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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6-23-2020 • 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 IMPROVEMENT LOCATION: Address: 10410 S OCEAN DR PH-05 Property Tax lD #: 4511-514-0086-000-5 Site Plan Name: Project Name: Commercial Residential X Lot No. Block No. DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 4 TON CARRIER WATER SOURCE HEAT- PUMP, 13 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: $Ulechanical _ 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: $ 6,480.00 Utilities: —Sewer Sewer —Septic Building Height: OWNER/LESSEE: Name DONALD HOLT CONTRACTOR: Name: JAMES F. GRIMES Address: 10410 S OCEAN DR PH-05 Company: GRIMES HEATING AND AiR CONDITIONING Address: 3054 N US HWY 1 City: JENSEN BEACH Stater Zip Code: 34957 Fax, Phone Na. 772-229-8803 E-Mail: NA City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-8722 Phone No 772-461-8711 E-Mail ROBERTGRIMESAC@AOL..COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) if value of construction is $2500 or more, a RECORDED Notice of If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement State or County License 4426 Commencement is required. is required. YJG�F13FYG[�� �sarsi..��•-- �---� Name: Address: State: City: Zip: �.� _ Phone FEE SIMPLE TITLE FOLDER: � Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: State: City: Zip: Phone: BONDING COMPANY: __Not Applicable Address: City: Zip:._ Phone:. OWNER/ CONTRACTOR AFFIDVIT:Apldo prior abthe add o o of i permit. permit to do the work and installation as indicated_ I certify that no work or installation has commenced permit will authorize the permit holder to may uborprohibit such St. Lucie County makes no representation that is granting a p . d which is in conflict with any applicable Home Owners Association rules, bylaws ar an covenants that may restrict structure. Please consult with your Home Owners Association and review your deed for any restrictionss whi the wo apply In consideration of the granting of this requested permit, i do hereby agree that I will, in all respects, Amendments. in accordance with the approved plans, the Florida Building Codes and St. Lucie County The following building permit applare xeptfsunrgry u es to no her non jres dential use accessory structures, s rgp�ols, fen screen roams and accesso CE OF COMMENCEMENT MAY RESULT N YOUR PAYING "WARNING TO OWNER. YOUR FAILURE TO R PiROP£RT1f�ATINOTCE OF COMMENC MIENT MUST BE I RECORDED AND TWICE FOR IMPROVEMENTS TO YOURD TO POSTED ON TFI£ JOB SITE BEFORE THE FIRST RECORDING YOUR N T C£ OF COMM OBTAIN FINANCING, CONSULT S-' ature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF ±_ �-"_ � e. The fnrvning instrument was acknowledged efore me his day of 20"- by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced iVotary Public State of Florida ay--(St� AN MONTENEGR0 Commission NO-_ My COMMISSION R GG 03E »m. _i rxpim:s-Aaril2.2021 REVIEWS CDUhIiERNT � RI 11111rW J REVIEW DATE RECEIV D ATE )slature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The for Ding instrument was acknowledged �,�beY re me this day of 0 b a Name of person matting statement. personally Known )— OR Produced Identification Type of Identification Produced 0 _ —J. of Notary Public- State of Florida 1 SUN NT�NEG mmission No. MY COMMIaIbN GG 039 sandal Thru N+r? R+'b= uWCMIn R W VEGETATI REVIEW REVIEW �e' REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 7921545 Date:05-22-2019 Model Status: Discontinued Old AHRI Reference Number : Product : Water -to -Air and Brine -to -Air Model Number : 50PCV046LIR*"31CA Manufacturer Name :CARRIER CORPORATION Brand Name : CARRIER Rated as follows in accordance with ANSIIAHRIIASHAREIISO 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: Full Load Part Load1 Part Load2 Part Load3 Air Flow Rate - Cooling: 1600 Air Flow Rate - Heating: WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) 45900 Cooling EER Rating (Btuh/watt) 13.00 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 (BtubANatt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating COP (watt/watt) Heating Fluid Flow Rate (gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity (Btuh) 48800 Cooling EER Rating (BtuhlWatt) 14.90 Cooling Fluid Flow Rate (gpm) 12.00 Heating Capacity (Rtuh) 35400 Heating COP (wattlwatl) 3.40 Heating Fluid Flow Rate (gpm) 12.00 Indoor Blower Motor Fan Type -. PSC Sold In? : USA IModels 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 ratina is shown along] with the previous i.e_ WAS rzffinci. 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.ahridiFectory.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; dissemina#ed; 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 sake life he€cev- 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. 132030305039844331 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: