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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9-8-2020 Permit Number: • Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application PERMIT TYPE: A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 4200 N HWY Al #211 Property Tax iD #: 1423-501-0107-000-0 Site Plan Name: Project Name: - Commercial Residential X Lot No. Block No. DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 2 TON CARRIER A/C SYSTEM, 14 SEER WITH 5 KW ELECTRIC HEAT_ CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. CONSTRUCTION INFORMATION: I Additional work to be performed under this permit — check all that apply: Mechanical _ Gas Tank — Gas Piping _ Shutters _ Electric T Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 4,550.00 Sprinklers _ Generator Sq. Ft. of First Floor: Windows/Doors T Roof Pitch Utilities: _Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name LYNNE MARTINY Name: JAMES F. GRIMES Address:4200 N HWY Al #211 Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: FL Zip Code: 34949 Fax: Phone No. 772-429-7772 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 It value of construction is �21500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,5Qd or more, a RECORDED Notice of Commencement is required. S�iTr�J'e� if'Y �kiYi1'S—lk0 DESIGNER/ENGINEER: ^ Not Ap� pli c a b6 i e MORTGAGE COMPANY:µ _ 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: _ �_ .e__ t..,...r ine*�11atinn ae inrli<atPd- OWNER/ CONTRACTOR AFFIDVIT: Application is nereny maoeto ouaAul d N�,,,,,w I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in con tlict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OLTAIN FINANCING, CONSULT WIT14 VnT1 a LFNDIER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.7 S" ature of Owner/ Lessee/Contractor as Agent for Owner STAVE OF FLORIDA COUNTY OF S~' - � The f—ing instrl mPnt wac acknowledgecgefore me this �yday of e '}' 20_ , by a+rvv¢.S Name of person making statement. Personally Known>< —OR Produced Identification Type of identification Produced gnature of Notary Public- State of Commission No. ., r:P MAN MONTENEGRO •_ is —i MY COMMSiON R CG 089 _. .. -_ FXPRiRES: Anrii 2.2021 REVIEWS FRONT 0NiNb 1 3ur=nvio COUNTER REVIEW I REVIEW RECEIVED DATE COMPLETED Si ature of Contractor/License Holder STATE OF FLORIDA COUNTYOF S7_ Z Le-C_ The far Ding instrument was acknowledged before me this day of S e 20�hy �S ' Yvtl2- Name of person making statement. Personally Known )< OR Produced Identification Type of identification Produced of Notary Public- State of Florida j SI tS03ADNTENEGRO i Thru Wry P01M undOWMeis "i�tANS V£GETATI — ' REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratinas AHRI Certified Reference Number: 201852645 Date : 06-03-2019 Model Status : Active AHRI Type: RCU A -CB Series: 14 SEER AC Outdoor unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA14NA024"0*"A' Indoor Unit Model Number (Evaporator andlor Air Handier): FMA4P24**AL* 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, 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 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 : 22800 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. . Ratings that_are.. a..ccompamed by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (Le, WAS) ratino. 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 an 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; AL IMF entered into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, No 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.ahridiractory.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. i- ©2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132NO457741712720