HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-29-2020
Permit Number,
i
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
PERMITTYPE:A/,C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 6807 WADSWORTH TERR
Property Tax ID #: 3415-705-0034-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.—
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 5 TON CARRIER AIC SYSTEM, 16 SEER WITH 10 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
Total Sq. Ft of Construction:
Cost of Construction: $ 4,988.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name REBECCA HAPP
Name: JAMES F. GRIMES
Address: 6807 WADSWORTH TERR.
Company: GRIMES HEATING AND AIR CONDITIONING
City: PORT SAINT LUCIE State: EL
Zip Code: 34952 Fax:
Phone No. 772-240-1163
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34040 Fax: 772-461-8722
Phone No 772-461-8711
E -Mail.. NA
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above)
E -Mail ROBERTGRIMESAC aiAOL.COM
State or County License 4426
if value of construction is $2500 or more, a RECORDED Notice of commencement is requirea_
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name_
Address:
rir„-
Zip: Phone:_
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
de to obtain a permit to do the work installation as indicated.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby ma
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countmakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conIct with any applicable Home owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne 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 O`PYNER7 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 JOB SITE BEFORE THE FIRST Il1I5PECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
"Ian YOUR I coa-ER OR AN ATTORNEY BEFORE RECCyItDING YOUR NOTICE OF COMMENCEMENT."
S" ature of Owner/ Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OF S
The tnr¢ning instrum¢nr wac acknowledged before me
this *day of 2B. by
a 7 Gc\
Name of person making statement.
Personally Known" OR Produced Identification
Type of identification
Produced
Signature of Notary Public- State of Florida 1 V
(SCAN MJNTENEG€t0
Commission No.
SAY COMMISSION R GG D89
EXi'IR,S: ri12.2021
i Lary oWMUrrdena
REVIEWS FRONT I '
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
C
Si ature of Contractor/Incense Holder
STATE OF FLORIDA
COUNTY OF_
The for oing instru ent was acknowledged before me
this day of 2o?Dby
Name of person making statement.
Personally Known )< _ OR Produced identification
Type of identification
Produced
of Notary Public- State of Florida )
No, '.::'. _, •, su 3JbN7ENi:CR0
MY COMMIS$103 4 # 60 089099
w' x lin I4' rf Put&, Ur et srle�s
VLANS VEGETATI
REVIEW REVIEW REVIEW REVIEW
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between -Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratinas
AHRI Certified Reference Number: 202028437 Date: 04-29-2020 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) : CA16NW061*0""B*
Indoor Unit Model Number (Evaporator andlor Air Handler) : F64CNP061L
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, Wl, 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 ANSIIAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning 8i 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 : 57000
SEER: 16.00
EER (A2) - Single or High Stage (95F) _ 13.00
?"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 sate.
Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the rrrevious fi.e. WAS) rating.
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 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 BON
confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; irmsim
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-CONDITIONING, HEAT[NG,
CERTIFICATE VERIFICATION &REFRIGERATIONIN51TRIfE
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. 132326458083402472
0202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: