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HomeMy WebLinkAboutWARD - BUSH PERMIT APP -4949 N HWY A1A #192All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-8-2020 Permit Number:
Cnr i mry
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
.2300 Virginia Avenue, Fort Pierce FL 34.982
Phone. (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 4949 N HWY Al #192
Property Tax I D #: 1414-602-0073-000-4
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 2 TON GOODMAN AIC SYSTEM, 15 SEER WITH 5 KW ELECTRIC HEAT_
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC_
WE DID NOT INSTALL THIS UNIT. WE WERE CONTRACTED TO PERMIT JOB AND BRING TO CODE.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
)( Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
— Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,250.00
Sprinklers _ Generator _ Roof 'Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name VICTORIA WARD
Name: JAMES F. GRIMES
Address: 4949 N HWY Al #192
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FI-
Zip Code: 84949 Fax:
Phone No. 772-468-9890
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No 772461-8711
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
IT value or construction is �>ZSuu or more, a MMOKOW Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: 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: Nat Applicable
Name:
Address:
City:
Zip: �,-_ Phone:
OWNERf CONTRACTOR T CTOR AFF1®VIT: 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 yy makes no representation that
is gran ing a permit,
iation ruiesaby{ is or and covenholder
n s that maydrestrictbOr prohibit such
which is in conflict with any app
structure. Please consult with your Horne Clwners AssoAs ciation and review your deed for any resptrictions whic erform the work y
In consideration of the granting of this requested permit, t do hereby agree that I will, in all respects, p
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 eto a other nonroom
nsamential use
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory use
"WARNING TO OWNER; YOUR FAILUREYOUR P�OPEl2fi�ATICE Mt9T®CE OF COMN YOUR PAYING
MENCEl1 ENT MUST BF COMMENCEMENT MAy RESULT E RECORDED AND
TWICE FOR IM>pROYIEMIENTS TO0 TO
POSTED ON THE JOS SITE BEFOREEY THE
FIRST
BEFORE RECORDING YOUR NOTICE 63F COMMENCEMENT-"
WITH
COCwiSUL
WITH YOUR LENDER OR AN
C
FSTATEOF
r/ Lessee/Contractor as Agent for Owner
IDA te—
COUNTY OF
The fmmning instrumpni-wac acknowledged before me
this _•day of 202P by
-
Name of person making statement.
Personally Known—OR Produced Identification
Type of Identification
Produced
ature of Notary public- State of
{5&qAN MONTENEGRO
Commission No. '' `r= My CommisSION R GG 089
EXPIRES: r2 22021
REVIEWS FRONT Lue)1Hvu I ' REV
COUNTER REVIE=W
DATE
C©M
�Sjature of Contractor/License Holder
STATE OF FLORIDA _
COUNTY OF_
The for oing instrument wa acknowledged �ef re me
this Zday of .LD
by
Name of person making statement -
Personally Known �K OR Produced Identification
Type of Identificatlon
Produced _
of Notary public- State of Florida }
No. :P.,F.. SU(a aIONTEENEGRo
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"VLANS VEGETATI
REVIEW REVIEW
REVIEW REVIEW
Certificate of Product Ratings
AHRI Certified Reference Number: 201866185 Date :09-08-2020 Model Status: Active
AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower)
Series : GSX16
Outdoor Unit Brand Name: GOODMAN
Outdoor Unit Model Number (Condenser or Single Package) : GSX160241F*
Indoor Unit Madel Number (Evaporator and/or Air Handler) : ASPT25B14A'
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 10, 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.&
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 GOODMAN 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 & 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 : 23400
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
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
seising or offering for sale.
Ratings that are accompanied by WAS indicate an involuntary re -rate The new published ratinci is shown alono with the previous (i.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.abridireotory.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; No
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. __. 132440679267160737
0202OAir-Conditioning, Heating, and Refrigeration Institute