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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/10/2018 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 X PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 4000 N HIGHWAY A1A APT 401 Legal Description: VISIONS UNIT 401 AND COVERED GARAGE UNIT Property Tax ID #: 1423-503-0005-000-1 Site Plan Name: Project Name: Setbacks Fn Back: Right Side: Left Side: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: I INSTALLATION OF LIKE FOR LIKE 5 TON CARRIER WATER SOURCE HEAT PUMP CONSTRUCTION INFORMATION: III uwuundi wurrc io De errormea unaertrns permit—cl ❑✓_HVAC Gas Tank E]Gas Piping 11 Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5,862.00 L-1ShuttersWindows/Doors liGenerator Roof = Roof pitch S Ft. of First Floor: _ Utilities: Sewer []Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name WILLIAM LLEWELLYN Name: JAMES F GRIMES Address: GOLF BAG LANE Company: GRIMES HEATING AND AIR CONDITIONING City: TERRE HAUTE State: IN Zip Code: 47802 Fax: Phone No. 772-595-3429 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: KAYLAGRIMESAC@AOL.COM State or County License: RA0018071 -"lull lb y14jUU ur nIure, d nccunucu notice or commencement is required. Name: — Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: x Not Applicable Address: City: ZiP: Phone: MORTGAGE COMPANY: x' cable':.r; _Not Applicable Name: Address: City ------State: ZIP: Phone: BONDING COMPANY: x N Name: ot Applicable "— Address: City. ZIP: Phone: I certify that no work or Installation has commenced prior to the Issuance of a permit. wmcn Is .Conflict with any appllcabre Home Owners �Assoctatlon rules,bylaws or and covenants that build ay restrsubjects ct o prohrihlt 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-resldentlal 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 Inspectlon. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of CommenrPmpnr c STATE OF FLORIDA `STATE OF FLORIDA COUNTY OF St, i I I� I COUNTV OF r a The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me this1,Qday of_R__ri I 20 Lby thisiLdayof_fty-i f —�_ 20 IR by ��1MFS l QltytFc 1 fi VVIFC %{? I (Name of person acknowledging) MFGanne of person acRnowledging ) ignacure or Notary Public- State of Florid ) Signature of Notary public -State of Florida Personally Know l_ OR Produced Identification Personally Known OR Produced Identification Type of Identification "•• SUSAN MONT TYPa of IdentlRca on Produced Commission No. <�� �' MYCOA{I9�IpN#06089099 Commission No. ? ; EXPIRES:" 2.2027-- SUSAN( g�NE0R0 +�^ . S�' 9onamfimNo�ayPuh�cUnderwimis FIT -1111 MYCOMMISSION#GG089099 Revised 07/15/2014 REVIEWS I FRONT I ZONING I SUPERVISOR I PLANS I VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW ATE REVIEW REVIEW INITIALS Certificate of Product Ratings AHRI Coed Reference Number: 7932241 Data : poet -2010 Model Status: Discontinued Old AHRI Reference Number : Product : Wa1er4o,Alr and Bridle -to -Ab, Model Number: SOPCVOOGU ' ICA Manufacturer Name :CARRIERCORPORATION Brand Name :CARRIER Rated as follows in accordance with ANSUAHRUASHAREJISO Standard 13256-1 WaMr40Aw and Brine -To -Air Heat Pumps and subject to verRcallon of racing accuracy by AHRlape a.ored, Independent third Party Meting: tfaodels wilh'Dergniklued'Motlal Status are those that en AHRI Ced? cion Pmgmm PaNupall no lager produces ANO knc began selling or dM4ng forseM turning that daakua g.e. WAS) retina. DISCLAIMER Full Load Part Load1 Part Load2 Part Load3 Air Flow Rate - Coaling: 2000 An Flow Ross- Heats,: unausorised Manhattan of data Read an MH Daniflcade. Certified ratings are rvlld only lar models and iudift mtris sued In the WLHP (Water4A op Heat Pump.) directory at www.ahrMlroctpry.org. Cooling Capacity (Stun) 579M Gaoling EER Rating (StuhisaR) 1300 Gaoling Fluid Flow Rare (gpm) 15.00 Heatirg Capacity (Btuh) 67200 Hearing Cop(weruwatt) 4,30 Heating Fluid Flow Rate (gpm) 15.00 GWHP (Greurltl Water -fleet Pumps) ©201BAirConditioning, Heating, and Refrigeration Institute i CERTIFICATE NO.: Cooling Capacity (Stuh) CDakng EER Rating (SbllUWad) Cooling Fluid Flow Rata (gpm) Heating Capacity (eluh) Heating COP (watVwaH) Heating Fluid Flow Rate (gpm) GLHP (Ground loop Haat Pumps) Cooling Capacity ((lain) 60100 Coding EER Rating (BIulVWan) 14.10 Cooling Fluid Flow Rate (gpm) 15.00 Heating Capacity(Stm) 46900 Heating COP (wattnvah) 3.20 Heating Fluid Flow Rate (gpm) 15.00 Indoor BIowM Motor Fan Type :PSC Sold In? : USA tfaodels wilh'Dergniklued'Motlal Status are those that en AHRI Ced? cion Pmgmm PaNupall no lager produces ANO knc began selling or dM4ng forseM turning that daakua g.e. WAS) retina. DISCLAIMER - AHRI does not endorse the pmdses) listed do this CartMcate add makes do representations. warranties or guarantees as m, and assumea my responsibility br, the Precedent) IKted On the cartoons. AHRI-press, ssulalms all Idme,nor d...,a of say Mad ming out of the mad or Performed. 0 the produrel Is Me unausorised Manhattan of data Read an MH Daniflcade. Certified ratings are rvlld only lar models and iudift mtris sued In the directory at www.ahrMlroctpry.org. TERMS AND, Met of oma This Certlrlcah aM na onlen6 are ppplletaryprWac6 or AHRI. This LMlflcal¢ahNl only be xsM far Ind; ceisse and conddennal any-pep.rpnsdayl oromentsof tnlsal Inamemay od,Mwhde a tl; copl entered into a dampener da or otherwise In Mrm u[I14eq any any a manlier or q any mean; epceptfpr the oasts IadlNtlual, dramre xceldl .undessseminal. Personaland ledenc TIOmnce. .IRLRIGERA ION E VERIFICATION CERTIFICATE VERIFICATION a[eadbe vn Red .1 [Iles an `Vedr4 eertmeeb'llnx Theand Information Mernend Nu BREFPIDERATdpx INal1TUrE INSTORM, andh Reihean beta which NumberedMlhetlaMaswhish the certifkate was issued, entreatywts added AHRIeand `� nwki :ll<Imlr' Is Ise Th Certificate whkhblWed Above and Me 4rriflcate No, which is listed at bottom dltlt ©201BAirConditioning, Heating, and Refrigeration Institute i CERTIFICATE NO.: t3t8i8301810159B0