HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: $-10-2020
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart 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: 9611 ENCLAVE PLACE
Property Tax ID #: 3322-800-0021-000-7
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 5 TON CARRIER A/C SYSTEM, 14 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:
.3(Mechanical _ Gas Tank _ Gas Piping — Shutters _ Windows/Doors
Electric
Total Sq. Ft of Construction:
Plumbing Sprinklers _ Generator _ Roof
Cost of Construction: $ $5,643.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name GEORGE HENDERSON
Name: JAMES F. GRIMES
Address: 9611 ENCLAVE PLACE
Company: GRIMES HEATING AND AIR CONDITIONING
City: PORT SAINT LUCIE State �
Zip Code: 34986 Fax:
Phone No. 772-466-9655
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: NA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail ROBERTGRIMESAC@AOL.COM
State or County License 4426
If value of construction is 52500 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.
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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
Name:
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 indicated.
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 is in conflict with any applicable Home Owners Association rules., bylaws or and covenants that may restrict or prohriait 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, I do hereby agree that I will, in ail 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 ARID
POSTED ON THE JOB SITE BEFORE THE FIRST INSPEICTIOW IF YOU KrE ND TO OBTAIN FINANCING, COINSULT
WITIrX YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
C
5' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA t
COUNTY OF S ' a~t
The fnrnning instr mPnt uric acknowledged before me
this+day of 20 t-0by
Name of person making statement.
Personally Known X__OR Produced Identification
Type of Identification
Produced
ature of Notary Public-- State of
C,oj�"'•� (Sr AN MONTENEGRO
Commission No.
My COMMISSION# GG 069
�.. EXPIR-ES: April 2, 2021
REVIEWS FRONT T701TRU SUrtnvra
COUNTER I REVIEW I REVIEW
DATE
RECEIVED
DATE
COMPLETED
C
Sr Ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF-L��-
The for Ding instrum
t was -acknowledged before me
this 1 day of 20Z:C1 by
Name of person making statement.
Personally Known K OR Produced identification
Type of identification
Produced
of Notary Public- State of Florida )
No.
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My co'v mi"'�1004 # GG 0$9099
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Certificate of Product Ratings
AHRI Certified Reference Number: 9194891 Date : 08-10-2020 Model Status: Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series: 14 SEER AC
Outdoor Unit Brand Name : CARRIER
Outdoor Unit Model Number (Condenser or Single Package) : CA14NA060*0**A*
Indoor Unit Model Number (Evaporator andlor Air Handler) : F64CNP060L
Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL,
IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, VVY, U.S.
Territories)
Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in aR 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 210/240 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 : 56000
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.
Ratinqs that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the orovious (i.e. WAS} ratio.
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
confidential reference purposes. The contents of this Certificate may not, in whale 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,
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.ahridirectory.org, click on "Verify Certificate" Link
we make life beILCV-
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.
0202OAir-Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO.:
13241%15307643292