HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/19/2018
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 II
PROPOSED IMPROVEMENT LOCATION:
Address: 4809 ANGLEVILLA DR
Legal Description: ANGLEVILLA BLK 3 LOTS 6 AND 7-LESSRDS AND CANALS- (0.40
Property TaxID q: 2406-504-0028-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No. 6,7
Block No. 3
INSTALLATION OF LIKE FOR LIKE 3.5 TON CARRIER A/C SYSTEM, 16 SEER WITH VARIABLE
SPEED AIR HANDLER AND 10 KW ELECTRIC HEAT
Haamonai worK To De ertormeo
❑✓— HVAC LJ Gas Tank
unser Trus permit— cnecK all apply:
[]Gas Piping _ Shutters
❑ Windows/Doors
❑ Electric
❑ Plumbing
Sprinklers ❑ Generator
0 Roof ❑ Roof pitch
Total Sq. Ft of Construction:
ScFt. of First Floor:
E -Mail:
Cost of Construction:
$ 5,150.00
Utilities: Sewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LORENZO DAVIS
Name: JAMES F GRIMES
Address: 4809 ANGLEVILLA DR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No.
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 S450D or more, a RECORDED Notice of commencement is required.
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:✓1 Not Applicable
Name: 7""
Address:
City: State:
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.
k1Not 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
" //-7
lature of Owner/Lessee/Contractor as Agent for Owner
c
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_____'- \ l) C COUNTY OF Srt l t) L l \—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this LOL_ day of SP 1p IA/Ykto W20 LL by this A_J— day of S4 V},. 20 J&_ by
l J AlnneS
(Name of person acknowledging) (Name of person acknowledging)
State
of Notary Public- State of
Personally Known OR Produced Identification Personally Known
Type of Identificatio Produced Type of Identifical
Commission No..'`'• N MONTENEGROommission No. _
MY COMMISSION A GG 089099
Revised 07/15/2014
OR Produced Identification
SU,�1N htONTENEGRO
MY C ..ION t GG 089099
EXPIRES. Apfil 2.2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratin
AHRI Certified Reference Number: 9199831 Date: 09-19-2018 Model Status : Production Stopped
AHRI Type: RCU-A-CB
Series: 16 SEER AC
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser of Single Package) : CA16NA042.0"A`
Indoor Unit Model Number (Evaporator and/or Air Handier): FV4CN(B,F)005L
Region: Southeast and North (AL, AR, DC, DE, 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, NO, NE, NH, NJ, NY, OH, OR, PA, RI, SO. UT, VT, WA, WV, WI, WY, U.S.
Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
until June 30, 2016. Beginning July 1, 2016 Central air conditioners Can only be installed in region(s) for
which they meet the regional efficiency requirement.
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 ANISIlAHR12101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning 8 Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent. third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 41000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
t -Active Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced'Produclion Stopped- Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offedng for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate. The new. published. rating. is shown along with the previous (i.e. WAS) refine.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data Ilstsd on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shell only be used for individual, personal and ,
confidential reference purposes. The contents of this Certificate may not, in whole or In pan, be reproduced; copied; disseminated; '
entered Into a computer database; or otherwise utilized. In any form or manner or by any means, except for the user's Individual,
personal and confidential reference. AIR-CONDITI NIND, HFATINd,
CERTIFICATE VERIFICATION S REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org click on Wari(y Certificate' link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,'
which Is listed above, and the Certificate No., which is listed at bottom right
02018AIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. 13181e2786040e64g1