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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01/03/2017 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 Residential xxx PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 4310 N HWY A1A, UNIT 401S, FORT PIERCE, FL 34949 Legal Description: ALTAMIRA AT NORTH HUTCHINSON ISLAND, UNIT 401 SOUTH Property Tax ID #: 1423-565-0029-000-7 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. Block No. INSTALLATION OF A LIKE FOR LIKE INSTALLATION OF A 5 TON WATER SOURCE HEAT PUMP CONSTRUCTION INFORMATION: CONTRACTOR: Name JAMES P JADLOS & KATHERINE K. JADLOS Name: JAMES F GRIMES j �itiona wor to a er orme un er ZHVAC �GasTank t is permit – c ec ❑Gas Piping a app y: ❑Windows/Doors 11 E -Mail: _Shutters E -Mail: SUSANGRIMESACea AOL.COM Electric Plumbing Sprinklers Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: Sq� FFtt.I of First Floor: Cost of Construction: $ 5685.00 Utilities: —Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name JAMES P JADLOS & KATHERINE K. JADLOS Name: JAMES F GRIMES Address: 4310 N A1AUNIT 4015 Company: GRIMES HEATING & AIR CONDITIONING City: FORT PIERCE State: FL Zip Code: 34848 Fax: Phone No. Address: 3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-8722 Phone No. 772461-8711 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: SUSANGRIMESACea AOL.COM State or County License: RA0018071 .o.— 1..,.,1..111i,6JVVVIIIIVIU,dmicuumucunonceorcommencementisrequired. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: xxx Not Applicable Name: MORTGAGE COMPANY: xxx Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: xxx Not Applicable Name: BONDING COMPANY: xxx 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 thepermit 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 recordine your Notice of Commencement. as Agent for Owner S ature of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST L2/LiF The forgoing instrument was acknowledged before me this340dayof TAm/• 20/Zby STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this day of r�I yV- 2o/2—by (Name of person acknowledging ) (Name of person acknowledging) (S' nature of Notary Public- State of Florida) gnature of Notary Public- State of Florida ) Personally Known „•,,,,,, Type of Identificatdon od,M SANDRA HUHMANN Type of Identification Pro d� �. Notary Public - a 6 ; _� "•,.rY'pa"'-6Fate�4-Feil •: •- M C x Ir,s'tar 14, 2018 a -• . c My�omryr Explr,s !.1ar 14.2( Commission No. Y Pggg{€ P Commission No. =� • mlFlls �.- ComMssic p FF 071680 `�' ghN ti FF 071880 ",'`" %RLfk°P'•. Bonded Through National Notary A' Bonded Through National Notary Assn. 9 arY Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS „ Certificate of Product Ratings AHRI Certified Reference Number: 7932241 Date: 1/3/2017 tStatus: Active Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: 50PCV060L/R**3/CA Manufacturer: CARRIER CORPORATION Trade/Brand name: CARRIER Rated as follows in accordance with ANSI/AHRI/ASHRAE/ISO Standard 13256.1 for Water -to -Air and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Air Flow Rate - Cooling: 2000 / 2000 Air Flow Rate - Heating: 2000/2000 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 57900 / 57900 Cooling EER Rating(Btuh/watt) 13.00 / 13.00 Cooling Fluid Flow Rate(gpm) 15.00 / 15.00 Heating Capacity(Btuh) 67200 / 67200 Heating COP(watt/watt) 4.30/4.30 Heating Fluid Flow Rate(gpm) 15.00 / 15.00 GWHP(Ground-Water Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) Heating COP(watt/watt) Heating Fluid Flow Rate(gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity(Btuh) 60100 / 60100 Cooling EER Rating(Btuh/watt) 14.10 / 14.10 Cooling Fluid Flow Rate(gpm) 15.00 / 15.00 Heating Capacity(Btuh) 46900 146900 Heating COP(watUwatt) 3.20/3.20 Heating Fluid Flow Rate(gpm) 15.00 / 15.00 Indoor Blower Motor Fan Type: Sold In: ' Ratings followed by an asterisk (') indicate a voluntary rerale of previously published data, unless acmmpanied with a WAS, which indimtes an involuntary rerale. 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), of 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 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. AM -CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on thiscertificate can be verified at www.ahridirectory.org, click on"Verlfy Certificate" link di bvvir,. 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.: 111279224417217002