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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:,?—/D-7 11 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 `l Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Jt PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: g7 00 IS kM #LQ 12 15 FhYt ' if FL- 3A949 Legal Description:( ��u n 14a3rboY SbUA6 5W91 'Fj Uyid} M2_ 0Wd IAND J.v,tP_reS-� „n CAl1AVV11018 el>°IrnC- S Property Tax ID #: JL{ 7_3 — Sb 1- D 14 U — 0 OQ -3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: trnS�a110�� o o� 1� -e fbr t� 2 -TOT -4 -��o,�n e /c %*t=w wh k-- - 1 \_Q sr�_v_ \N &VN g KvJ eke0mIC_ VnC.ai . CONSTRUCTION INFORMATION: Additional work toje ner orme under this permit —check a appy: HVAC I _J Gas Tank ❑Gas Piping _ Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 1 01 U 2. OO Utilities:Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Mike P�yy_ldaQA% s Name: JAMES F. GRIMES Address: 3020 -744 S-yree.t Company: GRIMES HEATING AND AIR COND City: Jackswn )Anlah� State: tIN Zip Code: \I310 Fax: Phone No. I \8 - !A'I'R - %9 U y to Address: 3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-1722 Phone No. 772-461-1711 E -Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E -Mail: KAYLAGRIMESAC _AOL.COM State or County License: RA0018071 IT value OT consTrucTion is :�zSuu or more, a MILUKUW Notice of commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: Phone: MORTGAGE COMPANY: X Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: 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. Si ature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF ature H STATE OF FLORIDA -- COUNTY OF ST L ucIc3-- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this =ay of _V-_�—FZU INg3_, 20 \ by this day of F-ft-SZO 8f—A 20 \-1 by (Name of person acknowledging) (Name of person acknowledging) (Si ature of Notary Public- State of Florida) ?"nature of Notary Public- State of Florida ) Personally Known"b®ja �roduc:lad MkIMAMOM Personally Know r OR Produced Identification Type of Identifica o �t ` : Notary Public - State of Florida Type of Identification LVU E. « ! My Comm. Explr�s L1ar 14, 2016 ; ot0Y P bANDRA HOHMANN Commission No. F op' Comm)# FF 071680 Commission No. ?,r: ;° Notary Pto�aljtate of Florida onded Through National Notary Assn. S. « Qc MY Comm. Expires Mar 14, 2018 I Commission # FF 071680 ' 4 P FI.111 _ _ 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 smal CERTIFIED'between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 7832227 Date: 217/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR4025L1 $d Manufacturer: TRANE Indoor Unit Model Number: TMMSAOB24M21SAA Manufacturer: TRANE Trade/Brand name: TRANE Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, Wf, 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 i can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: XR14 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 2101240-2008 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): 24000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): ' Ratings followed by an astedsk (') 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 —responsibility for, the products) listed on this Certificate. AHRI expressly disclaims an 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 directoryat www.ahrfdirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This certificate shall only be used for individual, personal and MR1 confidential reference purposes.The contents ofthis Cortificate may not, in whole or in part, be reproduced: cooled: disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except far the user's individual, 40 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.ahridireetary.org, dick on'Verify Certificate" fink ale make life hatter - 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. ©2024 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13i309632493423544