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HomeMy WebLinkAboutJACKSON PERMIT APP - 8 JASMINE LANEAll 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.
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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.
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"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