HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/03/2018 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: 2704 AVENUE Q
Legal Description: SUNRISE PARK NO 1 BLK 7 LOT 23 -LESS S 10 FT- (0.15
Property Tax ID #: 2405-501-0158-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 23
Block No. 7
INSTALLATION OF LIKE FOR LIKE 2 TON CARRIER PACKAGE UNIT, 14 SEER WITH 8 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
rtlona wor to e e orme un ert —checkispermit a appy:
❑✓— HVAC Gas Tank DGas Piping _ Shutters O Windows/Doors
11 Electric 0 Plumbing 11 Sprinklers D Generator L1 Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,400.00
SFt. of First Floor: _
Utilities:Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JUANITA HAMM
Name: JAMES F GRIMES
Address: 2704 AVENUE Q
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No. 772464-5912
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 varve or construction is >zsuu or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
A— Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address.
S
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
App
Address:
COUNTY OF S l'_ 1 1 )c
Zip: Phone:
I certify that no y work or installation has commenced prior to the issuance of a permit.
which is incon ictawith anrepresentation
apple able lHome Owners Asssociationl rulesabylaws or and covenants that build
dfestrlct on 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
commencefore e first
worknection. if you intend * o obtain financing, consult with lender or an attorney before
--- �� uclll.cIIICIIL.
FRONT
COUNTER
ZONING
S
�Jpltature of Owner/Lessee/Contractor as Agent for Owner
'nature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5T
COUNTY OF S l'_ 1 1 )c
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before
this day of pinsCsN 20 Aby
me
this .3 day of—M"—
REVIEW
20 IT' by
1.Jf mr,S F C ?—AMFCJRme
=MIES
(Name of person acknowledging)
(Name of person acknowledging )
PubIi:c::-%_ate
(Signature of Notary of Flori )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificati Produced
Personally Known OR Produced Identification
Type
of Identificatio roduced
Commission No.
scion No.
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Revised 07/15/2014 f..�F"t soueaThnliaenworKubewners I!
REVIEWS
FRONT
COUNTER
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE.
DATE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS
Certificate of Product
AHRI CenHied Reference Number: 7490501 Data: 05-03-2018 Model Slairm: Active
AHRI Type: SPA
Outdoor Unit Bran Name : CARRIER
Outdoor Unit Model Number (Condenser or Single Package)' 502PCO24-3T'
Region; All (AN, AL, AR, A2 CA, CO. CT. DC, DE, FL, GA, Hl, ID. IL, IA, IN, NS, NY, IA, MA, MO, ME, M( MN, MO, MS,
MT, NC. ND, NE, NH, NJ, NM, NV, NY, OH, ON, OR, PA, RI, SC, SO, TN, T%, UT, VA, VT, WA, WV, Vi WY, U.S.
Territories)
Region dead: Central air wnifio dam manufactured prior to January, 1, 2015 are eligible to be installed in all regions
until June 30, 2016. Beginning July 1, 2016 ceniml nir conditioners Can only be installed in reglorm) for
which they meet the regional efficient, requiremem.
The manufacturer of this CARRIER product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSVAHRI 2IM40 with Addend t and 2, Peddnnenm Rating of UnRory
Air -Conditioning & Air -Source Neat Pump Equipment and subject to rating accuracy by AHRI-Sponsored, inepandent, third party testing.
Coding CapecNy (A2) - Single or High Stage (95F), both : 22400
SEER: 14.00
EER (A2) - Single or High Stage (95P) : 11.50
Ell Status are Time Owl an AHRI Certification Program Padicipant is madarlty pvdudr, AND might, or offing for wale; OR new modem that are prey
are nal yet baling produced,-Pmduched Slopped- Model Status are those that an AHRI CedAcalron Pmgmm Prodk fit Is he tolge PmdudnB BUT Is d10
an tnrsale.
DISCLAIMER
ANRI dors not encase the pmdrri(m IBted on tnk Certificate aM makes no rinnomnNtlov. wnnanties or punramem as to, and assumes no resaeraiallay for,
Product(s) listed on this Cadtho e. ARM es emmy disdabrs
all Imeffhmr, hi
T for damages a1 and miming out of the use or pardon 0i aked Me pmmaKe), M the
h? utherlRd alleatme of dare limed on this Cerftlieete. CeM;flvd ratings am valid ony /m les,
ma 4116 confec rem., listed In the
tlVecmry a1 www,ahtidirectory.mg.
TERMS AND CONDITIONS
This Cerement and he wmre" are Inallsary pmdects of ANRI This Certificate shay.My De used for unlwdoal personal and
roundworm! reference purposes the contents of the Denigrate may rot in whole or le he
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part meandered: comet alssatn
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entered Into a campulerdetApase; or otherwise uilllaatl. In am form a manna ar M em means, eaept ror the user s Individual.
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personal and and mnfidarwal rwM—.
CERTIFICATE VERIFICATION
AIn ,cNarnati "o, monism,
The mlonamion for We medal citral on he cr,in.ale can be vedM1ed as rww.ahritllrectar}.org, duck an'Verify Certificate- link
& REFRIm.47" N INSTITUTE
and corer the ARM CertMed immom a Number and the date on which rhe ced.fooke cans issued.
' mab.::it laver^
which Is listed above. and rise Cantmate No., which is listed M bottom right, —"'--"' ----
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*2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
131698192067936023