HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
nat.. 4-9-2020
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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
Commercial Residential X
PERMITTYPE:A/C CHANGE --OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 490 THAMES BLUFF RIDGE H-49
Property Tax ID #: 3410-508-0229-000-8 Lot No._
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORD:
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON GRANDAIRE PACKAGE UNIT, 14 SEER WITH 10 KW ELECTRIC HEAT.
CONNECT TO EXISTING 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
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3850.00
Sprinklers Generator
Windows/Doors
Roof Pitch
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
OWNERAESSEE:
Name ROBERT HOFFMAN
Address: 490 THAMES BLIFF RIDGE
City: FORT PIERCE State: FL
Zip Code. 34982 Fax:
Phone No. 772-359-3655
E -Mail: NA
Fill in fee simple Title Holder on next page { if different
from the Owner listed above)
If vahip of rnn<tnirtinn ➢c 4t-2ienn
CONTRACTOR:
Name: JAMES F. GRIMES
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
E -Mail ROBERTGRIMESAC@AOL.COM
State or County License 4426
--- -- -- - - - -• -, - •'---.. -- -.,... - -A — III I— n a.pn i rr rl 11 fequl reu.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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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
Dame:
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 inoicatea.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which
structure. Please consult withapplicable
your Home Owers Association andrreview your deed for any restntsrichat tions whrestrict
ch m or prohibit such
Y 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 .IOD SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT -7
5 • ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA t
COUNTY OF S
The f ming instrt Pnt tarn" acknowledged before me
this y'day of rl 2010 by
am 'F i -w L -L
Name of person making statement_
Personally Known-Kl—OR Produced Identification
Type of Identification
Produced
Signature of Notary Public -State of Florida j U
Commission No. (SAN MONTENEGRO
MY COMMISSION # GG QB9
FUIX IRFS: ri! 2, 2Q2i
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REVIEWS FRONT �
COUNTER REVIEW REVIEW
QATE
DATE
COW
C
S attire of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF <
The forgoing instrurWnt was acknowledged before me
this �day of 2C)" by
IF
Name of person making statement.
Personally Known )!� OR Produced Identification _
Type of Identification
Produced
of Notary Public- State of Florida ?
on No. R S�Itaal i?EtitC�RQ
_ MYCOMMISSION # GG O89M
"FLANS VEGETATI
REVIEW REVIEW I REVIEW REVIEW
•�+�■�i CERTIFIED°
www,ahridirec#ory.orgcertificate of Product Ratinas
AHRI Certified Reference Number: 7492886 Date : 05-22-2019 Model Status : Active
AHRI Type: SP -A
Series: R41 OA AC SPP
Outdoor Unit Brand Name: GRANDAIRE
Outdoor Unit Model Number (Condenser or Single Package) : WJA436000K—()A
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, Rl, 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 GRANDAIRE 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 : 35000
SEER: 14.00
EER (A2) - Single or High Stage (95F) : 11.50
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."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratio s that are accompanied bv WAS indicate an involuntary re -rate. The new published ratio is shown alono with the Previous i.e. WAS ratin .
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 products) 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;
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual.
Aw
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridireCtOFy.org, click on "Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, wse make life better"'
which is listed above, and the Certificate No., which is listed at bottom right.
02019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132030143633903612