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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/25/2018 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 x Residential PERMIT APPLICATION FOR: Mechanical QSED IMPROVEMENT LOCATION: Address: 10410 S OCEAN DRIVE PH 10 Legal Description: HUTCHINSON ISLAND CLUB-PENTHOUSE10 Property Tax ID#: 4511-514-0091-000-3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALLATION OF LIKE FOR LIKE 3.3 TON CARRIER WATER SOURCE HEAT PUMP CONSTRUCTION INFORMATION: Additional workto a erorme undert ispermit—c—check:a appy: Z✓ HVAC Gas Tank Gas Piping _Shutters Windows/Doors Electric Plumbing Sprinklers Generator 0 Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction: $ 5,535.00 Utilities:cnSewer 1:1Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name BETH COLLINS Name: JAMES F GRIMES Address: 10410 S OCEAN DR PH 10 Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State:FL Address: 3054 N US HWY 1 Zip Code: 34957 Fax: City: FORT PIERCE State:FL Phone No.7722140492 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 from the Owner listed above) State or County License: RA0018071 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. llk�. VIM DESIGNER ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name- Name: Address: Address: City: State: City: State: Zip: Phone: Zip.,-Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: 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. SWU Ise County makeno represe,%Ition that Is granting a rmit will aut orIzethe ermit holder to build the subject structure w ctc, In con Ict wit anX applica a Home Owners Assoclaotion rule ,bVP6 w covenants that rn estrict or prolibIt such structure.Please consult w th your Home owners Association and review youi fe r any restrictions aw"hich Me,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 concurrencV review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-resIdentlal 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 cornmenciniz work or recording your Notice of Commencement. ef rtzture of Owner/Lessee/Contractor as Agent for Owner SPature of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST- l-Ocx� COUNTY OF st t-Uc k E-- The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me this 7-IS day of�2 t/1 1 20 M-by thIs.ZtL day of &j2 v 20 _j&by J&�Iwc- J P :-S 'P ('VnhAF�s -VM'E-S E (Name of person acknowledging) (Name of person acknowledging) Wgan2ature of Notary Public-State of Florldd -ISignature of Notary Public-State of Florida Personally Know qe---� OR Produced Identification Personally Known >!e OR Produced Identification Type of identification - - a Type of Identificatfort Produced 110,11" SUSUWAMN NTENEGRO '106 .' Commission No.. mycow"PN#0008M Commission No. "T..' SUSAN"NEGRO EXPIRES:APA 2-2021 Rr tiMYCOMMISSION14GG0890" WOO Diu Nvoy NW UNIUM0% 112.2021 Revised 07/15/2014 .&,J Thm Notary Pubik uQdemabrs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS CERTIFIEW Certificate of Product Ratings AHRI Certified Reference Number:M1835301 Dare 04-162018 Model Statue:Active Old AHRI Reference Number: Product :Watarf Alr and Brine-to kir Model Number:SOPCVWIUR'C31CA'AJJ/DIF t4anufactumr Name :CARRIER CORPORATION Brand Name :CARRIER Rated as follows in accordance with ANSUAHRUASHARERSO Standard 132515-1 Water-toi and Brine-To-Air Heal Pumps and subject to verification of rating accuracy by AHRbporBoted.Independent third party testing: Full Load Part Loadt Part Load2 Part Unfit Air Flow Role-Cooling. 13M Air Flow Fate-Heating: WLHP jYVater{oop Heat Pumps) Cooling Capacity(Btuh) 39500 Coding EER Rating(BWNwaR) 13.W Coding Fluid Flow Rate(gam) 9.00 Heating Capacity(Btuh) 446M Heating COP twarkii 4.30 Healing Fluid Flow Rate(gpm) 9.00 GWHP(Ground Watur•Heat Pumps) Coding Ciesunty(Bien) Cooling EER Rating(BWPJWaR) Coding Fluid Flow Rate(gpm) Heating Capardy(Btuh) Healing CAP(wiftha aD) Heaing Fluid Flow Rate(gpm) GLHP(Ground{oup Meet Pumps) Cooling Capacity(Btuh) 41200 Cooling EER Rating(gNhNVaft) KW Cooling Fluid Flow Rate(gpm) 9.00 Haetbg Capacity label) 29400 Heating CAP(watVwad) 3,20 Heating Fluid Flow Rate(gpm) 9.00 Indoor Blower Motor Fan Type :PSC Sold In? :GSA YAckne'Model SWWs are NVale that an AHRI Commotion program Parliament is amenNy producing AND selling or seemed for arm.OR new modulo filet we beat maNeted but are nd yet being Precte en'Production Stopped'Modal Status ere Moose Met ad AHRI CaNScatbn Program Parlltlpant Is me larger pladudng BUT IS still selling or offering br aeb. 8.1 1 1 Tn , yl rndam le.w DISCLAIMER AHRI does not endono the Prudential send on this Cei and makes no transformations,warranties at guarmari as to,and assumm no resimaratEllhy for. the protluce.)]Islas on this Certlncate.AHRI colpho sly declaims all Nabs"for damages of any kind miming out of the use of Performance of the Produdls).or the unauNoriand alteration of your Idled oa this Car insole.Certified rests are Cited Only tar mMels hand commutations NXed in lime directory at v,—.nhrldimnma,.or&. TERMS AND CONDITIONS This Certificate a"IH contents are proprktary products of AHRI.This(enmcate shall only ton used for IndiNtlual,personal and A "call connection)remained Purposes.The contents of this Certificate may not,In whole 0r in pi be mpmduwd;mplad:disseminated; go" r®�� an.,"into a campuier databses;or Otherwise instead,In any farm in manner of by any means,mme it for the user's Indli dual. personal and Confidential rdeMnte. HEaTNG. CERTIFICATE VERIFICATION A REfnIGEflp.ON INSTITUTE Thinh,maniomn larthe model came on fists cernmemo caa the vorMat at wWw.ahridiroetory,ofq,atwh on'Verlfy Certificate-linki and enter the AHRI CedWr Reference Number and the date on which the candidate wee issued, whkh is flaked above.end the Comments N,which b IbtM at hoMm r10,L "—"— - — -- ---'-- ©2018AirConditloning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131M371265204WV