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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11-12-2020 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)462-1578 Commercial Residential X PERMITTYPE:A/C CHANGE-OUT PROPOSED IMPROVEMENT LOCATION: Address: 3702 N HWY A1A#1204 Property Tax ID#: 1423-807-0045-000-6 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF(1)4 TON CARRIER WATER SOURCE HEAT PUMP, 13 EER, CONNECT TO EXISTING WATER LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: Mechanical _Gas Tank T Gas Piping _Shutters _Windows/Doors —Electric Plumbing Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:S 6,050.00 Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name STEVEN WHARTON Name:JAMES F.GRIMES Address:3702 N HWY A1A#1204 Company:GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: L Address:3054 N US HWY 1 Zip Code: 34949 Fax: City: FORT PIERCE State:FL Phone No.812-325-1350 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 ROBERTGRIMESAC@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. SlI� L>=iVNTkL GNE I( �1iti;,4U1fNiiA "�QN i DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: PEE SIMPLE TITLE HOLDER: ,Not Applicable BONDING COMPANY: Not Applicable Name: Dame: Address: Address: City: City. Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the worts and installation as indicated. 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 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 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 accessary uses to another non-residential use "WARNING TO OWNED YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR IPAYINc TWICE FOR IMPROVEMENTS TO YOUR PROPERTY„ A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTiON. W YOU INTEND TO OBTAIN FIINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 5' ature of Owner)lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder STATE OF FLORIDA t STATE OF FLORIDA R COUNTY OF �. COUNTYOF The fnrpning instrijmPnt,u,am acknowledged before me The flying instrument was acknowledged before me this+day of N J 20ZC�by this day of CG'y 20Z_ 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 ignature of Notary Public-State of Florida) nature of Notary Public-State of Florida) Commission No, (S&qAN MONTFNEGRO mmission No. P' SU iWbNTi:NEGRO MY GrJhfNil5SI0la n GG 6890 MY COMMI$SION$,t GO 089M <F EXPiRE&ApTii 2,2021 = e, ',° ;,;: i lacy F+�CIEc C�di,ntirst "�:, '- - '.Band.:*i Tltns tlo ry Ps;�fic Uild+aivri4eP5 REVIEWS FRONT NS VECEI'ATI COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW [SATE RECE€WED DATE COMPLETED ev.. Iw CERTIFIED' r rg Certificate of Product Ratings AHRI Certified Reference Number:7921545 Date:05-22-2019 Mode(Status:Discontinued Old AHRI Reference Number : Product :Water-to-Air and Brine-to-Air Model Number :50PCV048LIR**3ICA Manufacturer Name :CARRIER CORPORATION Brand Name :CARRIER Rated as follows in accordance with ANSIIAHRIIASHAREIISO Standard 13256-1 Water-toAir and Brine-To-Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored,independent third party testing: Full Load Part Loadl Part Load2 Part Load3 Air Flow Rate-Cooling: 1600 Air Flow Rate-Heating: WLHP(Water-Loop Heat Pumps) Cooling Capacity(Btuh) 45900 Cooling EER Rating(Btuh/watt) 13,00 Cooling Fluid Flow Rate(gpm) 12,00 Heating Capacity(Btuh) 56400 Heating Cop(watt/watt) 4,30 Heating Fluid Flow Rate(gpm) 12.00 GWHP(Ground Water-Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating(Btuhlwatt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) Heating COP(watt/watt) Heating Fluid Flow Rate(gpm) GLHP(Ground-Loop Heat Pumps) Cooling Capacity(Btuh) 48800 Cooling EER Rating(Btuhlwatt) 14.90 Cooling Fluid Flow Rate(gpm) 12.00 Heating Capacity(Btuh) 35400 Heating COP(watt/watt) 3.40 Heating Fluid Flow Rate(gpm) 12.00 Indoor Blower Motor Fan Type :PSC Sold In? : USA tModels with"Discontinued'Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratings 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 n 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, 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.ahrldirectory.org,click on"Verify Certificate"link we matte 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. 132030305039844331 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: