HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-3-19
COUNTY
F i n R 1 T!
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IIVIPROVEMENT LOCATION:
Address: 4310 N HIGHWAY A1A PH#2
Property Tax ID #: 1423-565-0048-000-6
Site Plan Name:
Project Name:
Commercial
Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 5 TON CARRIER WATER SOURCE HEAT PUMP, 13.2 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:
"*/—NMechanicaI ^ Gas Tank _Gas Piping _Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 5,985.00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer —Septic Building Height:
OWNER/LESSEE:
Name ROBERT RYAN
Address: 4310 N HIGHWAY A1A PH#2
City: FORT PIERCE State: f -L.
Zip Code: 34949 Fax:
Phone No. 901-336-4705
F -Mail: ROBERTGRIMESAC@AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JAMES F. GRIMES
r-mmnnnv GRIMES HEATING AND AIR CONDITIONING
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 3446 Fax: 772-461-8722
Phone No 772-461-8711
E -Mail ROBERTGRIMESAC@AOL.COM
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,
AN
"'P RR,,:= -1,9 .o6:M
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:
City:
Address:
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, l 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.
Rev. 8/ 2/17
S`jKature of Owner/ Lessee/Contractor as Agent for Owner
Xilature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S T Z_ C
STATE OF FLORIDA
COUNTY OF ! % -
The for oing instrument was acknowledged before me
this day of tAoLJ 20A. by
The forgoing instrument was acknowledged before me
this __�5j_ day of 1 0. '26 N by
Name of person making statement
Name of person making statement
Personally Known_ OR Produced Identification
Personally Known OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
Signature of Notary Public- State of Florid)
(Signature of Notary Public- State of Florida )
Commission No.
Commission No. SUS,4,W I,(SeA� EGP,0
�, � - IviY CGNdiJ�ISSiON m Gv U89t99
-_ AiY CQ'+1MISSIv1Y � GG Ut�9�59
EXPIRES: Apnl 2, 202
3_r r it J hEctsr{ R�bk UNjrs7 for
EXPIRES: April 2.202i
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
MANGROVE
SEA TURTLE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/ 2/17
r.i91
www. ahridirectory. org
Certificate of Product Ratings
AHRI Certified Reference Number: 7167511 Date! 05-03-2019 Model Status: Discontinued
Old AHRI Reference Number :
Product : Water -to Air and Brine -to -Air
Model Number : 50PCV060L/R-3/CA
Manufacturer Name : CARRIER CORPORATION
Brand Name : CARRIER
Rated as follows in accordance with ANSIIAHRIIASHAREHSO Standard 13256-1 Water-toAir 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 b31 WAS indicate an involunta re -rate. The new published rating is shown along with the orevious i.e. WAS ratin .
DISCLAIMER
AHRI does not endorse the product($) 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 shall only be used for individual, personal and u
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.ahridirectory.org, click on "Verify Certificate" link \,e ,nakc ]ifa
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. Will 132013775858994616
02019Air-Conditioning, Heating, and Refrigeration Institute
Full Load Part Loadi Part Load2 Part Load3
Air Flow Rate - Cooling:
2000
Air Flow Rate - Heating:
2040
WLHP (Water -Loop Heat Pumps)
Cooling Capacity (Btuh)
57900
Cooling EER Rating (Btuh/watt)
13.20
Cooling Fluid Flow Rate (gpm)
15.00
Heating Capacity (Btuh)
67200
Heating Cop (watt/watt)
4.20
Heating Fluid Flow Rate (gpm)
15.00
GWHP (Ground Water -Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (BtuhlWatt)
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Btuh)
Heating COP (wattlwatt)
Heating Fluid Flow Rate (gpm)
GLHP (Ground -Loop Heat Pumps)
Coaling Capacity (Btuh)
60100
Cooling EER Rating (Btuh/Watt)
15.00
Cooling Fluid Flow Rate (gpm)
15.00
Heating Capacity (Btuh)
46900
Heating COP (wattlwatt)
3.20
Heating Fluid Flow Rate (gpm)
15.04
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 b31 WAS indicate an involunta re -rate. The new published rating is shown along with the orevious i.e. WAS ratin .
DISCLAIMER
AHRI does not endorse the product($) 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 shall only be used for individual, personal and u
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.ahridirectory.org, click on "Verify Certificate" link \,e ,nakc ]ifa
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. Will 132013775858994616
02019Air-Conditioning, Heating, and Refrigeration Institute