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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/13/2017 Permit Number: AIM 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 X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 127 QUEEN ISABELLA CT Legal Description: QUEENS COVE-UNIT 1- BLK 1 LOT F Property Tax ID #: 1414-701-0006-000-8 Lot No. F Site Plan Name: Block No. 1 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALLATION OF LIKE FOR LIKE 4 TON CARRIER A/C SYSTEM, 16 SEER WITH VARIABLE SPEED AIR HANDLER AND 10 KW ELECTRIC HEAT CONSTRUCTION INFORMATION: AcIcIrtional work to be ertormed under tispermit—check all appy: HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑ Electric 0 Plumbing ❑Sprinklers ❑ Generator Roof ❑ Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 5,895.00 Utilities:cnSewer El Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name JOSEPH H VARGAS Name: JAMES F GRIMES Address: 127 QUEEN ISABELLA CT Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: FL Address: 3054 N US HWY 1 Zip Code: 34949 Fax: City: FORT PIERCE State: FL Phone No. 772-466-5862 Zip Code: 34946 Fax: 772-461-8722 E-Mail: Phone No. 772-461-8711 Fill in fee simple Title Holder on next page (if different E-Mail: KAYLAGRIMESAC@AOL.COM State or County License: RA0018071 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFpRMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X" Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: 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 nowork or installation has commenced prior to the issuance of a permit. St. is inoconwi makes no any representation that Association) rulesabylaws or and covenants mayldfestrict or prohibit structure that 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 roams 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 recording our Notice of Commencement. �tgnature ofowner/Lessee/Contractor as Agent for OwnerSi s ure o to License HolderSTATE OF COUNTY OFORIDA S� �v ' STATE OF FLORIDA COUNTY OF__ ST- l,U C k The forgoing instrumRnt was acknowledged before me this j5�_ day /! lan P The forgoing instrument was acknowledged before me of Nil 20 (.`J_by this J5._ day of tj ebl020 1J_ by , ARIES �. G�f M I Vkfl�l�S F Ggl l'vi �� (Name of person acknowledging) (Name of person acknowledging ) (Signature of Notary Public- State Florida 0 WOLECil of ) (Signature of Notary Public- state of Florida ) Personally Known OR Produced Identification Type of Identificat' Personally Known _� OR Produced Identification Type of Identificati0 'R� '�F,; CHRISTINE EPPER Commission No. . - p4y COMMIS OR GG 081780 �;:R�e¢.i CHRISTINE CULPEPPER Commission No. t EXPIRES: January 11, 2021a O• MYCOMMIOUPGG061780 EXPIRES: Januna.�ryu�11, 2021 •yOifeQO� BMW Rwu Notary Pubkc iiallmmlem Revised 07/15/2014 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION SEA TURTLE MANGROVE DATE REVIEW REVIEW REVIEW COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 9200325 Date: 11/9/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA04810—Aa Indoor Unit Model Number: FV4CN(B,F)005L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, INC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, NO, NE, NH, NJ, NY, ON, OR, PA, RI, SO, UT, VT, WA, WV, Wl, 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: 16 SEER AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 21012404008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRlsponsored, Independent, third party testing: Cooling Capacity (Btuh): 46000 EER Rating (Cowling): 13.50 SEER Rating (Cooling): 16,00 IEER Rating (Cooling): Relinge lollowxl p an a5k'6h I-) Iash.lo a volume, fatale of larrar ly publimed des. Gress acWmpanied wi-a WAS. -rich intlesIes an andumary,gak. ,. AHRI eapmssy dlsdaims all nonlife,for do. en this Camfir ee. Certified ratings are slid ta, and assemee no r0sppnslMnty tor. or pnfpmsnoe a1 the pmd.eda, or Me TERMS AND CONDITIONS This Certificate and Its contents are pmptlmery products of AMR]. This C."Mcme shall only be used for Ind ifind, personal and Cmtlflcam may not, In nhaK oe In part. be mproduca0; apples; dInearaneted: confldentlal GAINS a Puryosas. The comenes of Nwisb ®e e form entered Into A computer database; or otherut11Ned, In any foor manner or by any means, eassa t for the useYS Imll odual, NMI pe.pnnl end epnfldCmlm refa ant . AIRCONGITONING, HEATING, CERTIFICATE VERIFICATION S REFHIGERAnON INSTt1iRE The lnformMlan Na, the modal c1.—Gas romn[a1e[nI be tended at v+vx.aM1rltllractory.orA, cll[k an -Verify C-.Ncate'IinF and enter the AMR] Cerllfied Refnencp Number and the data on wbicb the ceNMcale was Hamad, which Is listed abode, and Ole coarr ste No., which Is listed AT bottom dolt. '' — --- -- --- ©2014 Air -Conditioning, Heating, and Refngerallon Inst@me CERTIFICATE NO.: 131s489890042%364