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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6-10-16 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 X Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION; Address: 8351 S US HWY 1 Legal Description: ST LUCIE GARDENS 26,36,40, FROM A PT 1510 FT SELY OF INT OF WLY RD, R/W L1 OF US #1 AND WLY L1 OF LOT 8 RUN WLY ALG RNV L1 259.94 FT TO POB, TH N 89 42 05 W 219.39 FT, Property Tax ID #: 341450118110003 Lot No. 10,11 Site Plan Name: MID FLORIDA Block No. 2 Project Name: MID FLORIDA Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: **LIKE FOR LIKE** INSTALL 4 TON SPLIT SYSTEM, 14 SEER 8 KW A/C UNIT #2 Haamonal worK to oe errormea unser tnis permit – cnecK an apply: E ❑✓— HVAC _ Gas Tank ❑Gas Piping_ Shutters Q Windows/Doors L 1 Electric Plumbing Sprinklers E Generator 1:1 Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ 6789.00 Utilities: Sewer OSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name MIDFLORIDA CREDIT UNION Address: 129 SOUTH KENTUCKY AVE #700 Name: JAMES F GRIMES Company: Three G's dba Grimes Heating & Air City: LAKELAND State: FL Zip Code: 33801 Fax: 863-161-2140 Phone No. 863-616-2153 Address: 3054 N us Hwy 1 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 SZ500 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 commencine work or recordinf? vour Notice of Commencement. FS gnature of Owner/ Lessee/Agent I ATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged me this � day of .. 20 I by (Name of person acknowledging) (Sign re of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced re of Contractor/License H STATE OF FLORIDA , COUNTY OF __/ The forgoing instrument was acknowledged before me this ) () J ",day of lt i2.�_, 20 16 by Ju l _5 �wiy�I es (Name of person acknowledging- _J"d, ) rsiXnature of Notary Public- State of Florida ) ersKnown 1____�OR Produced Identification Type of Identification Produced Commission No.,1S HOHMANN a FRONT Commission No. SUPERVISOR Notary Public - State of Florida . SEA TURTLE y- :r ` Revised 07/15/2q V "' P , ..4. Commission # FF 071680 COUNTER 11 " Bonded Through National Notary Assn. REVIEW `S'A MRA HOHMANN Notary Public - State of Florida Commission # FF 071680 Bonded Through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS C rtfi cafe Ratings zsaw� AHRI Certified Reference Number: 7850480 Date: 6/9/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA14NA048****A Indoor Unit Model Number: FB4CNF048L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING 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: 14 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): 43500 EER Rating (Cooling): 11.70 SEER Rating (Cooling): 14.00 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.ahOdirectwy.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, personal and confidential reference. Alfa-Ct HDITIONMC, HEATMG, CERTIFICATE VERIFICATION & REFRIG ERATfON MSTIT€iTE The information for the model cited on this certificate can be verified at www,:ah rid irectory.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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131099649634354815