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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:WA O/ % 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 Commercial Residential xxx PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5163 N AIA, BLDG D, 1ST FLOOR ELEVATOR ROOM Legal Description: OCEAN HARBOUR CONDOMINIUM D - A CONDOMINIUM COMPRISING A PART OF SECTIONS 10 AND 11 TOWNSHIP 34 RANGE 40 ALL MPD AND SHOWN IN DECLARATION OF CONDO OR 469-2640 Property Tax ID #: 1411-708-0000-000-8 Lot No. Site Plan Name: Block No. Project Name: i Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALLATION OF (1) 12,000 BTU CARRIER MINI -SPLIT, 15 SEER 115V CONSTRUCTION INFORMATION: 111 rtiona workto e erorme un ert ispermit-c ecxauulaiaooiv. ❑✓ HVAC Li Gas Tank E]Gas Piping 11 Electric El Plumbing Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 3,282.00 Shutters Q Windows/Doors Generator E Roof = Roof pitch Sc� FFtt.I of First Floor: _ Utilities: —Sewer[]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name OCEAN HARBOUR CONDOMINIUM ASSOCIATION INC. Name: JAMES F GRIMES Address: 835 20TH PLACE Company: -GRIMES HEATING &''AIR CONDITIONING City: VERO BEACH State: FL Zip Code: 32960 Fax: Phone No. 772-466-2630 Address: 3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-8722 Phone No. 772-461-8711 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: SUSANGRIMESAC@AOL.COM State or County License: RA0018071 „ VeIUC U, Wmnrrucuun n, p?zwu or more, a ncwnueu morice or commencement is requires. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: xxx Not Applicable MORTGAGE COMPANY: Yxx Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: xxx Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. xxx Not Applicable St. Is In conflictawith any applicable lHome Owners Association rulesabylaws or and covenants that may restrictbor 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 commencing work or recordinR vour Notice of Commencement S lature of Owner/Lessee/Contractor as Agent for Owner gnature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF sT.uclE COUNTY OF 9T LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thi%Z%"`dayoof gleAi/ 20/2by this 28TH day of APRIL 20 [ by (Name of person acknowledging) (Name of person acknowledging) Public- State of Flafida) r(Signature of Notary Public- State of rrrrrr Personally Known xx ro ulil Personally Known xxx Type of Identification � 1 yo Type of Identification Pr u '•`?'""•, SUSAN MO NEGRO EXPIRES: Apol 2.2021 +. NitGB069099— Commission No. Sw4w PubkUnde+wiilen Commission No. AP202U I� lawndwed Pubk Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS � O CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number: 7173463 Date: 4/25/2017 Product: Variable Speed Mini-Split Air-Conditioner, with Remote Outdoor Unit-Air-Source, Free Delivery Outdoor Unit Model Number: 38MFC012 --- 3 Indoor Unit Model Number: 40MFC012--3 Manufacturer: CARRIER CORPORATION Trade/Brand name: CARRIER Series name: 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. Manufacturer responsible for the rating of this system combination is CARRIER CORPORATION 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 AHR"ponsored, independent, third party testing: Cooling Capacity (Btuh): 12000 EER Rating (Cooling): 9.00 SEER Rating (Cooling): 15.00 CERTIFIED RATINGS FOR VARIABLE-SPEED, MINI- AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS (BASED ON COMBINATION TYPES) WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED EQUIPMENT. VISIT W W W.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON THIS CERTIFICATE IS ACCURATE. SEARCH ON THE AHRI REFERENCE # TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY. Ratings followed by an asterisk (") indicate a voluntary ramte of previously published data, unless accompanied with a WAS, which indicates an involuntary rerale. 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 an 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 04 confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copled; disseminated; -� irks ilm 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link ,cc nn�hc lili bot"', 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. ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: f 31375245587000093