HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/30/2018 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
Address: 5403 CITRUS AVE
Legal Description: WHITE CITY E 430 FT OF S 147.86 FT OF N 168.58 FT OF OUTLOT 10 (1.46 AC) (OR 279-2796)
Property Tax ID p: 3404-501-0558-020-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. 10
Block No.
INSTALLATION OF LIKE FOR LIKE 3.5 TON CARRIER A/C SYSTEM, 16 SEER WITH VARIABLE
SPEED AIR HANDLER AND 8 KW ELECTRIC HEAT
CONSTRUCTION INFORMATION:
R1HVAC
U
Gas Tank
E]Gas Piping
Address: 5403 CITRUS AVE
IJ Shutters
11
Windows/Doors
11 Electric
1:1Plumbing
Sprinklers
E -Mail: KAYLAGRIMESAC@AOL.COM
Generator
1:1Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,200.00
SFt. of First Floor: _
Utilities: Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name FAITH CONTE
Name: JAMES F GRIMES
Address: 5403 CITRUS AVE
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-359-2524
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
It value of construction is 525011 or more, a RECORDED Notice of Commencement is required.
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SUPERVISOR
DESIGNER/ENGINEER: Not Applicable
Name:
VEGETATION
MORTGAGE COMPANY:
Name:
-,& Not Applicable
Address:
COUNTER
Address:
REVIEW
City:
Zip:
State:
Phone:
REVIEW
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: 74— Not Applicable
Name:
BONDING COMPANY:
Name:
4LNotApplicable
Address:
Address:
COMPLETE
City:
City:
Zip:
Phone:
INITIALS
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in convict 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
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S Rature of Owner/Lessee/Contractor as Agent for Owner nature of Contractoo�r//License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ Sa _ L.l7C AE. COUNTY OF . LVA 1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this?- day of v-% 1 . 20 Xby this day of 6*y, _, 20 (;� by
1 JAfyxf_S F h 9-A IIA£: IMES F ryi F:
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Floridti) (Signature of Notary /roduced
- State of Florida )
Personally Known OR Produced Identification Personally KnownOR Produced Identification
Type of Identificati Produced Type of Identification
Commission No. ssion No.
:'p SUSAN MONTENEG 0 , ,y;:>,"y$�.,- AN MONTENEGRO
MY COMMISSION GG 09099 ?:' 1 MY COMMISSION #00089099
EXPIRES: Apr! 2.2021 F wwnv
21
Revised 07/15/2014 '� °,','3� ` Embed rnw
r� NotM Pubic Un& ftm a,'re� t�S: BonCcO TM Nom' PuOBe
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVEII
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This Combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Fab 17,2009 and Dec 31, 2018.
Certificate of Product Ratings
AHRI Conti Reference Number:9199831 Dale: 043G2018 Model Status: Active
AHRI Type: RCU-A-CS
Sebes : 16 SEER AC
Outdoor Unit Brand Records: CARRIER
Outdoor Unit Model Number (Condenser or Single Parksge); CA15NA042-0"A'
Indoor Unit Model Number (Evaporator and/or Air Han l : FV4CN(B,F)DO5L
Region: Southeast and North (AL, AR. DC, OE, 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.
Telrnones)
Region Note: Central air Conditioners manufacWreo prior W January 1, 2016 SO eligible W De installed in all regions
until June 30.2016. Beginning July 1, 2016 central air Conditioners can only be installed in regions) for
which they meet Re regional eNviany requirement.
The manutecturar W this CARRIER product is responsible for the rating of this system combination.
Rated as follows in eccoMance with OM latest editem of ANSVAHRI 21OM40 with Addenda 1 and 2, Pedoredince Rating of Under,
Air-Cchh itionirg 8 AJr Sauna Hem Pump Equipment and subject b rating accuracy by AHRI-sponsored, independent. third party taming:
Cooling Capadty (A2) -Single or High Stage (95F), bath: 41 WO
SEER: 16.00
EER (A2)-SMg1eor Hgh Stage (9S9 :13.01)
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DISCLAIMER
ANRIeonnod anease the produdrs)I. AHRI
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TERMS AND CONDITIONS ■
This CentHeps and he contents are M
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prducts of ARRI. This Cenm Ncaa hall only ba used for individual. personal end A
cpnfldentrlalerenes punishes. The contents of thin CetH&ade nuy not, In whole or In part, be repddesetl; espied discern looted. v
entered into a computer database: or Wberhiss 0Need, in any I. is he. or by any means, except her the users M M M.1,
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CERTIFICATE VERIFICATION a REFARoosensd msnrcme
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®201 SAir`Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: ralessneaTaroroyra