HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: -71430 S ocean �r.1�Y1'A MVI JP,I(\SW BC'CIC�1, F -L 314q 2.
Legal Description: Sand d610.Y N(MOLS C6MOM-iV1% LkM 19 - U_n4 r61-7 QCnA
un mrd - raga slr Yem (,bMMC>y-) �_1cx�r►e Y1tS
PropertyTaxlD#: 35ZZ- UO2_)- OOL Z- ()C)0 -q Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
�VAS' w 10iti 0 %Y i+ e pt-/ C_
k to 5>XE_e _ W %-1 kn % C0ccw % L
I CONSTRUCTION INFORMATION: I
101tional work to be ertormed under this permit- cl
HVAC E] Gas Tank ❑Gas Piping
11 Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ ?2 , $ Ot 2- -O'0
Shutters F]Windows/Doors
Generator 0— Roof Roof pitch
Sq. Ft. of First Floor: _
UtilitiesESewer Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Odn W\1yy Ail
Name: JAMES F. GRIMES
Address: (135 fZ(\IC.�_I ynrk R� 12D5
Company: GRIMES HEATING AND AIR COND
City:n"'Vlto State: QtJ
Zip Code: Fax:
Phone No. '7'12-- 2 zq -2- 5 S
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: _ Not Applicable
Name:
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
ture of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S7- LbfCitg7-
The for ping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2�ay of 1P1ZP—U May , 20 177by this Qiday of 20 ja_ by
J
(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 "'YQ_tQroducEAll�Atff uiiDtltl Personally Know OR Produced Identification
Type of Identifica to �'t ` : Notary Public -State of Florida Type of Identification
•? My Comm. Explr�s Mar 14, 2018 ; o<�"� °�a•., NDRA HOHMANN
i ♦ I �ti' o
Commission No. �,9F oP Commt�m)# FF 071680 Commission No. �.' ;° = Notary P jSal�tate of Florida
onded Through National Notary Assn. ; . MY Comm. Expires !.lar 14, 2018
�� `•— V FOFF�oP _ Commission # FF 071680 {i
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, 2009 and flee 31, 2016.
Certificate 7 t ct Kati
AHRI Certified Reference Number: 7932227 Date: 1/26/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Slower
Outdoor Unit Model Number: 4TTR4025L1
Manufacturer: TRANE
indoor Unit Model Number: TMM5A0B24M21SAA
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, WI, WY, U.S. Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be
installed in alt 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 TRANS
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 asterisk (') indicate a voluntary —ate of previously puhlished data, unless accompanied with a WAS, which indicates an invclurnary rerate.
DISCLAIMER
AHRI does not eaiorse the i roduct(s) listed on this Certificate and makes no representations, warranties or guarantees asto, 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 fisted in the
directory at
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 ar 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 indivitluai,
personal and confidential reference.
AER-CO%INTIGNnlG. HFATING,
CERTIFICATE VERIFICATION
3 REFRIGE RATION INSTWJTE
The information for the model cited on this ce 11 icate can be verified at esw;v.ahNd!sectary.or> , click on 'Verity Certificate' link
ar make life better°'
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.
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
1312882Q6685156471