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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/26/2017 Permit Number: � rr 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 XXX PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 3221 BENTPINE DRIVE Legal Description: MONTE CARLO COUNTRY CLUB -UNIT ONE -LOT 33 Property Tax I D q: 1327-801-0037-000-4 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. I DETAILED DESCRIPTION OF WORK: III INSTALLATION OF (1) 5 TON TRANE A/C SYSTEM, 16 SEER W/10KW ELECTRIC HEAT I CONSTRUCTION INFORMATION: III onai worK to De errormea HVA 11 Gas Tank unser tins perm¢ — cnecK au E]Gas Piping appy: _ Shutters ❑ Windows/Doors Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof = Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 5,385.00 S Ft. of First Floor: _ Utilities:cn Sewer ❑ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name MARSHALL & DIANE OWENS Name: JAMES F GRIMES Address: 3221 BENT PINE DR Company: GRIMES HEATING & AIR CONDITIONING City: FORT PIERCE State: FL Zip Code: 34951 Fax: Phone No. 772-448-4943 Address: 3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-8722 Phone No. 772-461-8711 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: SUSANGRIMESAC@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: xxx Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: xxx Not Applicable Name: BONDING COMPANY: xxx Not Applicable 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 commencine work or recordine vour Notice of Commencement. S.Oature�/Lessontractor as Agent for Owner STATE OF FLORIDA COUNTY OF ST LUCIE The for �instrument was acknowledged before me thi'day ofOR/L 20 /7by STATE OF FLORIDA COUNTY OF STLUQE The forgoing instrument was acknowledged before me this 26TH day of APRIL 20 / i by e-7-- (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pul Personally Known xxx Type of Identificati Commission No. Revised 07/15/2014 - State of l6brida ) X (Signature of Notary Public- State of Flori6a ) OR Produced Identification Personally Known xxx OR Produced Identification _ Type of Identification is a�:•"•�°�+';ts SUSAN MONTENEGRO pt,,, SUSAN MO,,,,N''TT€€NEGRO SUPERVISOR m M COMMIARRJ�N VEGETATION Commission No. f i '; MYCOMI "WONGG089099 GG 089099 it EXPIRES:2d,,, T.,.,L' E!;,t4 �, RNNaf Tlvu Nnta,rAD REVIEW S dso TNN Nowt Publk YII = 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 s , Efficiency Tax Credit when placed in service www.ahridirect1r r It between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 8858422 Date: 4/27/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6061C1 Indoor Unit Model Number: TEM6AOC6OH51+TDR+UF/HRZ 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 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 Manufacturer responsible for the rating of this system combination is TRANE 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: Cooling Capacity (Btuh): 58000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (') indicate a voluntary mrale 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 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 listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS "120 This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and As i�r confidential reference purposes. The contents of this Certificate may not. in whole or 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 individual, ! � �■ ILI personal and Confidential reference. AIWCONDITIONING, HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrWirectory.org. click on "Verify Certificate' link 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. ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131377749842102341