HomeMy WebLinkAboutBuilding Permit ApplicationALL 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
PROPOSED IMPROVEMENT LOCATION:
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 #: 1436-602-0011-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.6
Block No. 28
INSTALLATION OF LIKE FOR LIKE 5 TON 2 -STAGE, 16 SEER CARRIER A/C SYSTEM WITH 10
KW ELECTRIC HEAT
UIIOI VVUJK LU UCIIUI II ICU UIIUCI LIII�fJCI l l 111-U
HVAC Gas Tank E]GasPiping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 6,800.00
❑_ Shutters Windows/Doors
❑ Generator ❑ Roof = Roof pitch
SFt. of First Floor: _
Utilities:'nSewer ❑Septic
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name: 7'40
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable I BONDING COMPANY:
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
']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
commencing work or recording vour Notice of Commencement.
c
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5T. L.UGtti COUNTY OF S'C- 1 _tT C_1 E
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1A day of _Pn A AGS 20 .L9—by this day of F'n 20 tq: by
li Amr-s V(�2Xv�n F c Arky-s F ��Q� fvLsS
(Name of person acknowledging) (Name of person acknowledging )
Personally Known
Type of Identificatiory
Commission No.
Revised 07/15/20
OR Produced Identification
SU&�QN ONTENEGRO
MY COTTNf ION : GG 089099
EXPIRES: Apr i 2, 2021
of Notary Public- State of Floridyj
Known 0 OR Produced Identification
Type of
Commission No. 1.11 SUS� �(�lTENEGRO
• e ,i MY COMMISc10N # GG 089099
EXPIRE& AD02. 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratings
AHRI Certified Reference Number: 9119431 Date : M-23-2018 Model Status: Active
AHRI Type: RCU-A-CB
Series: PERFORMANCE fl AC 2 -STAGE
Outdoor Unit Bound Nam; CARRIER
Outdoor Unit Model Number (Condenser or Single Package): 24ACB76OAB032
Indoor Unit Model Number (Evaporator and/or Air Handler): FV4CNBOO(JL
Region: AO (AK, AL, AR, A2. CA, CO, CT, DC, DE, FL, CA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml, MN, MO, MS,
MT. NC, NO, NE, NH, NJ, NM, NV, NY, M, OK OR. PA. RL SO, SO, TN, Tyr, UT, VA, Yr, VIA, V V, Val, M. LLS.
TemtoriM)
Region Note: Cenloul air conditioners manufactured prior to January 1, M15 am eligible to be installed in all regions
unfit June 30, 2016. Beginning Joly 1, 2016 central air mrltlitiorgls Can Only DO installed In radicals) for
which May meet me regional efficiency ouquimment.
The manufacturer of this CARRIER product is responsible for the rating of this system combination.
Rated as follows In acmmince with the latest editlal of ANSUAHRI 2101240 with Addenda 1 and 2, Pedormerlre Rating of Unitary
Air-CondiOoning & Air-Souma Heat Pump Equipment and Subject to rating accuracy by AHR4sponsared, Independent, Dural party Rendall:
Cooling. Capacity (A2) - Single or High Stage (91 bile : 57000
SEER :16.00
F -ER (A2)- Single m High Stege (95F) :12.50
t'ACtive' Abdel Status are those Did an AMR] Gasification Program Partiaggnt is currently producing AND salted or Offering for sale: OR new ne,des that ere being
Marketed! butare not yet belagproduced 'PmduceonSWI Madal Sells are Moss that an AHRI Certification Pas am Poiicipent Is re, anger producing BUT as seg
aWlrg or alfaring for sale_
flMM�MSI a__ermmnenlM OV WAa kef�cee an-nvdunfary rwala Tn
DISCLAIMER
AHRI does not endorse the pird.inho Ikea oa me caniacae are makes no representations, wammHles or guarantees as e, and assumes no researea sly fm.
the pmduods) head on Oak Certlfidae. Arm expressly dlsclalms all liability for damages M am kind arklngom of me use or pedormence of the gaduct(s). W the
anaumadaed aheraaen of data listed on this Comfiwta. Corti vitlop are valid only far models and configurations listed in me
directory al www.nhirdiraetory,cry
TERMS AND CONDITIONS
This Cvdhpte and ha cements iseproDrMUry pmtluche d "RI. This Certificate shall only be used far IndMdu; pmmnalend
confidential reference pumaaa The contents M this Chateau may not, In whole or In part, De reproduced; co (disseminated;"
entered into a compuemachineryr database: or otherwise Ounces, In any form ormachimachinerynor by any meanb except Wthe users IndisMual,
personal and ronndemel Moreau. AIR-CONamONlN6, HFATNa,
CERTIFICATE VERIFICATION 6 REFRIdERAVOa INBTTCTE
The lnermas—feethe model diad en the certiecate con be waisted at Vavw.nhridim<tory.org, disk an-Verdy Certificate -link ,lelilt"ah,-
and enter the AHRI CartifiW Reference Number and the date on which the cartlecate was lessee,
which hDeed abors, and the CartlNate Na, which Is listed Of bodam right. __ ...__.-_......_..._._....__._._.._._.. ___
(0201BAinCDndNbning, Heating, and Refrigeration Institute !CERTIFICATE NI 13179518TW600g08y