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JACKSON PERMIT APP - 8 JASMINE LANE
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4-1-2021 Permit Number: ling [-ni I ri i 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) 462-1S78 PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Commercial Residential X Address: 8 JASMINE LANE Property Tax ID #: 3414-501-1701-000-9 Lot No. Site Plan Name: Block No. Project Name: LDETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 4 TON GRANDAIRE PACKAGE UNIT, 14 SEER WITH 10 KW HEAT. CONNECT TO EXISTING DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit — check all that apply: (Mechanical _ Gas Tank _ Gas Piping Shutters _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4,500.00 Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities. —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name WYNN BUILDING CORP. (LARRY&MARLENE JACKSON) Name: JAMES F. GRIMES Address: 8 JASMINE LANE Company: GRIMES HEATING AND AIR CONDITIONING Address: 3054 N US HWY 1 City: PORT SAINT LUCIE State: TIL Zip Code: 34953 Fax: Phone No. 7724618711 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 ROBERTGRIMESAC@AOL_COM State or County License 4426 rr vague or construction is �ic5uu or more, a Kt(,UKL)tu notice or Lommentement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. y�.,c'�si'mK•fY�N:FiAT.�4_t'+I_�� i+..�r x..x'..�IC ,:... .. _ ...,-.- ... _ � YF DESIGN ERjENG[NEER: Not Applicable MORTGAGE COMPANY• _ Not Applicable Name: Name: Address: Address: City: state: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER, _ 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 Certifi, that nn 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 s which is in contllct with any applicable Horne owners Association rules, bylaws or and covenantthat 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, l 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 .DOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT wVITIi YOUR I ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CEiMI�IIIENCFMI=NNT �Ature of Owner/ Lessee%Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF S The fnronjng instrun nt wac aocnowiedged before me this ,day of ` 247—\ by Name of person making statement. Personally Known, OR Produced Identification Type of Identification Produced Signature of Notary Public- State of Florida } U p {S AN MONTENEGRO Commission No. �`•" ._ 5 My COMMISSION n GG 6t38 EXPIRES rii 2, 2021 Leh is ndem REVIEWS FRONT COUNTER REVIEW REVIEW DATE RECEIVED DATE CO M PLET Si ature of Contractor/License Holder STAVE OF FLORIDA COUNTY OF-T- The forgoing instru ent was acknowledged before me this �.--day of ��� 201A by Name of person making statement. Personally Known OR Produced identification Type of identification Produced of Notary Public- state of Florida ) Na. ,a„?F'�. JLF¢35'A4A,iJiY Gllcvnv i3-� lhru tgriiary KW- uldetvrr"M "VLANS VEGEiATI REVIEW I REVIEW REVIEW REVIEW Certificate of Product Ratinas AHRI Certified Reference Number: 7492912 Date: 10-17-2019 Model Status: Active AHRI Type: SP-A Series : R41OA AC SPP Outdoor Unit Brand Name: GRANDAIRE Outdoor Unit Model Number (Condenser or Single Package) : WJA448000K**OA Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this GRANDAIRE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, 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 : 47000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 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 invofuntary re -rate. The now published ralino is shown alona with the orevious (i.e. WAS) ratino. 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.ahrldirectory.org_ TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only he 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, RME ME -am personal and confidential reference, AIR-CoNDIT10NING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSMUTE The information for the model cited on this certificate can be verified at www,ahrid!rectory.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.: 132158032218795289