HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO RE ACCEPTED
Date: 1-20-2020 Permit Number:
s
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMIT TYPE: A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
brlrlracc 9450 MEADOWOOD DR #204
Property Tax ID #: 1327-703-0034-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 1.5 TON CARRIER A/C SYSTEM, 16 SEER WITH 5 KW ELECTRIC HEAT.
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ 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: $ 4,500.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TESSA BLACK
Name-, JAMES F. GRIMES
Address: 9450 MEADOWOOD DR #204
City. FORT PIERCE State'L
Zip Code: 34951 Fax:
Phone No. 786-564-8463
E -Mail: NA
Company: GRIMES HEATING AND AIR CONDITIONING
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No 772-461-8711
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is $2504 or more, a RECORDED Notice of
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement
E -Mail ROBERTGRIMESAC@,AOL.COM
State or County License 4426
Commencement is required.
is required.
ica
I.JL.71 YI,Ll��l.ay...w�..� � - -
Name:
Address:
City: Phone State:
Zip:
Phone
------------------
FEE SIMPLE TITLE HOLDER: � Not Applicable
Name:
Address:
City:
Zip. phone:
MORTGAGE COMPANY: — Not Applicable
Name.
Address: State:
City:
Zip: _. Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
City:
Zip: - phone:
DWNER1 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
ttis granting
ra Ingo per i willrulewill, bylaws a and covenanitss that maydrestriictborprohibits ch
which is in conflict with any app
structure. Please consult with your Home owners Association and review your deed for any restrictions which
the wok y
In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform
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: roam additions,
accessory structures, swimming pools, fences, walls, signs, screen roECORD A NOTICE OF COMMENCEMENT MAY RESULT YOUR PAYING
ams and accessory uses to another non-residential use
"WARNING TO OWNER; YOUR FAILURE O PROPERTY. A NOTICE OF COMMENCEMENT MUST BEI RECORDED AND
TWICE FOR IMPROVEMENTS TO YOUR
POSTED ON THE JOB SITE BEFORE T E FIRSnFFnRT INSP
RECORI7ING YOUR NOTECnON. IF YOU ICE OF COMM ACEMENAi'NCING, CONSUL
c
S" 4 ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The fmmning instrum¢nr wAs acknowledged before me
this?Qdayofis 0. 20?,Pby
73-a +
Name of person making statement.
Personally Known_OR Produced Identification
Type of Identification
Produced
of Notary Public- State of Florida )
Commission No.
og� AN MONTENEGRO
MY COMMISSION it GG ON
EXPIRES:-, ril 1, 2II21
REVIEWS INU
COUONTER REVIEW
TE
Cam
REVIEW
si ature of Contractor License Holder
STATE OF FLORIDA
COUNTY OF�_��-�--�
Thef 2m
Ding iinstru ent was acknowledged before me
this day of
Name of person making statement.
Personally Known _0R Produced identification
Type of identification
Produced _
of Notary Public- state of Florida )
No. SU(S,0aJbNTENEGRO
i''�` MY COMMi5al0�i g CO 0�2G9S
�Thm NL+ry Pu%: UWetwgett
ifLAks VEGETATI RE11[EW REVIEW
REVIEW REVIEW
Certificate of Product Ratings IIIIIII
AHRI Certified Reference Number: 9200856 Date : 01-20-2020 Model Status: Active
AHRI Type: RCU-A-CB
Series: 16 SEER AC - HIGH EER
Outdoor Unit Brand Name: CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA16NW018`0"`A"
Indoor Unit Model Number (Evaporator andfor Air Handier): FX4DNF019L
Region: All (AK, AL, AR, 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, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 ANSI/AHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & 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 : 17700
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.50
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."Productkon Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
Balling or offering for sale.
Ratings that are acwmpanied by WAS indicate an involuntary re rate The new published rating is shown along with the previous (i.e WAS) rating.
DISCLAIMER
AHRI does not endorse the product(s) listed an 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 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
' ,
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; Own too it
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 we make life better -
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. 132240016696855565
C2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: