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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 08/24/2018 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Mechanical III Address: 2323 ATLANTIC BEACH BLVD Legal Description: REV PL OF FORT PIERCE SHORES -UNIT 5- BLK 28 LOT 6 (OR 735-2249) Property Tax ID q: 1436-602-0011-000-0 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. 6 Block No. 28 INSTALLATION OF LIKE FOR LIKE 1.5 TON, 16 SEER CARRIER A/C SYSTEM WITH 5 KW ELECTRIC HEAT I CONSTRUCTION INFORMATION: nMVAC I-1 Gas Tank 11 Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4,735.00 Piping LJ Shutters ars 11 Generator SFt. of First Floor: _ Utilities:"nSewer OSeptic Windows/Doors Roof = Roof pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name JOHN DONNELLY Name: JAMES F GRIMES Address: 2323 ATLANTIC BEACH BLVD Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: FL Zip Code: 34949 Fax: Phone No. 772-971-8016 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 52500 or more, a RECORDED Notice of Commencement is required. '"JYJ {[+,py1 /d♦�`t{bi�y"�y"^ �r p p, T `z i rp{b�R T *.ry "�K>'`I+©pNr`��{'�v� �i4 Y t TI"1a11/����01�. X E4li... 56 JJa.l Y'... ••b6�S s!_:4 J4,..)h F. .. i.,}.. FRONT DESIGNER/ENGINEER: Name: Not Applicable MORTGAGE COMPANY: Name: � Not Applicable Address: MANGROVE Address: COUNTER City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER:Not Name: Applicable BONDING COMPANY: Name: Not Applicable // v" Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. 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 commencine work or recordine vour Notice of Commencement. ature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this �Hday of Al ACh A.A S4 20 Eby :� STATE OF FLORIDA COUNTY OF GT - ( t)C. ( I - The forgoing instrument was acknowledged before me this _2A day of �_A�, 20 � by 1_ 5 a-� �-- kP-me& V- c el �vtEs (Name of person acknowledging ) (Name of person acknowledging ) (Signature of Notary Public- State of Personally Known Type of Identifica'l Commission No. Revised 07/15/2014 SUSAN Bordea'ffi�,% 02 ary Pubk U M&%oe s (Signature of Notary Public- State of Florida Personally Known Type of Identificatio Pro ged3:'••. SUSAN MONTENEGRO i MY COM MISSION#GG 089099 Commission No. ' "e8t)5. A'On 2, 2021 B.>rAad Thu Notary Ruby Undennt REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE 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 Feb 17,2009 and Dec 31, 2016. rummad CERTIFIED Certificate of Product Ratings AHRI Certified Reference Number: 201757326 Date : 08-23-2018 Model Status : Active AHRI Type: RCU-A-CB Sedge: PERFORMANCE 16 AC OuMoor Unit Brats Name: CARRIER AIR CONDITIONING Orxtlom Unit Model Number (CorMensaror Single Package): 24AsS619A'a30' Indoor Unit Model Number (Evaporator andfor Air HaMleq: FV4CNF002L Region; AS (AK, AL, M. AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, NO, NE, NH. NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA. Vr. WA, WV, Wf, WY, U.S. Territories) Region We: Central air conditioners manureclured pater to January 1, 2015 are eggibk W be installed in all regions uffil June 30, 2016. Beginning July 1, 2016 central alrcondl8oners ran only be installed In region(s) for which they meet any regional efficiency rtqul,rnCltt The nandacbRer of this CARRIER AIR CONDITIONING product Is responsible for Due calling d alis system combination. Rated as follows in accordance with the latest edition of ANSDAHRI 2101240 with Addenda 1 and 2, Pedoflnance Rating of Unitary Arc-Conditioning It AirSourco Heal Pump Equipment and subject to mtlrg accuracy by AHRlsponsomd, independent, third parry testing: Coding Capacity (A2)- Single or High Slags (95F), Mb: 16000 SEER: 16.00 EER (A2) -Single or High Stege (BSF) :13.00 1'A+1hw' Madel States; and Mase May an AHRI Cwdficatkn Program Padupad is amenity producing ANO extra or oaedng for and, OR new madeu mel as being memeud bra are W yet beirg praducM.'fioductlon Skpped' Need! Shnw aro more aur an MRI CeNrlretkn Program Participant u an pager producing BUT Ili oil Cna,=taral alic�mrmNed W WA3 kdcak an MroNnmry monk. TM new publkhetl retlrg Ie anown abra vMM1 IM wmiow n.e. WA61 roam. DISCLAIMER Min docs not eMerse the protests) Mount 00 this Ccuifkate alts makes no roprvsenWGons. warrantees or guamntoas as re. end aam ues m responsibility for, Na pmducas) users on tab Cerdntme-MIN expressly disclaims ell debtor far Eameges of any and ecaing out or Ina use w pedormenm. me Irrmlucas), or tM u molha=aheaske of drum listed an this Connotes.. certified many are vena only tar models and cofiguretrons lutea in me directory at rvaw ahrldbootory.org. TERMS A CONDITIONSs CeNu ehWaca Thiand lemn,nlsan produces Caof MR). y ot.In hot stall Doerbeused arIndividual.pectaseora enter" confidential intoreferenceer comm. rile contents of Ibis ed, in an a may noi, a whole pin Per, ae,prosn Wf copied; disseminated; ensued into a computer dolebase; o. otherwise umuad, m any roam or manner or q am maana eacept,r me towers maiwaual, CERTIFIeasumaandE VERIFICATION ce. at R.00wmmomda.theartnwn. CERTIFICATE VERIFICATION m REFpIGFR<T4N rfisTME Tras end... the MR] rnengd RefW on Nns umber and to n cedata on Gathe w.ansdle was on'Verlfy Gornncate'Ilnk which enM the AHRI Ceaifi the Reference Number and the date oa which tiro cenlMcak was Iswetl. wmtb N Iigetl above. and Iba CeRktate No., which u lu,d d boMm tliret. �,-- _.... .. ...................... 02018Air-Conditioning, Heating, and Refrigeration Institute 1i CERTIFICATE NO.: 1a1'esta°°aelx+ml