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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D. Chu NTY 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 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5306 E ECHO PINES CIR. Legal Description: HOLIDAY PINES S/D PHASE I Property Tax ID #: 131250001370005 Site Plan Name: BENTLEY Project Name: BENTLEY Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Commercial Residential x Right Side INSTALL 3.5 TON SPLIT SYSTEM 16 SEER 10 KW Left Side: Lot No. 139 Block No. CONSTRUCTION INFORMATION: Additional worK tonGasTank r orme under this permit -check a appy: ❑✓— HVAC ❑Gas Piping _ Shutters a Windows/Doors 11 Electric 0 Plumbing Sprinklers a Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ 3945.00 S�Ftj. of First Floor: _ Utilities: L_I Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name SHARON M & SHARON J BENTLEY Name: JAMES F GRIMES Address: 5306 E ECHO PINES CIR Company: THREE G'S DBA GRIMES HEATING & AIR City: FORT PIERCE State: FL Zip Code: 34951 Fax: Phone No. 772-332-0345 Address: 3054 N US HWY 1 City: FT PIERCE State: FL Zip Code: 34949 Fax: 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: SHANNAGRIMESAC@AOL.COM State or County License: RA0018071 4426 --•__ -• 1-1. •.1. M.. _�LRLF L01 111ure, a nc%.vnutu rvoiice or commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: X Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable Name: BONDING COMPANY: X Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that 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, 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 and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencine work or recordin>; your Notice of Commencement. ignature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF �Si-'lZ'� The forgoing instrumfant was acknowledged before me this -L! day of /-�� <'G(4i'� 20 J 6 by J (Name of person acknowledging ) (Signa re of Notary Public- State of Florida ) Personally Known Type of Identificatio roO{ged SANDRA HOHMANN `P Notary Public -State of Florida z Commission No. !l�� '- My Corfige�r�pirs 'lar 14, 2018 'sem' "°= Commission # FF 071680 Rnnrtnri Thronnh National Notary Assn. Revised 07/15/2014 re of Contractor/License Holder STATE OF FLORIDA COUNTY OF Jt— The forgoing instrument was acknowledged before me this � day of 20 & by James ayl-)q� (Name of person acknowledging ) (Si ature of Notary Public- State of Florida ) Personally Known Type of Identification Pro cSANDRA HORMA- ;PrNotary Public - dz M� ��� Expir,.s 'tar 14.201 Commission No. a •,•: CComm�ission # FF 071680 Bonded Through National Notary Ass REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratinas AHRI Certified Reference Number: 6937961 Date: 2/12/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA042****A Indoor Unit Model Number: FX4DN(B,F)049L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER 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, 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. Series name: 16 SEER PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 42000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): * Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate 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; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, hou Isis aa personal and confidential reference. MR -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 ;... make I[re Mercer` 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. - - - - -- - - .. -- -- ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130997801769514282