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HomeMy WebLinkAboutSUBMITTED PAPERSG Date: I Fee Due: I Recei Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Permit # 1 J SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence SCANNED BY ❑ Shed ❑ Demolition ❑ Gas ❑ Siding St. Lucie County Seepage 2 for instructs ns a adrditional�papperrwwoorkk required four specialty permits 1. Location/Site Address: � 2. Parcel ID Number: 3. 4. Owner: Name W Address: City: Zip: 6. Value of Construction: San q 0 S� Township Range Map Page Zoning Land Use Initials Office Use Section Only , ontractors Information FL Reg/Cert #: County Cert#:l)_/ Business Name: a� Phone .au Fax: OWNER'S AFFIDAVIT: I certify that all of the information contained in thi �� � cot�l�ance with all applicable laws regulatin2-1 OF all work will be done in STATE OF FLORIDA, COUNTY OF C ACKNOWLEDGED BEFORE ME THIS DAY OF 20 I/ BY Y� WHO IS PERSON WN TOME L�OR WHO HAS PRODUCED LANGEL 4ASNjICE?, � NOVARy pUIRLIC �SATE CF FLOR1®A 0 O ram~ TYPE OR PRINT N OF i ARY /q/C �e CoMM01961024 E Pxplr8s t� 0/2014 COMMISSION NUMBER 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•AT.TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EYEYIPT`. A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00 Revised:04/2'6/2010r 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: 5677887 Date: 9/9/2013 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1436H41C* 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): 35600 EER Rating (Cooling): 12.00 SEER -Rating (Cooling): ; -14;00 4 g xr * 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 wwvi.ahridirectory.org, Air -Conditioning, Heating, click on "Verify Certificate" link and enterthe AHRI Certified Reference Number and the date on POU1111111 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.: 130232144812485475 09/09/2013 10:55 77246630E�'-� SEACOAST AC PAGE 02 Date: OUNTY r L O Ft ' i I7 F4 Fee Due: Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pieres, FL 34982 (7^,2)462-1553 Permit # 1-6014 SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing M HVAC 11 Fence C1 El Shed Demolition Gas 0 Siding Seepage 2 f r r instruedg rs a addi ona[ paperwork required for specialty permits 5031. Location/site Address: q 2. Parcel ID Number: 3. 4. Ow Name: Addressr City: VA-. • �tatc: Zip: r Phone: 6. V'aluc of Construction: S 0a."~ S_ Contractors Information FL Reg/Cert #: Counry Certo Business Name: Phone: [W Tax' OWNER'S AFFTpgYIT: I certify that all of the information COntahicd in this pp}' atioJn ' c ect at all avor� well he done irr, -'L���ance with all applicable laws regulating c r�l ni 1 Y /iP STA-F.. OF FLORIDA, COI RNTY or _ 6� .aCIGuOWLL'DG$b BEFORE ME T3-IJ5 _ DAY OF ..�� BY WHO IS PERSONALL*4Q4UWN'i O NIF lIaR WHO RAS PRODUCED A5 °IC�t f _ J.AfVGL PIMARYpjjSj,, J 5] PATL' pp FLQR(Q i i _9 . U TYPE OR PRINT N ,I : OF, .CRY COMMA �b2� (:OMIMMISSiON NUMBER_ P-xNire.q NOTICE TO OWNER: FAILURE To RECORD A NO77CE Or COMMENCEMENT MAY RE -STILT IN .YO1.;4� P.1Y1NG TWicr FOR 1MPROvR,Y0ENTS TO YOUR PROPERTY, IF YOU INTEND 'tO ORTAIN FINANCING. CONSULT WIT1) '101JR LENDER OR AN ATTOkNEY REPORE RECORDf'YG YOUR NOTICE OF COMMEN( E,viEN7, E LZIMPT; A/C -BEAT REPLACE.NTENT wrrH CONTRACT UNDER $ 500.00 ncvised n412'6r.010 09/09/2013 10:55 772466365�- SEACOAST AC PAGE 63 ��wai CERTIFIED www.;llrridfre.rto'ry.pril M This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dee 31, 2013. Certificate of Product Ratin AHRI Certified Reference Number: 5677887 Date: 919/2013 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1436H41C* Manufacturer: GOODMAN MANUFACTURING CO., LP, Trade/grand 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 CIa, LP. Elated as follows In accordance with AHRi Standard 210/240-2008 for Unitary Air -Conditioning and Alr-source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh). 35600 EER Rating (Cooling): 12.00 SEER Rating .(Cooling): 14.00 Reunga foff—d by On aaterisk (I fndlgte a voluntary rerate Of previously publlahed data, Move aceompanled wlat a WAS, which Indlcetes en Involuntary rente. DISCLAIMER AHRI does not endorse the the listed produq(a) listed on tilia Certi irate end makes no representations, viarrantlas or guarantees as to, and assumes no responsibility for, 4nsudt"edlakerstlen o id to listteeddtan thislCertlFcate. Certified ratieggllity FOr are altd only for kind daconflguratip a gartgd or peIn the "n* a efft produG4 h or TERMS AND CONDITIONS ry at Www,ahydirectonrorg. This CertRlcute and Its oontgnta arc proprietary products of AHRI. This Certificate &hall only be used for htdividuai, personal and confidential referenceutuputpooeized, In shyo. Tile codents of this Certificate may not, In whole or In part, be reproduced; copmd; dissamInatad; entetod Into a compudrr database; or othe form or mannerarby any means, except for the user'a Individual, personal and confidahtlel reference. rwise CERTIFICATE VERIFICATION The Infarmetlon for the model cited on this certtfk:ate van be vortfied &t www ihridirm. wry.org, cgck On "Verify Cettifirete" Ilnk and ehter the AHRI Certiflod Reference Number ohd the date on Air Condifioning, Herod ng, which the CertH9eate was Issued, which is listed above, and the Cerdfleate No., which Is Hated belovti blow III and Refrlgorsftitan Institute 02013 air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO,: 130232144812485475