HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z 15 bo Permit Number:
4
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: 2-W Le $jt�VM1A o, ?x Q, JX YIeXC,e . v--L_'3!AAL4q
Legal Description: cx-�Y(a k C.DV2 Q.Q C.h_,5 eC.�10 n in in e - ZL-Y— L4
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Property Tax ID #: 1 25' 1 D I - D 08 ?� - (--)oCO - 5 Lot No. 1 q
Site Plan Name: Block No. L4
Project Name:
Setbacks Front Back: Right Side: Left Side:
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CONSTRUCTION INFORMATION:
Additional work to be oerformed under this permit —check a appy:
HVAC Gas Tank —]Gas Piping _Shutters Q Windows/Doors
nElectric Plumbing Sprinklers ElGenerator E]Roof Root pitch
Total Sq. Ft of Construction:
Cost of Construction: $ `{ ( OQ • 00
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name EY L QiA ta\A
Name: JAMES F. GRIMES
Address: - L471 Tjne�Y � e �-Gi •
Company: GRIMES HEATING AND AIR COND
City: ?i kk-5V?V'kY Qto State: FA
Zip Code: l S ZL1 "i Fax:
Phone No. -117 - LA4 I ' I NSO
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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Iv%� 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.
Si ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The for ggi�ng instrument was acknowledged before me
this t ��'8ay of F\=BV__k) Pa�� 20 J.by
Contractor,
STATE OF FLORIDA -
COUNTY OF 57-, L "C1,9—
The forgoing instrument was acknowledged before me
this k S ay of 20 1-1 by
r
(Name of person acknowledging) (Name of person acknowledging)
(Sigfiature of Notary Public- State of Florida )
Personally Known roducE01dffi#ftt0Am
Type of Identifica o Notary Public - State of Florida
.My Comm. Expires !.lar 14, 2018
Commission No.
Comm FF FF 071680
onded Through National Notary Assn. '
Revised 07/15/2014
( gnature of Notary Public- State of Florida )
Personally KnowrK OR Produced Identification
Type of Identification , ,
r »
Commission No. . �? Notary P`tate of Florida
a. • ( �I
My Comm. Expin:s Mar 14, 2018
''o;FOFFL4Po' Commission # FF 071680
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
s This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service l
between Feb 17, 2009 and Dec 31, 2016 ;
'Oft j
uterfificate of Product Ratings
kE�
AHRI Certified Reference Number: 8703699 Date: 2t15f2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Slower
i
Outdoor Unit Model Number: 4TTR6042J1
Indoor Unit Model Number: TEM4AOC42S41+TDR
Manufacturer: TRANE I
i
Trade/Brand name: TRANS
I
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)
t 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: XR16 I
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 (Stuh): 41400
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 1&00
LEER Rating (Cooling):
'Palings followed by an aslar k (`) indicate a -ion oy rerote of previously published data, u Id accompanied with a WAS, hich ;hdi-tes an in-luntary rerate.
DISCLAIMER
AHRI does not endorse the products) listed on this Certificate and makes rtu represerttatians, warranties or guarantees as in, and assumes no responsibility for,
the products) listed on this Certificate. AHRI expressly disclaims ail 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 vffd only for models and configurations listed in the
directory at+.r4vw,andds`reoiery,o g.
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, he reproduced; copied; disseminated; ,
antered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual,
personat and confidential reference, AIRLONOMMING, HEATING,
CERTIFICATE VERIFICATION & REFR7GERAT#GN INSTITUTE
The Information for the model cited ..this cerdficate can be verified at www.anradsreetary.org, Click on `Verify CertirtCaW fink we mane of , Futter'
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
which is fisted above, and the Certificate Nd., whieh Is listed at bofiom right_ - -"-
131316308060989401'-
C,,2,314 Air -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: