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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11/11/2020 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1.578 Commercial Residential X PERMIT TYPE:A/C CHANGE-OUT PRDP05ED IMPROVEMENT LOCATION: Address: 2023 ST LUCIE BLVD#240 Property Tax ID#: 1433-504-0191-000-5 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1)4 TON GRANDAIRE A/C SYSTEM, 14 SEER WITH 10 KW ELECTRIC HEAT. CONNECT TO EXISTING DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: IMechanicaf 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:$ 4,855.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ROGER STIER Name:JAMES F. GRIMES Address:2023 ST LUCIE BLVD#240 Company..GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State:M Address:3054 N US HWY 1 Zip Code: 34946 Fax: City: FORT PIERCE State:FL Phone No. 608-206-6263 Zip Code: 34946 Fax: 772-461-8722 E-Mail:NA Phone No 772-461-8711 Fill in fee simple Title Holder on next page(if different E-Mail ROgERTG RIM ESAC@AOL.COM from the Owner listed above] State or County License 4426 If value of construction is$2500 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. S _ 'LN �V� IrG>3 �1( 1C4U11#il # tCr��t7N � :� �. DESIGNER/ENGiNEER: _Not Applicable MORTGAGE COMPANY: �Not Applicable r 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 prohibit such structure.Please consult with your!tome 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 5t.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 "WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND FROSTED ON THE ,BOB SIITE BEFORE THE FIRST iNSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." S'' ature of Owner/Lessee/Contractor as Agent for Owner Sr ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STcd�i COUNTVOF �TGccs�' The fnraning instrum¢nf wee acknowledged before me The for wing i ru n nstt was acknowledged before me this +day of 0,4 ZO U by this day of f�'" 20 }by omts Name of person making statement. Name of person making statement. Personally Known' _OR Produced Identification Personally Known )< _OR Produced Identification Type of Identification Type of identification Produced Produced signature of!Votary public-State of Florida) _ nature of Notary Public-State of Florida) Commission No, MONTENEGRO C mmission No. ':�'. F•. SU �I 'VFkNt'GftO iy1Y COMMiSSION n GG 0890 PAY COMMISSION rt CiG t189U99 • `` E7(P]RLS:April 2tf2i •,,Op f ;: I i2f`f IG f1a211N�� - p,'" z P }�j'� N No N r16sW Lff&WeN REVIEWS FRONT 15UPMTVI= NS VEGETATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVE© DATE COMPLETED ev.. AL LAO , . ru MEN Ili C ertificate of Product Ratings AHRI Certified Reference Number:7492912 Date:10-17-2019 Model Status:Active AHRI Type:SP-A Series:R41OAAC SPP Outdoor Unit Brand Name:GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package):WJA448000K**OA Region: All(AK,AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI, ID,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.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 officiency requirement. The manufacturer of this GRANDAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSIlAHRI 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:47000 SEER: 14.00 EER(A2)-Single or High Stage(95F) : 11.50 t"Active"Modes 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 offer ng for sale. Ratm s that are accam anied la WAS indicate an involuntary re-rate. The new 2ublish2gLatingl is shown atoriW with the grevious i.e.WAS ram . DISCLAIMER AHRI does not endorse the product(s)tilted on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the products)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),o r 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. "IMF 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; �� �■`- 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 Certificate"link we make life better'" The information for the model cited on this certificate can be verified at www.ahridlrectory.Org,click on"Verify and enter the A14RI 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 CERTIFICATE NO.: 13215803221BI95289 02019Air-Conditioning,Heating,and Refrigeration Institute