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HomeMy WebLinkAboutFJORD PERMIT APP - 527 DUSK WAYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11-9-2020 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1.553 Fax: (772) 462-1578 PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 527 DUSK WAY Property Tax ID #: 2308-601-0056-000-3 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, 15 SEER WITH 5 KW ELECTRIC HEAT. CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. LCONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: Mechanical _ 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: $ 4,200.00 Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name TOM FJORD Name: JAMES F. GRIMES Address: 527 DUSK WAY Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State:FL Zip Code: 34945 Fax: Phone No. 630-240-9486 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 or construction is ,>Zsuu 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. Al P t i L 4 v _A Wt+Sf.-0 DESIGNER/ENGINEER; Not Applicable MORTGAGE COMPANY: !_ Not Applicable Name: Marne: Address: Address: City: State: City: State. Zip: Phone Zip: Phone: FEE SIMPLE TITLE BOLDER: � Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby mane to obtain a permn iu uU UW +tical aJ1u 1i,���,.�,v.. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County.makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure. Please consult uv with your HlomeeOwnerOwners Associattion andrreviewyyour de d for covenants restrictions that which may or prohibit p y obit such 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 "WARMING 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 OBTAIN FINANCING, CONSULT Wffli YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Aature of Owner/ LesseeJContractor as Agent for Owner STATE OF FLORIDA t COUNTY OF S The fnrcrning instru ri t was acknowledged before me this _q_ -day of 20_Wby Name of person making statement. Personally KnownX .. OR Produced identification Type of Identification Produced ature of Notary Public- State Si ature of Contractor/License Holder STATE OF FLORIDA COUNTYe- The f oing instru eiat was acknowledged, before me this dayof`.� 20ZOby Name of person making statement. Personally Known )!� OR Produced Identification Type of identification Produced of Notary Public- state of Florida ) Commission No. (S ANMONTENEGRO mmission No. MY COMMIS'. � GG 0$90it y EXPIRES: rI12 2021 ,. ,pray„ `` �ry WM nd2awril Ks REVIEWS FRONT 5'� NS VEGETATI COUNTER REVIEW REVIEW REVIEW REVIEW RECEIVED COMPLETED my commissloAi s 600. 8S Bor&r71 imj iiob,N, Nblic Unde(VWI +'S REVIEW I REVIEW Certificate of Product Ratinas AHRI Certified Reference Number: 9192741 Date : 11-09-2020 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) : CA14NA024*0**A* indoor Unit Model Number (Evaporator and/or Air Handler) : F84CNP024L 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 AHRI 2101240 with Addendum 1, 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 : 22400 SEER ; 95.00 EER (A2) - Single or High Stage (95F) : 12.00 f"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. Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along 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.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AH RL 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; 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 thiscertificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life bettev, 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. 202OAir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: t3�4s41675s38sssos ©