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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
om
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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 206 RIVER WALK 16
Legal Description. RIVERWALK AT SANDS UNIT 16
Property Tax ID #: 142556600160002 Lot No.
Site Plan Name: ROCCON Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE: INSTALL (1) 3 TON 14.5 SEER HEAT PUMP SYSTEM 5 KW
7aitionai worK to be ertormed under this permit— check allta
❑✓_ HVAC Gas Tank ❑Gas Piping
11 Electric 0 Plumbing Sprinklers
CONTRACTOR:
ppy:
Shutters Q Windows/Doors
Generator ❑ Roof
Name: JAMES F GRIMES
Total Sq. Ft of Construction:.
Cost of Construction: $ 4850
S Ft. of First Floor: _
Utilities:ESewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name RICHARD, ANN P ROCCON
Name: JAMES F GRIMES
Address: 206 RIVER WALK
Company: THREE G"S dba GRIMES HEATING AND AIR
Address: 3054 N US HIGHWAY
City: FT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 321-604-1702
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
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: 4426
It value of construction is �iZ500 or more, a RECORDED Notice of 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
commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF CT- L UC/C
The forgoing instrument was acknowledged before me
this,,?day of- / 20 /.d -by
acknowled" ing )
NiL - ff0#
Puplic- State of Florida )
Personally Known
Type of Identifical
Commission No.
Revised 07/15/2014
s
Si ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST &LCC/b'
The forgoing instrument was acknowledged before me
this'day of /--
6F73/Lc/Ai/LY, 20 by
�Wame oFperson acknowled mg )
Sig ure of Notary Public- State of Florida )
rsonally Known
oe of Identificati
Notary Public - State of Flori
MV-4*i1m. Expir,s '.tar 14, 20mmission No.
Commission # FF 071680 11
Notary Puglic - State of Florida
My C l xpir,,s '.lar 14, 2018
Commission # FF 071680
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratinas
AHRI Certified Reference Number: 7971647 Date: 2/25/2016
Product: Split System: Heat Pump with Remote Outdoor Unit -Air -Source
Outdoor Unit Model Number: CH14NA036*0**A
Indoor Unit Model Number: FV4CNF002L
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIONING
Series name: 14 SEER PURON HP
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):
34600
EER Rating (Cooling):
12.00
SEER Rating (Cooling):
14.50
Heating Capacity(Btuh) @ 47 F:
33600
Region IV HSPF Rating (Heating):
8.20
Heating Capacity(Btuh) @ 17 F:
20000
* 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 avwvv.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;
Ala
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 wwwahHdirectory.or g, 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.
©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131009101910790275