HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1�(Q lZ 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 X
Address: 6655 YEDRA AVENUE, FORT PIERCE, FL 34951
Legal Description: ' Alt tiaak •a
WIL
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
IDETAILED DESCRIPTION OF WORK:
Block No.
INSTALLATION OF LIKE FOR LIKE 3.5 TON CARRIER AIC SYSTEM, 16 SEER WITH 10 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name BEVERLY SHUMAN
Name: JAMES F GRIMES
Additional work to be Dertormedunder
HVAC IJ Gas Tank
this permit —check
❑Gas Piping
all J= appy:
Shutters
Windows/Doors
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
_
FlElectric 0 Plumbing
Sprinklers
11 Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 4,182.00
Utilities:Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BEVERLY SHUMAN
Name: JAMES F GRIMES
Address: 6655 YEDRA AVENUE
Company: GRIMES HEATING & AIR CONDITIONING
Address: 3054 N US HWY 1
City: FT. PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-468-7974
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772461-8722
Phone No. 772-461-8711
E -Mail: KAYLAGRIMESAC@AOL.COM
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: RA0018071
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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. 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 vour Notice of Commencement.
S
�Ilature of Owner/Lessee/Contractor as Agent for Owner ' ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The for ojng instrument was acknowledged before me
this &71rday of , 20 L_Jby
STATE OF FLORIDA
COUNTY OF -S?—
The forgoing instrument was acknowledged before me
this JL�day of 3�W- , 20 T by
(Name of person acknowledging) (Name of person acknowledging)
(Si nature of Notary Public- State of Florida) 'gnature of Notary Public- State of Florida )
Personally Known l� OR Produced Identification Personally Knowrr_�.E2R.Produ,�ecL ld ntfication
Type of Identification Produ ed " — - _�= Type of Identification(Proo c
Cc 1 • �SANDRA HOHMANN�<7---��LNDRh H01 rhri�—
'`c`' .'_°� o`�= Notary Public - State of Florida
Notary P��blai�- State of Florida ' . COmmisslOn No. °' y ' '`" b = M Com
Commission No. '~ {��° = My Comltt.`fX1j iris '.9ar 14, 2010 i °JP, y raFRIg, s lar 14, 2018
"spy° `" %e Commission at FF 071680 F� „�?.' Commission , FF 071680
i rirou h National
Banded 4brotigh Revised 07/15/2014
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
between Feb 17, 2€109 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 9195824 Date: 115,2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: CA16NA042`0"A"
Indoor Unit Model Number: FX4DN(B,F)049L
(Manufacturer: CARRIER AIR CONDITIONING
TradeiBrand name: CARRIER Alli CONDITIONING
Region: Southeast and North (AL, AR, DC, DE, FL, GA, H1, KY, LA, MTD, MS, NC, OIC, SC, TN, TX, VA
AK, CO, CT, ID, iL, [A, IN, KS, MA, NSE, Ml, MN, MO, MT, ND, NE, NH, NJ,
NY, OH, OR, PA, RI, SD, IIT, VT, WA, Wit, 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: 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.
Coaling Capacity (Btuh):
42490
EER Rating (Cooling):
13.00
SEER Rating (Cooling):
16.00
IEER Rating (Cooling):
*Ratings followed by an asterisk (') indicate a voluntary terata 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, wanantias or guarantees ns to, and assumas 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
unauthorir tl alteration of data listed on this Certificate. Codified ratings are valid only for models and configurations lusted in the
directo,y of www.ah0directary.erg.
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; Capied; 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. AIR-CONomoNING. HFATIN^s,
CERTIFICATE VERIFICATION & REFAISERATION INSWUTE
Tne Information for tfm model cited on this certificate can be vcdfled at--tiddi—tory.org, click on `Verify Corufwate" link ,.` M. ' o ii; , i. to
and enter the AHRI Certified Reference Number and the date an which' he certificate was issued,
which is fisted above, and the Certificate No., which is listed at bottom right. ____-----
C72014 Air -Conditioning, Heating„ and Refrigeration Institute CERTIFICATE NO.- 1312M2181e62898