HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-18-2021 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: 5049 N HWY A1A#902
Property Tax ID#: 1414-613-0037-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1)3 TON CARRIER WATER SOURCE HEAT PUMP, 14 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 _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 5,600.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ARTHUR BADMAN Name:JAMES F.GRIMES
Address:5049 N HWY A1A#902 Company:GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:FL- Address:3054 N US HWY 1
Zip Code: 34949 Fax: City: FORT PIERCE State:FL
Phone No.610-724-5092 Zip Code: 34946 Fax: 772-461-8722
E-Mail:NA Phone No 772-461-8711
Fill in fee simple Title bolder on next page [ if different E-Mail ROBE RTGRIMESAC@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.
!!T!!TlAddress:
nt������x��*�����11f��E1��"" .J e a t r: _ Y_Not Applicable MORTGAGE COMPANY. Not Applicable
Name:
Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE MOLDER: _ 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 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 ano covenants that may restrict or prohibit such
structure.Please consult with your Horne 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
"'4'4rA1RNINC TO OWNIEW YOUR FAILURE TO RECORD A NOTICE OF COMMERCEMENT MAY RESULT IN YOUR PAYING
TYYiCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTE] ON THE JOB SITE BEFORE TIME 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/LesseeJContractor as Agent for Owner SP'ature of Contractor/License Holder
STATE OF FLORIDA t STATE OF FLORIDA
COUNTY OF L y e COUNTY OF T Z_to
The fnraning instramant was acknowledged before me The forgoing instrument was acknowledged before me
this day of)6(n / 2071 by this day of r\ 20_ZJ by
`—S(A y _5 � lT T 1 W(i wl e_s F T
Name of person making statement. Marne of person making statement.
Personally Known_OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Signature of Notary Public--State of Florida) -nature of Notary Public-State of Florida)
Commission No. .+ `°uw (S€4AN MONTENEGRO mmiss!on No. ;:�a>:�.E•, StJl aid}"!? ,ti�GRO
�s MY COMMISSION#GG 089D
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REVIEWS FRONT NS VEGETATI
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
BATE
COMPLETED
Rev..217/19
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certificate of Product Ratings
AHRI Certified Reference Number: 7167469 Date:05-29-2019 Model Status:Discontinued
Old AHRI Reference Number :
Product :Water-to-Air and Brine-to-Air
Model Number : 50PCV036L/R**31CA
Manufacturer Name :CARRIER CORPORATION
Brand Name :CARRIER
Rated as follows in accordance with ANSIIAHRIIASHARE/ISO 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 Load1 Part Load12 Part Load3
Air Flow Rate-Cooling: 1200
Air Flow Rate--Heating: 1200
WLHP(Water-Loop Heat Pumps)
Cooling Capacity(Btuh) 37900
Cooling FER Rating(Btuh/watt) 14.70
Cooling Fluid Flow Rate(gpm) 9,00
Heating Capacity(Btuh) 41800
Heating Cop(watt/watt) 4.60
Heating Fluid Flow Rate(gpm) 9.00
GWHP(Ground Water-Heat Pumps)
Cooling Capacity(Btuh)
Cooling EER Rating(BtuhfWatt)
Cooling Fluid Flow Rate(gpm)
Heating Capacity(Btuh)
Heating COP(watUwatt)
Heating Fluid Flow Rate(gpm)
GLHP(Ground-Loop Heat Pumps)
Cooling Capacity(Btuh) 39900
Cooling EER Rating(StuhlWatt) 16.90
Cooling Fluid Flow Rate(gpm) 9.00
Heating Capacity(Btuh) 26900
Heating COP(watYwatt) 3.50
Heating Fluid Flow Rate(gpm) 9.00
Indoor Blower Motor Fan Type :PSC
Sold In? : USA,Canada
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 ublished ratin is shown alono with the orevious 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.ahridireC#ory.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;
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
The information for the model cited on this certificate can be verified at www.ahridirectury.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. 132036171028913834
92019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: