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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 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 PERMIT TYPEWC CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: ? i0ica q+c c ir'• .( i Cri:r 3y9S1 r Property Tax ID#: 1 30(5V0 - QA)0- 000 -a Lot No. Site Plan Name: Block No. Project Name: CONSTRUCTION J,NfORMAT,10.N: Additio al work to be performed under this permit -check all that apply: — echanicai _ Gas Tank Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ , goo • 00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Windows/Doors _ Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name U 1 Name: JAMES F. GRIMES Address: w 1 rell?k 6 If • City: t+ � ClC� State: _Ft Zip Code: 3g9S-1 Fax: Phone No. 71- - o r2 Company: GRIMES HEATING AND AIR CONDITIONING 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: 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 a value of construction is sZsuu 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. 1 1 1 Vi19iNFORMATION, SUPPL Mfr;NTAI�'C STI�I�G�'r ��} ` `F ; .. ..L'.',.. ,. i.Yr' DESiG'NER/ENGINEER: T Not Applicable MORTGAGE COMPANY: Not Applicable 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: A— iu_ ­t, ­1 ,nctatiatinn as indicated. OWNER CONTRA : Application Is nereby 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 ermit holder to build the subject structure stru turin cone. Please a nsultany with your applicable lome Owners Associia ion andrreviewyyour deed facovenants any re trice that which maor apply. ibtt 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 MAN" RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR IPROP ERTY. A NOTOCE OF CIMiVfENCEMEmT MUST BE RECORDED ED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IE YoU lNTENu To OBTAIN FINANCING, CONSULT WITH YQUIR LENDER OR AN ATTORNEY -BEFORE RECORDING YOUR NOTICE of COMIWENCEMENT'." ____1 A�ature of Owner) LesseejCon4ractor as Agent for Owner STATE OF FLORIDA w COUNTY OF !�, � �= The #^tuning instri, was acknowledged before me thls A�day of r_VJ� J . , 20 Z I by Name of person malting statement. Personally Known OR Produced Identification Type of Identification Produced re of Notary Public- State of Florida C SI ature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The fqr ping instru�r r}t was acknowledged before me this dayof (-Kolc61ar� 20!!�L by Name of person making statement. Personally Known_ OR Produced Identification Type of Identification Produced re of Notary Public- State of Florida ? Commission No. .,' ,"'• (5&*AN M11111�NE13R0 mmi55lon No. my cohIMISSION GG L'R9{13 EXPIRw A sii 2 2021 — tarI 5u k nAenvri! . o REVIEWS FRONT �° E is i NS VEGETATI COUNTER REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLET MYCQMMISSION 4 60 0890p, Ror,cod,nlm Not* pl,}Aid UMOPY rR&. REVIEW I REVIEW Certificate of Product Ratings AHRI Certified Reference Number: 9162514 Date : 02-16-2021 Model Status : Production Stopped AHRI Type : HRCU-A-CB (Split System: Heat Pump with Remote Outdoor Unit -Air -Source) Series: 14 SEER HP Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CH14NB036*0**B* Indoor Unit Model Number (Evaporator and/or Air Handier): FB4CNF036L+TXV 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 210/240 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 : 33200 SEER : 14.00 EER (A2) - Single or High Stage (95F) : 11.50 Heating Capacity (H12) - Single or High Stage (47F) : 34400 HSPF (Region IV) : 8.20 t"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. Ratings that are accompanied by WAS indicate an involuntaryre-rate. The new published rating is shown alonu with the orevious (i.e. WAS) ratino. DISCLAIMER AHRI does not endorse the product(s) listed an 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 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; Wit v 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.,ihridirectory.org, click on "Verify Certificate" link we make life hettel- 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.; 132579727679fi295&$