HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 7247 Pine Lakes Blvd
Legal Description:
Property Tax ID #: 3422-596-0007-0006
Site Plan Name:
Commercial
Project Name:
Setbacks Front Back: Right Side
DETAILED DESCRIPTION OF WORK:
Left Side:
Replace existing AIC Unit with a Goodman 2 Ton 14 Seer 8410
Air handler model# AWUF250516
Condenser model# GSX 140241
Residential X
Lot No._
Block No.
0
CONSTRUCTION INFORMATION:
A it,itiona wor to e er orme un er t is permit – c ec a app y:
ZHVAC Gas Tank❑Gas Piping _Shutters windows/Doors
Electric LJ Plumbing FISprinklers Generator 1-1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,000.00
OWNER/LESSEE:
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Name PL Borrower LLC
Address: 880 Glenwood Ave, Suite H
City: Atlanta State: GA
Zip Code: 30316 Fax: —
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Oscar A Calzadilla
Building Height:
Company: Unico Air Conditioning Company
Address: 25 SW Cabana Point Circle
City: Stuart State: FL
Zip Code: 34994 Fax: 772-647-7525
Phone No. 772-678-6676
E -Mail: nikki cpunicoservice.com
State or County License: CAC1814920
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DESIGNER/ENGINEER: — Not Applica
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:
State:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable f BONDING COMPANY: Not Applicable
Name: _
Address:
City:
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, consult with lender or an attorney before
commencog work or rpcording your Notice of Commencement.
SignaturePf Owner/Lessem/Contractor as Agent for Owner Signatu of Contractor'
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Miami Dade COUNTY OF Miami Dade
The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this '-13dday ofT.x tet 20 ib by this zstn day of September 20 "o by
Oscar A Calzadilla 1 Oscar A Calzadilla
(Name of person acknowledging) (Name of person acknowledgin )
n
{Sign ture of Notary Public- St to of Florida )
Personally Known x OR Produced Identification
Type of Identification P
Commission No.
Revised 07/1.5/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
Z'
(Signat re of Notary Publi State of Florida )
Personally Known X OR
Type of Identification Produce)
MARTA AGOIRRE
h1Y Col 1^� 4 FF 095121 Commission No.
EXPIR �; rCh 9, 2018
Bonded Thru Piotary Public Underwriters
ZONING SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW REVIEW
Identification
WIAHTA AGUIRRE
MY CLI MISSION # FF 095121
{5: MBrCh 9, 2418
Mended Thru Nntarypy�ilc Uridarwrdera
SEATURTLE I MANGROVE
REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 8631966 Date: 8/2/2016
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: GSX140241 L*
Indoor Unit Model Number: AWUF25XX16A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI 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, Wil, 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 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)_ 22000
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
iEER 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 shalt 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. jr1w No -WE
personal and confidential reference. AIR-CONDMONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verrfied at www.ahridirectory.or, , click on "Verity CertiflcaW link xE� snake life bortee-
and enter the AHRI Certified Reference Number and the date on Wiliefl 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 CERTIFICATE NO.: 131146240745279080