HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3115 S 23rd Sr• U PtPYCC, FL 3-4gfsz-
Legal Description: 'F_aQt_v1l OOA RS TP—S 'B L_Y__ Z LIST 7
PropertyTaxlD#: 2-�i -9- IDLE)- 0025- boc)- Z Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 1
tYASA-a11Ck_kkon a�- I%V-e '�Dr like 2 -TbN go ne A/c. 5y5- e -Cm
15 SF -SF- W 4- S Y -W e\eC. Y\ C. a,COA
CONSTRUCTION INFORMATION:
Additional work toje ner orme under tis permit-checka =apply:
HVAC LJ Gas Tank ❑Gas Piping _ Shutters F]Windows/Doors
FlElectric E] Plumbing Sprinklers Generator F]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ �� 01 Z oc)
S Ft. of First Floor: _
Utilities: OSewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name L0. Yt r( r1
Name: JAMES F. GRIMES
Address: $11
Company: GRIMES HEATING AND AIR COND
City: �-OY t F� CY ce State: �—_L—
Zip Code: Z Fax:
Phone No.
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: A Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 your Notice of Commencement.
r -
Si ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
ature of Contractor/License Holder
STATE OF FLORIDA .-
COUNTY OF S7- L �tGic3—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 ay of ZU B" , 20 Uby this Crt�l day of V:U-� V—U &may 20 1'1 by
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(Name of person acknowledging) (Name of person acknowledging)
(Si ature of Notary Public- State of Florida) ( gnature of Notary Public- State of Florida )
Personally Known Y4�.Produce�Aiffitf�iTlm Personally Know r� OR Produced Identification
Type of Identifica o ['i ` Notary Public - State of Florida Type of Identification
N { e My Comm. Expires Mar 14, 2018 � otPnvvie( ,� NORA HOHMANN
Commission No. %rF oPJo' Comm (")# FF 071680 Commission No. ;° = Notary PBlgtate of Florida
onded Through National Notary Assn. N w c My Comm.`xplr�s Mar 14, 2018
_ -�- - = �F
W OCommission #
fI,,,�� FF 071680
8ry ssn.
Revised 07/15/2014
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CERTIFIED "
Certificate of Product Matings
AHRI Certified Reference Number: 7548343 Date: 2!912017
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4TTR40251-1
Indoor Unit Model Number: TEM4A0824S21}TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
3
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, [A, IN, KS, KY, LA, MA, MD, ME,
Ml, MN, MO, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Ri, SC, SD, TN, TX,
UT, VA, VT, WA, WV, WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be s
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: 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 (Stuh): 24200
EER Rating (Cooling): 1250
3 � .
SEER Rating (Cooling): 15.00
IEER Rating (Cooling):
d�
i
Ratings f.U—d by an asterisk (') indicate a voluntary urate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerata.
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 'f*
Unauthorized alienation 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 Certif—te and its contents are proprietary products of AHRI. This Certificate shall only be used for Individual. personas AMand
confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reeproduced; copied: disseminated; $t$
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entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual. E
personal and confidential reference. AIR-CONVITIONiNG, HEATING.
CERTIFICATE VERIFICATION a r. REFRIGERATION INSTITUTE
The information for the mode[ cited on this certificate can be verified at www.ah,id irectory_aeg, click an `Verify Cettiti.ate' link ttg make ii(e he[te"'"
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. r
1373ii3tsa73sa0000
@2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.;