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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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: . Fvr3 - r s Crcc Property Tax ID #: 1923 - 602 - 002,2- ` 000 - 0 Lot No. Site Plan Name: Block No. Project Name: Additio al work to be performed under this permit -check all that apply: echanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 7 t CIO Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name .ScCA Name: JAMES F. GRIMES Address: OLAC-4i N. Company: GRIMES HEATING AND AIR CONDITIONING City: �;!Iri CftC State: Zip Code: "1144H 9 Fax: Phone No. E-Mail: Address:3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-8722 Phone No 772-461-8711 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail ROBERTGRIMESAC a@AOL.COM 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. FrrF�y AA ll11�jF4�2i1"'°' n k` r'1h,Y�F7` � DESIGNER/ENGINEER: Not Applicable ' t.MO:r , TGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State' City: State: Zip: Phone Zip: _ Phone: FEE SIMPLE TITLE HOLDER: T Not Applicable BONDING COMPANY: ___Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: ++ A anti installation as indicated. OWNER/ CONTRACTOR AFFII)VI f: Application is hereby made « &ULZA , O F�4, .� 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 structure. Please consult w with your Hlome ownners AssAssociation ciation andrreviewyyour deed fr any restrictions which maor aprohibit ly ibis 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 `'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 Allis► POSTED ON THE JOiB SITE. BEFORE THE FIRST INSPECTION. IF YOU INTEND TD 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 STATE OF FLORIDA COUNTY OF Jr^ Cl ems`. The T ing instrum. "was acknowledged before me this -day of aCC 202.[ by -:S� rr Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced — ature of Notary Public- State C SI ature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this _ day of 20— by Name of person making statement. Personally Known °< - OR Produced identification Type of identification Produced of Notary Public- State of Florida) Commission No. ;s"•At' k: (5&JANfziONTFNI GRO mmission No. 5 MY COMMi581QN GG Og9US. EXPIRES: A rif 2. 2.021 REVIEWS FRONT - — __— NS VECETATI COUNTER REVIEW REVIEW REVIEW REVIEW BATE RECEIVED PLETE ED SU(SoWbNTE:NSGRO SAY COMMISWN P 00 089099 liarwkri ilttu I� ry Publ`b UndelvnstpPS REVIEW I REVIEW Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 81 QUEENS RD Sec/Town/Range: 23134S/40E Parcel ID: 1423-602-0022-000-0 Jurisdiction: Saint Lucie County Ownership Jeffrey Crull Diana Crull 81 Queens RD Fort Pierce, FL 34949 Legal Description QUEENS NS COVE -UNIT THREE- BLK 25 LOT 22 (OR 3222-2737; 3757- Current Values Just/Market Value: $561,900 Assessed Value: $475,836 Exemptions: $50,000 Taxable Value: $425,836 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 12 Use Type: 0100 Account #: 8572 Map ID: 14123N Zoning: RS4 Count Total Areas Finished/Under Air (SF): 2,855 Gross Sketched Area (SF): 5,011 Land Size (acres): 0.31 Land Size (SF): 13,475 Building Design Wind Speed ,'Occupancy Category. I II III & IV Speed 140 160 160 Sources/links: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between 1/1/2015 and 12/31/2020. J +0Y\ Certificate of Product Ratings AHRI Certified Reference Number: 204861676 Date: 03-25-2021 Model Status ; Active AHRI Type : HRCU-A-CS (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) : CH14NB036P0**B* Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)005L 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 2101240 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 : 34400 SEER : 15-50 EER (A2) - Single or High Stage (95F) : 12.50 Heating Capacity (H12) - Single or High Stage (47F) : 33600 HSPF (Region IV) : 8,50 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new modeis 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 inv_oluntary re -rate. The new published rating is shown along with the previous ti.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 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; pow 111i 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.ahridirectory.org, tuck on "Verify Certificate, link we rnalce 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. - — --- -------_.__ ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132611526846598934