9/8/2013 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1348M41C* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR 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: Cooling Capacity (Btuh): 45500 EER Rating (Cooling): 11.00 SEER•Rating�(Cooling): . 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.ahridirectory.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 form or manner or by any means, except forthe user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at wwmahridirectoryorg, Air -Conditioning, Heating, click on "Verify Certificate" link and enterthe AHRI Certified Reference Number and the date on IBM Vi® and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2013 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130231318672710545 09/08/2013 11:54 77246630F? SEACOAST AC PAGE 02 • Date: I li ee Due: � Recei t# q Permit # t30 � bd � Planning & Development Services Building & Code Regulations Division >t 2300 Virginia Ave. • 1z I CrFort Pierce. FL 34952 (772)462-1$53 SPECIALTY PE.Rib1IT APPLICATION �I Electrical ❑ Plumbine �KJTVAC 13 Fence ❑ Shed ❑ Demolition 1.3 Gas ❑ Siding See page :for instrucdons and a ditlonal paperwork re it d for specialty permirs I. Loc2t9on/Site Address: t-�ILJj� f 2. Parcel ID Number; 1 �_ Ofr4ce Use SecJan Only 3. C, orfifpletc� ptio P, 1 cJi 1 4, Ow Name: r City: 11 i Stale: 7i•pa 4 Phone: 6. Value of Construction: Ots— p I Range I Map Land Use S. Contractors loTornaotion FL Reg/Cert ft: County Certt;:: ausini'93 Nome: Phone 'a Fax: OwNrTR'S AFFTDAVIT; i cer;ifv that all of, the information contained Itl this appiiCatio rrcct h l worlc will be done in coTpliancc with afT applicable laws regulating constnIction n—.36n I N .. , — ' g PRINT ()WNER Z C 'R;NC i OR VA E SIGNAT' ..RE U • R OR CONT CT(7R STATE OF FT�ORIDA, COUNTY 0 ..kCKNpWLEDGF,i7 BEFORL NIE TI-1IS DAY Q p BY ,� f WI PL;RSO11 LY K,11U OR WHO HAS PRODUCED _ �^ AS ID SIG 1 TYPE .R PM- T , i: IA JF NOT , CO ISSION NUMBER LT"Frfr vOTLCE PAILURE TO .RECORD A NOTICE OF C0MMEFTCEM.r0T MAY RESULT IN YOUR PAYING FR IMPROVEMENTS TO YOUR FROPtRTY. IF YOU INTEND TO OBT,%fN FINANCING, CONSULT WITH I 1+YO1'R LENDER OR AN :ATTORNEY BEFORE RIiCORnING )(OURNOTICE Of COM'bTF,VCEI4.E�tT. ZXRMPT; a ('-1jEAT REPLACr!WENT WrrH CONTR,%CT UNAER 57.500,00 Re'viwd 04/26/2m 09/08/2013 11:54 772466305'?_ SEACOAST AC PAGE 03 esil''MCertificate of Prod-uct Ratings AHRI Certified Reference Number: 5696965 Date: 9/8/2013 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1348M41C* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AiR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CID,, 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 crating accuracy by AHRI-sponsored, Independent, third party testing: Cooling Capacity (Btuh): 45500 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 WWII felibWgd by Or, asterisk (I Indlesie o voluntery Wale of previously publlaned data, unleve eccompa nled wllh a WAS, which indlee{oa an Involuntary rorate. " DISCLAIMER MEOW AHRI does not endorse the Product(i) Rated an this Cerdriicats and makes no represontatlons, mwrantles or guarantees as to, and assumes no v0sponsibility for, the prvdum(s) listed en this Certificate. AHRi expressly disclaims all liability Ibr CONDITIONS damages of arty kind arising out of thB use or pe+formanoo of the productaA or -the TERMS AND unauthorized alteration ata listed on this CertlOceto Certliled ratings Are valid Only for models anti configurations listed In the directory at WWK.khrfd1retWrysorg. NDIof d This Certificate and its contents are proprietary products Of AHRI.71tis Certificate shall only ho used for individual, personal and confidential erence pu refrpo se o, The COntUns Ofthta COM11cate may not, In whore or in part, by reproduced; copl*d; dleaemfnntedt ontared Into a compub,r databmae; or dtilblyd uefaxedin any form or mamreror by airy means, except for the user's Individual, personal and confidential refemnce6 , CERTIFICATE VERIFICATION The infomration for the model oiled On this r ortificate can he vorffled at wwmahnoirectory,Org, Click on "Verify Certlfrcare" fink and anterthe AHRI Certified Reference Number and the data On Air -Conditioning, Heatio,g, which the Certificate was Issued, which Is fitted above, and the Certlfieats No., which Is listed below; and Refrigeration Institute 02013 Air -Conditioning, Heating, and refrigeration Institute CERTIFICATE NO.: 1502313185727'10545