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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/28/2016 Permit Number: r 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 Address: 6708 PASO ROBLES, FORT PIERCE, FL 34951 Legal Description: LAKEWOOD PARK 0 UNIT 9 - BLK 115 LOT 4 Property Tax ID p: 1301-611-0301-000-3 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Residential xxx Lot No. Block No. LIKE FOR LIKE INSTALLATION OF 2.5 TON CARRIER A/C SYSTEM, 16 SEER WITH 10KW ELECTRIC HEAT. I CONSTRUCTION INFORMATION: III Ju1L10nai W0FK co De errormeo unser Ems permit— cnecK a QHVAC Gas Tank E]Gas Piping 11 Electric Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ Shutters 11 Windows/Doors Generator E]Roof = Roof pitch SFt. of First Floor: _ Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ANNE WINSTEAD Name: JAMES F GRIMES Address: 6706 PASO ROBLES Company: GRIMES HEATING & AIR City: FT PIERCE State: FL Zip Code: 34951 Fax: Phone No. 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: SUSANGRIMESAC@AOL.COM State or County License: RA0018071 If value of construction is SZ500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGN 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. which is in conflict with any applicable lHomeaOwners Asssociationl permit lesabylaws or and covenant that maylrestrict 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. s 'e/Contractor as Agent for Owner S ature of Contractor/License Holder STATE OF STATE OF FL COUNTYOFG�(C!G—' COUNTY OFORIDAX� GLlCl� The for of g instru ent was acknowledged fore me thfs�ay of i)ar, 20 ,&by (Name of person acknowledging) Ignature of Not Public- State of Florida ) Personally Known ORRrodu _d- exlti' 'o u . Type of IdentificationTmducedu saNnaa ununea NM Commission No. Revised 07/15/2014 The forgoing instru nt was acknowledged b fore me this�day of 4/� - 20 acknowledged (Name of person acknowledging ) f0gnature of Notary Public- State of Florida ) Type of Notary Public - State of Florida [ I rU••^? ame'y ruouc - state o or a !LL9mm. Ex fisa))ar 14, 2018E Commission No. = My Comm. Ex �ar 14, 2018 Commissd :' } >, ommissio 011680 tinned Thrn nlh Narnnal Nntarv6eccn `'� Bonded Through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE 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 CE between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 9198752 Date: 12/28/2016 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA030.O-W Indoor Unit Model Number: FV4CNF002L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Region: Southeast and North (AL, AR, DC, DE, FL, GA, Hl, 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 regions) for which they meet the regional efficiency requirement. Series name: 16 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): 28600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): • Ratings followed by an asterisk (') indicate a voluntary relate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the products) 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.a hrid{rectory.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: tlisseminatetl; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's intlivitlual, personal and confidential reference. AIR-CONDMONINO, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ah ridirectory.org, click on"Verify Ce, rtificate"link wx maim life better- the AHRI Certified Reference Number and the date on which the certificate was issued, whichenter which is listed above, and the Certificate No., which is listed at bottom right. — -.-- ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. 131274054912770077