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HomeMy WebLinkAboutBuilding Permit Application V! dU3G 00 _..
All APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: y3 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 if
PERMIT TYPE:A/C CHANCE-OUT
Address: 00 kh .16CA, 1- ' Ocree 3LI .o
Property Tax ID#: 00 UO ^ 0 f 0 q Lot No.
Site Plan Name: Block No.
Project Name:
In
i f likc rtotocrvwej d I -fiel 41C S kP"
l5 s C C( t m Gc +l i`C Ca d✓I h nc-k-- f D
Additi nai 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:$ Q I J1 00 utilities: —Sewer _Septic Building Height:
. t
Name 41m , Name:JAMES F.GRIMES
Address: Company;GRIMES HEATING AND AIR CONDITIONING
City: 5,/ 91circr State: Address:3054 N US HWY 1
Zip Code:3941-V Fax: City: FORT-PIERCE State:FL
Phone No. Zip Code: 34946 Fax: 772-461-8722
E-Mail: Phone No 772461-8711
Fill in fee simple Title Holder on next page(if different E-Mail ROBERTGRIMESAC@a7AOL.COM
from the Owner listed above) State or County License 4426
if value of construction Is$2500,ar more,a RECORnED Notice of Commencement is required.
If value of NVAC is$7,500 or more,a RECORDED Nonce of Commencement is required.
DESIGTEWENGHNEER.' „ Not App lob a MORTGAGE COMPANY: Not Appllcable
Name: Name ww,w_
Address:Address-
Address.
City- ' State: Clty: ��Ste't •
ZIP." .
P ono � � Zip:__Phdnw. y
FEE SIMPLE TITLE HOLDER; Not Applicable 11ONDING'COMPANY: —Not Applicable
Name: Name:
Addro!s:.- _..__. . .. ��. ., .,._..,._, Address:
City City:
Zip: Phone: Zip:_Phone'_
OWNER/CONTRA?C rOR AFFIDVIT:Application is hereby made.try obtain a permit to do the work and Installation ass indicated.
I certify that no worir air Installation has commenced prior to the issuance of a permit.
5t, YICIe Count **lake no repre a trtlun that Is grant nn a�aerrnit will ut�torizm the errr}It ht�lde to build than ubject st ucture
wh c a in can Ict wit a p Ica a Name town rs oC a an rue , yaws r a Gnunnants that may r,sstr or rta ih such
structure.Aleassx consult wnypaur erne Owners AssocRation-and review. r eer for any restrictions which Maya ply.
In consideration of the granting of this requested permit,I do hereby agme that I will,In all respects,porform the work
In accordance with the approved plans,the Florida Building Codes-and 5t.Lucie County Amendments.
The following building permit applications are exempt from undergoing as full concurrenay review:room addRions,
accessory structuren,swimming pools,fences,wo]118,signs,screen rooms and arcassw uses to another non-residential use
"'4yARNMC TO OY4dNSM" YOUR FAILURE R TO RECORD A NOTICE Or- COMMENCEMM MAY RESULT IN YOUR PAYANC
TWICE FOR IMPROVENEM TO YOUR PROPERTY'. .A NOUC�' OF COMM W- CEMO ' MOST BE RECORDED AND
PbSTED ON THE JOB 151117 MWORE TOE FIRST INSPECTION, IF YOU WOO)TO ICIWAON IFNNdfANC,NF „ CONSULT
WffH YOUR-LENDER OR AN ATropXgy Ii3MI��N3ii�i ll&�AN�ICu� A8��0� 4A�'c0 NLWER1 :'
�< �w ...........r......
5 ature of Owner/Lessee/Contractoras Agent for Owner Ylature of Contractor/License Holder
STATE OF FLORIDA +� STATE OF FLORIDA
C0L,IiN`ITY OF COUNTY OF .. .�71!
The Mraning Instr MAnt,aras g knowledge before me Tl1rr olrtg instrument s acknowledged bel'bre me
this , yday of G l by thls, day of�u v� ,2q) by
P r/Lt VKJ U r(+'µP
!Name of person**raking statement, irlan,e of parvon making statement.
Personally KnownIw,OR Produced Identification� � Personally IGnawn ��OR produced identification
'I Ype Of Identification Type of identificatl6n
Product-4 Produce
lgnature o Notary Public-State of Florida f nature of No�blic-State of Florida) - — -
Commisslnn Iris, _ ,�3 ( �ANMONTM f�RO mmisslon CUn, ,, ,", SU WDNT9'Nl:f�AO
�fYCt? MI38If7N00008009 MY COMMISSION#00 009090
EX rs�ll
IiEVICWrA ,�2U21 �
� �aaa � ,' pon+�1 Thou W� ulsh4o UAdpr►uPit4r0
S Ici7O NT VEGETATI f ,
COUNTER REVIEW RCVIEW RE'VI Ii! REVICW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
rectory.trq
Certificate of Product Ratings
AHRI Certified Reference Number:8458527 Date:08-23-2021 Model Status:Active
AHRI Type:RCU-A-CB(Split System:Air-Cooled Condensing Unit,Coil with Blower)
Series:LX SERIES
Outdoor Unit Brand Name:CHAMPION HEATING AND COOLING
Outdoor Unit Model Number (Condenser or Single Package):TC4B4821
Indoor Unit Model Number(Evaporator and/or Air Handler):AE48CX21+TXV
Region: Southeast and North(AL,AR,DC,DE,FL,GA,HI, KY, LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT,ID,IL,
IA, IN,KS,MA,ME, MI, MN,MO,MT,ND,NE,NH,NJ,NY,OH,OR,PA,RI,SD,UT,VT,WA,WV,1P11,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 CHAMPION HEATING AND COOLING 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:47000
SEER: 15.75
EER(A2)-Single or High Stage(95F) : 12.75
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. .
atin s that are accom anted b WAS in icate an involun re rat . The ew ublished ratin is shown al n with the revious i.e.WA ra in .
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 ARAWSM
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,
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,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.
©2021 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.; 132741995058186r571.
Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved.
Property identification
Site Address:TBD Use Type:0900
See/Town/Range:27/34S/39E Account#:5457
Parcel ID: 1327-801-0000-010-9 Map ID: 13/27S
Jurisdiction:Saint Lucie County Zoning:Planned Un
Ownership.
Meadowood Community Assoc Inc
3001 Johnston Rd
Fort Pierce,FL 34951
Legal Description
MONTE CARLO COUNTRY CLUB-UNIT ONE-ALL STREETS AND
ESMTS AS SHOWN ON PLAT-LESS THAT PART OF MEADOWOOD DR
ASSD INTO THE GROVE AT PANTHER WOODS(PB 40-5)(OR 808-1847:
1078-939)
Current Values
Just/Market Value: $0
Assessed Value: $0
Exemptions: $0 Total Areas
Taxable Value: $0 Finished/Under Air(SF): 0
Gross Sketched Area(SF): 0
Property taxes are subject to change upon Land Size(acres): 13.02
change of ownership. Land size(SF): 567,220.75
• Past taxes are not a reliable projection of future taxes.
• The sale of a property will prompt the removal of all Building Design Wind
exemptions,assessment caps,and special classifications.
Speed
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel:Download PDF© Occupancy Category I II III&IV
Speed 140 150 160
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.