HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ll' Permit Number:
i
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:A/C CHANGE -OUT
I PROPOSED IMPROVEMENT LOCATION:
Address: 3150 N HIGHWAY A1A #1501
Property Tax ID #: 1425-610-0069-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 4 TON CARRIER A1C SYSTEM, 12.9 EER.
CONNECT TO EXISTING WATER LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
XMechanical Gas Tank _ Gas Piping _ Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,800.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Norbert W Schultz
Name: JAMES F. GRIMES
Address: 3150 N HWY A1A #1501
Company: GRIMES HEATING AND AIR CONDITIONING
Address: 3054 N US HWY 1
City: FORT PIERCE State:f L
Zip Code: 34946 Fax:
City: FORT PIERCE State: FL
Phone No. 419-265-2080
Zip Code: 34946 Fax; 772461-8722
E -Mail:
Phone No 772-461-8711
Fill in fee simple Title Holder on next page ( if different
E -Mail ROBERTGRIMESAC@,AOL.com
from the Owner listed above)
State or County License 4426
If value of construction is $2500 or more, a RECORDED Notice of
Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement
is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencing work or recording your Notice of Commencement.
S' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S%-
The forgoing instru 1 ent was acknowledge before me
this _ day of D Ir %I 20by
Name of person making statement
Personally Known�_OR Produced Identification
Type of Identification
Produced
S' ature of Contractor/License Holder
STATE OF FLORIDAr
COUNTY OF S-7--
The forgoing instrument was acknowledged before me
this day of 20_ by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Signature of Notary Public- State of Florid.) (Signature of Notary Public- State of Florida )Q
Commission No, rF77.SUS( # N `:FGAO Commission No. SUSAN 45s�'EGRd
My COWAISSION # GG 089099h4Y C0WkSSION # GG 089099
'} r "P[RC S: Apel 2.2021 - . •- EXPIRES: April 2.2021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGRO
COUNTER REVIEW REVIEW IREVIEWREVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip:
Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip:
Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencing work or recording your Notice of Commencement.
S' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S%-
The forgoing instru 1 ent was acknowledge before me
this _ day of D Ir %I 20by
Name of person making statement
Personally Known�_OR Produced Identification
Type of Identification
Produced
S' ature of Contractor/License Holder
STATE OF FLORIDAr
COUNTY OF S-7--
The forgoing instrument was acknowledged before me
this day of 20_ by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Signature of Notary Public- State of Florid.) (Signature of Notary Public- State of Florida )Q
Commission No, rF77.SUS( # N `:FGAO Commission No. SUSAN 45s�'EGRd
My COWAISSION # GG 089099h4Y C0WkSSION # GG 089099
'} r "P[RC S: Apel 2.2021 - . •- EXPIRES: April 2.2021
•%F- - ~ 90:^�'.=_ci �hr,� Nc�r� Futsw. U'a-rr:i,� .FK�;r`,• ..-„ , - ,. ... _
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGRO
COUNTER REVIEW REVIEW IREVIEWREVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
CEEMCertificate of Product Ratin
AHRI Certified Reference Number: 7167503 Date: 04-08-2019 Model Status: Discontinued
Old AHRI Reference Number :
Product : Water -to -Air and Brine -to -Air
Model Number : 5UPCV04BLIR—IIAA
Manufacturer Name : CARRIER CORPORATION
Brand Name : CARRIER
Rated as follows in accordance with ANSIIAHRIIASHAREIISO Standard 13256-1 WatertoAir and Brine -TO -Air Heat Pumps and subject to
verification of rating accuracy by AHRI-sponsored, independent third party testing:
TModels with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale
Ratings that are accompanied by WAS indicate an involunta re -rate. The new published rating is shown along with the previous i.e. WAS rating.
DISCLAIMER
AHRI does not endorse the products) 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($), or the
unauthorized alteration of data listed 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 shalt only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, 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, AIR-CONDITIONING, HEATING,
personal and Confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahfidirectory.org, click on "Verify Certificate" link %ve make life better"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, I ^w
which is listed above, and the Certificate No., which is listed at bottom right. yTr, rr� 131991952446955381
02019Air-Conditioning, Heating, and Refrigeration Institute
Full Load Part Loadl Part Load2 Part Load3
Air Flow Rate - Cooling:
1600
Air Flow Rate - Heating:
1600
WLHP (Water -Loop Heat Pumps)
Cooling Capacity (Btuh)
45900
Cooling EER Rating (Btuh/watt)
12.90
Cooling Fluid Flow Rate (gpm)
12.00
Heating Capacity (Btuh)
56400
Heating Cop (wattlwatt)
4.30
Heating Fluid Flow Rate (gpm)
12.00
GWHP (Ground Water -Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (BtuhfWatt)
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Btuh)
Heating COP (wattlwatt)
Heating Fluid Flow Rate (gpm)
GLHP (Ground -Loop Heat Pumps)
Cooling Capacity (Stuh)
48800
Cooling EER Rating (BtuhMatt)
14.90
Cooling Fluid Flow Rate (gpm)
12-00
Heating Capacity (Btuh)
35400
Heating COP (watt/watt)
3.40
Heating Fluid Flow Rate (gpm)
12.00
Indoor Blower Motor Fan Type : PSC
Sold In? : USA
TModels with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale
Ratings that are accompanied by WAS indicate an involunta re -rate. The new published rating is shown along with the previous i.e. WAS rating.
DISCLAIMER
AHRI does not endorse the products) 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($), or the
unauthorized alteration of data listed 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 shalt only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, in whole or in part, 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, AIR-CONDITIONING, HEATING,
personal and Confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahfidirectory.org, click on "Verify Certificate" link %ve make life better"
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, I ^w
which is listed above, and the Certificate No., which is listed at bottom right. yTr, rr� 131991952446955381
02019Air-Conditioning, Heating, and Refrigeration Institute