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HomeMy WebLinkAboutSUBMITTED PAPERSDate: ❑ Electrical ❑ Shed Fee Due: I Recei Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce; FL 34982 (772)462-1553 Permit # SCANNED BY St. Lucie County SPECIALTY PERMIT APPLICATION ❑ Plumbing ❑ HVAC ❑ )Fence ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty per»dts Location/Site Address: 5A�oflPnl QJe51, '`te r 2. Parcel ID Number: 3. c 4. Owners Informatioi Name: Teerr Address: City:- • '�' Township Range Map Page Zoning Land Use Initials Office Use Section Only of ( G Zip: Phone: 6. Value of Construction: 5 �� / ✓' Contractors Information lops Business Name: / 11, !� V , �. �� FL Reg/Cert #: County Cert#: OWNER'S AFFIDAVIT: I certify that all of the information contained in this app cati n is co a and all work will be done in j compl-J6-'Y)niance with all applicable laws regulating cons ion nd o in . PRINT OWNER OR CONT TOR NAM SIGNAT WN R OR NTRACTOR STATE OF FLORIDA, COUNTY OF �-AMQ- I ACKNOWLEDGED BEFORE ME THIS �_ DAY OF BY Gj WHO IS PERSON "OWN TO ME �R WHO HAS PRODUCED aAE IFIC SIGMA UR Y TYPE OR PRINT NA E OF NO ARY r" Vhrn&,,, Z pp, COMMISSION NUMBER'. �� `� >� q, ig�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. E}FEMET: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00 Revised. 04/26/20 10 c 09/09/2013 08:12 7724663085- SEACOAST AC PAGE 02 Date: ( Fee Due: Receipt* Permit f Planning & Development Semices Building & Code Regulations Division 2300 Virginia Ave, Fort Pierce, FL 34982 (772)4624553 SPECIALTY PER,NTI.T APPLICATION ❑ Electrical El Plumbing D� 13VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paapeerwork requiredd for specialty permits I. Location/Site Address: 5ACf� Fr) do-.W7"�) 1 2. Parcel fi) Number; Office ilce _ Only Section Township Range Y(np Page Zoning Land Use Inithik of Pro,iget or work: _ C/ ' D 4. Own Name: Ad4iress City; Zip: q ( Phone: 1 U. Value of Construction: S 17M51�� OWNER'S AF'FIDAVTT: I CCrtif/ PRINT OWNER OR CONTkOCTr�R STATE OF FLORIDA, CQIJ `ITY OF ontractorS loformation if FL ReglCert 41 () 9��p Xokl - County Cert#: l Business Nome;0- Pkto�_ Fax: this appfcation is co with all applicable laws regulating S7GiqATr F0QjWNff R OR all work will be dons; in ACKNOWLCDCiED BM)RI MGT�i1S "_ DAYOF 2 By WHO IS PERSON, OWN 1-0 NIL R WIiO HAS PRODUCED A P�-' T� _ fril' � N � I v '4�}" ra?T !Wit s1r,NA LR �= B 'oo ! 1 its �^ TYPE QR FR. r1N .l')F v0 .CRY /�q COMMISSION C�ilr �'��iYtt 1"W ISSION NUM IM IvOTICF.TOOwNER r:�ILURE 'rO RECORD A NOTICE OF COMME'l MMEilT -MAY RESULT LN YOUR PAYINt; TWICE FOii IMPROVEMENTS TO YOUR PROPERTY. (I,' YOU INTEND TO OBTAt)r VIMNCING. CONSVI,i WMIJ YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOTICr. OF COMMENCEMENT. EXEMPT! A/C -HEAT REPLACEMENT WITH CONTRACT L VDER S7500.00 Revised 04126MI(I ♦' This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. AHRI Certified Reference Number: 5924357 Date: 9/9/2013 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160421F* Indoor Unit Model Number: AVPTC42D14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONINq IND 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): 41000 EER Rating (Cooling): 13.00 SEER-Rating,(Cooling): ;- 16.00 * 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.ahridirectoryorg. 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 for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information forthe model cited on this certificate can be verified at www.ahridirectory.org, Air -Conditioning, Heating, click on "Verify Certificate" link and enterthe AHRI Certified Reference Number and the date on 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.: 130232030380548020