HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 1909 SAND SHOT WAY
Legal Description:
Property Tax ID #: 332750202050001
Site Plan Name: CASTLE PINES
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: . Left Side:
Replace existing 2 ton unit with new
Goodman 2 ton 14.0 seer air conditioner w/5kw heat
Like for like
models GSX140241ARUF29B
Lot No. UNIT 4321
Block No.
---_ _. „�......,......,�,
AOClitional work to be pertormed
�
under this permit — check
a appy:
.Name: Tracy D Steele
HVAC Gas Tank
0Gas PipingOGenerator
Shutters
Q Windows/Doors
DElectric FlPlumbing
Sprinklers
Roof
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of Construction: $ 3000.00
Utilities: Sewer E] Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jarrott Brogdon
.Name: Tracy D Steele
Address: 9109 Sand Shot Way
Company_ Tracy D Steele Air Cond. Inc.
City: Part St Lucie State: Fl
Zip Code: 34936 Fax:
Phone No. 772-323-3233
Address: 2750 SW Edgarce St
City: Fort St Lucie State: FI
Zip Code: 34953 Fax:
Phone No. 772-336-2443
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
1411-1 ..t - Aw
E -Mail: tdsac@aol.com
State or County License: CAC035553
0 .1 vnvcv IMuucc OI %.ummencement is requlrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consul with lender or an attorney before
commenli ng work or recording your Notice of Commencement.
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_ Signature of Ow °er/ Less, /Agent
Signature of ContctaVU&nse HoId76r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF stw ie
COUNTY OF St Woo
The for ping was acknowledged before me
The forgoing instrument was acknowledged before me
of
this �0 day of ..�v/JC 20 ZLby
this � day of _)i yy) r_ 20 &,- by
TRACY D STFELi6-
TRACY D STFELE
(Name of person acknowledging)
(Name of person acknowledging)
'4�'L AZ4��L- -
'�, �L '2a�jj��
(Signature of Notary Public- State o Florida)
(Signature of Notary Public to of Florida )
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No.
Commission No. (Seal)
;a:- ��; DANIEL F STACEY
;,°t: - a DANIEL F STACEY
W. MY COMMISSION *FF081098
M EXPIRES February 23, 2018
Revised 07/15 2d �
� EXPIRES February 23, 2018
(407) 396-0153 FloridallotaryService,com
i om
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratinas
AHRI Certified Reference Number: 8655532 Date: 6/1612016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: GSX140241L*
Indoor Unit Model Number: ARUF29B14A*
Manufacturer: GOODMAN MANUFACTURING CO,, LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; I=NERG1 AIR
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA
AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, UT, 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 conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name: GSX14
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:
Cooling Capacity (Btuh): 23600
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
JEER Rating (Cooling):
* Ratings followed by an asterisk (i) indicate a voluntary rerale 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.ahrtdirectory.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 for the user's individual, AM
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
Theinformation for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link Nve make 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. 131105$30324493309
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: