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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-8-2020 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F[ 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 4310 N HWY Al #601
Property Tax ID #: 1423-565-0033-000-8
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: - I
LIKE FOR LIKE REPLACEMENT OF (1) 5 TON CARRIER WATER SOURCE HEAT PUMP, 13.2 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 _ Gas Piping —Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 6,350.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jim PUCHTER
Name: JAMES F. GRIMES
Address:4310 N HWY Al #601
Company: GRIMES HEATING AND AIR CONDITIONING
City. FORT PIERCE State:F�
Zip Code: 34949 Fax:
Phone No. 262-352-2078
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 ROBE RTGRIMESAC@AOL_COM
State or County License 4426
It value of construction is SZ500 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.
OESIGNER/ENGINEER- Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Dame:
Address:
City.
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 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 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 OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN T.7
- C
Si ature of Contractor/License Holder
S ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF T L c.Ge i G
COUNTY OF T L 1Za_c
The t—arving instr1iniont w,as acknowledged. efore me
The forgoing instrument was acknowledged before roe
this ';� day of L ZQ Zvi, jj by
this day of e C24 2aby
Name of person making statement.
Dame of person making statement_
Personally KnownX_ OR Produced identification
Personally Known ,< CAR 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. aid ' ti. {S I Ate M4ISTENEGRO
mmission No. '' :: F •, SU( a1DNTEN�,�R6
= My COMMISSION # GG I189U9
' ' MY CQMMIS�IOrI g CC U99659
ErCPIRIS ril2.2021
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REVIEWS
FRONT
VEGETATI
--PLANS
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ReV..2/ 1/ 19
Certificate of Product Ratinas
AHRI Certified Reference Number: 7167511 Date: 06-03-2019 Model Status: Discontinued
Old AHRI Reference Number :
Product : Water -to -Air and Brine -to -Air
Model Number : 50PCV06001-3ICA
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:
Air Flow Rate - Cooling:
Air Flow Rate - Heating:
WLHP (Water -Loop Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (Btuhtwatt)
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Btuh)
Heating Cop (watt/watt)
Heating Fluid Flow Rate (gpm)
GWHP (Ground Water -Heat Pumps)
Cooling Capacity (Btuh)
Cooling EER Rating (BtuhfWatt)
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)
Cooling EER Rating (Btuh/Watt)
Cooling Fluid Flow Rate (gpm)
Heating Capacity (Stuh)
Heating COP (watt/waft)
Heating Fluid Flow Rate (gpm)
Indoor Blower Motor Fan Type : PSC
Sold In? : USA
Full Load Part Load1
2000
2000
57900
13.20
15.00
67200
4.20
15.00
60100
15.00
15.00
46900
3.20
15.00
Part Load2 Part Load3
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 ratinq is shown along with the previous fi.e. WASI ratin
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 AHRI. This Certificate shaft 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, �F
personal and confidential reference. AIR-CoNOITIONING, HEATING,
CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE
The information far 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.
©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132013775858994616