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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: NOVEMBER 21, 2016 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 xxx Residential Address: 2995 S 25TH STREET (GOODFELLA'S PIZZA) Legal Description. 20 35 40 N 200 FT OF S 260.04 FT OF W 230 FT OF 3 290.04 FT OF S 1/2 OF SE 1/4 OF SE 1/4 Property Tax ID #: 2420-444-0006-000-2 Site Plan Name: Project Name: Setbacks Front Back: [ DETAILED DESCRIPTION OF WORD: Right Side: Left Side: LIKE FOR LIKE INSTALLATION OF 5 TON CARRIER A/C SYSTEM, 14 SEER Lot No. Block No. CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all appy: ❑✓ HVAC Gas Tank ❑Gas Piping _ Shutters Windows Doors 11 Electric ❑ Plumbing Sprinklers I Generator 0 Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ 7350.00 UtilitiesInSewer Septic Building Height: OWNER%LESSEE: CONTRACTOR: Name MANSIA PETROLEUM INC.; AJR PROPERTY SERVICES Name: TIMMY GRIMES Address: 2995 S 25TH ST Company: GRIMES HEATING & AIR CONDITIONING p Y� City: FORT PIERCE State: FL Zip Code: 34981 Fax: 772-461-8722 Phone No. 886-461-8711 Address: 3054 S US HWY 1 City: PORT ST LUCIE State: FL Zip Code: 34953 Fax: 772-461-8722 Phone No. 772-461-8711 E -Mail: SUSANGRIMESAC@AOL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: SUSANGRIMESAC@AOL.COM State or County License: RA0018071 It value or consiruciion is acjuu or more, a KtCUKUtU Notice of commencement is required. I certify that no work or installation has commenced prior to the issuance of a permit. St. LucieCount makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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. Sig ure of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrum nt was acknowledged before me this2�ay of Dv¢w%bc 20 &by (Name of person acknowledging) Ignature of Notary P4bllc "of Florid ) PersonallyKnow SAN['RA HUHMANN s " a'cr�}grilhfcatl3t�te ei F4er+da Type of Identification Prod ecf• ..= �A„ r�Tm .. Commission No. Revised 07/15/2014 Commission # FF 071680 Borlli%elflilugh National Notary A., V_ 4�_� s S' ature off Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIES The forgoing instrume 2t was acknowledged before me this, day of C' en d � 20 lby a4h e.s- (Name of person acknowledging) re of Notary Public- State of Florida ) orally Known M.P,,roducediPd�LffttiRWNN of Identificatio P4' o Notar Public -State of Florida t = ; • My Comm. Explr�s '.tar 14, 2018 nission No. t , p�`� Corn FF 071680 ' ����� �" Bonded Through National Notary Assn. REVIEWS FRONT ZONING ��, PLANS "< "�'.• FnF ? a.r`s.,. ., c�.t ,,^ �`�,. ����, aro. •. �„i�. Y; ,y'ni ff , s..'. , Fa'«IY. ,`fit i"i .. n,.Q ., :R'�..,�.�4 2,. € +V .,r � MORTGAGE COMPANY: a S .. X Not Applicable DESIGNER/ENGINEER: x Not Applicable Name: REVIEW Name: REVIEW Address: Address: City: State: Cit y' State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x Not Applicable Name: 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. LucieCount makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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. Sig ure of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrum nt was acknowledged before me this2�ay of Dv¢w%bc 20 &by (Name of person acknowledging) Ignature of Notary P4bllc "of Florid ) PersonallyKnow SAN['RA HUHMANN s " a'cr�}grilhfcatl3t�te ei F4er+da Type of Identification Prod ecf• ..= �A„ r�Tm .. Commission No. Revised 07/15/2014 Commission # FF 071680 Borlli%elflilugh National Notary A., V_ 4�_� s S' ature off Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIES The forgoing instrume 2t was acknowledged before me this, day of C' en d � 20 lby a4h e.s- (Name of person acknowledging) re of Notary Public- State of Florida ) orally Known M.P,,roducediPd�LffttiRWNN of Identificatio P4' o Notar Public -State of Florida t = ; • My Comm. Explr�s '.tar 14, 2018 nission No. t , p�`� Corn 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 Lin AHRI Certified Reference Number: 9194892 Date: 11/21/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA14NA060*0**A* Indoor Unit Model Number: FX4DN(B,F)061L 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 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): 57000 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.50 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 confidentialreference purposes. The contents of this Certificate may not, in whoir or In part, be reproduced; copied; disseminated; I . M-1 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.altridirectory.org, click on "Verify Certificate" link we make lite 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.: 731242111869215<.