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Building Permit Application
ALL 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