HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/25/2018 Permit Number:
J,-
•
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: 9413 PINEBARK CT
Legal Description: MONTE CARLO COUNTRY CLUB -UNIT ONE- LOT 158 (OR 1
Property Tax ID #: 1327-801-0047-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. 158
Block No.
I DETAILED DESCRIPTION OF WORK: I
INSTALLATION OF LIKE FOR LIKE 5 TON CARRIER A/C SYSTEM, 16 SEER WITH VARIABLE
SPEED AIR HANDLER AND 10 KW ELECTRIC HEAT
CONSTRUCTION INFORMATION:
trona WorK to aerormed under tis permit — Check all appy:
❑✓— HVAC Gas Tank E]Gas Piping _ Shutters []Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: 5q1 —F—t.� of First Floor:
Cost of Construction: $ 5,985.00 Utilities:cnSewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name KENETH WROE
Name: JAMES F GRIMES
Address: 9413 PINEBARK CT
Company: GRIMES HEATING AND AIR CONDITIONING
City: PORT ST LUCIE State: FL
Zip Code: 34951 Fax:
Phone No. 772-332-3644
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 I if different
from the Owner listed above)
E -Mail: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: >o Not ApplicableMORTGAGE COMPANY: ✓1 Not Applicable
Name: 7— Name: 7
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: -U Not Applicable
Name: _
Address:
City:
BONDING COMPANY:
Name:
Address:
Zip: Phone: I Zip
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
C
.Wature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST U C'k E COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �J 20 1$by this Z6 day of J kA (_� 20 k CC by
-1-JAyyxf F C :im . 14YYtFC C, 9-
(Name of person acknowledging) (Name of,person acknowledging )
Notary Public- State of Florida •(Signature of Notary Public- State of
Personally KnownOR Produced Identification Personally Known OR Produced Identification
Type of Identificati Produced Type of Identification produced
Commission No. !I a'RtY•.. SUSAN
Revised 07/
(:NEGRO Commission No. "'t"'•�„r_ SUSA.N M
G:: 089099 +�; •' GRO
,j MY COMMISe ')N S GG 089099
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product
AHRI Certified Reference Number: 9200623 Date :07-24-2018 Model StatusProduction Stopped
AHRI Type: RCU-ALB
Swiss: 18 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Paekage): CA16NAO6G'O**W
Indoor Unit Model Number (Evaporation Shot Air Handier): FV4CNSDO6L
Region: Southeast and Noe (A-, AR, DC, DE, FL, GA, HI, KY, IA, MD, MS, NC, OK, SC, TN, TA, VA, Al, CO, CT, ID, IL,
A. IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, W, WA, W, WI, Wy, U.S.
Tardt(des)
Region Nola: Central air conditioners manufactured prior b January 1, 2015 are eligible W be installed in all regions
until June 30, 2016. Beginning July 1, 2016 Central air mMitioner: Can only be installed in regents) for
whish they meet the regional efficiency requirement
The manufacturer of this CARRIER product is responsible for the rating of this system Combination.
Rated es folewa in armreanre with Ua later[ etliti.n of ANSVAHRI 210290 wihl Addends i end 2, Performance, Rating of Unitary
AIrLorMitioning 6 Air -Source Heat Pump Equipment and wbjW to saing accuracy by AHRI-sponsoraq in0epandenl, third party lasting:
Cooling Capse (A2) - Single or High S"e (95F), ohm:53000
SEER: 16.00
EER (A2) -Single or High Stage (95F) 13.50
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TERMS AND CONDITIONS
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i CERTIFICATE NO.:
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