HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/25/2017
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 x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: —I
Address: 6544 ALEMENDRA
Legal Description: SPANISH LAKES FAIRWAYS BLK 75 LOT 23
Property Tax ID 8: 1306-500-0368-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 23
Block No. 75
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE HEAT PUMP, 14 SEER WITH 5KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name NORMAN HAAG
Additional work to
❑✓_ HVAC
a er orme on
11 Gas Tank
er this permit — check
OGas Piping
a
appy:
Shutters
[]Windows/Doors
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
_
11 Electric
0 Plumbing
Sprinklers
Generator
g Roof Roof pitch
Total Sq. Ft of Construction:
Sq.
Ft. of First Floor:
Cost of Construction:
$ 4,298.00
Utilities:
Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NORMAN HAAG
Name: JAMES F GRIMES
Address: 6544 ALEMENDRA ST
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-466-1345
Address: 3054 N US HWY 1
City: FORT PIERCE- 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: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
IT value OT construction is ,,z5uu or more, a RECORDED Notice of Commencement is required.
SYT �Y`f:.f ��i. •Ji�Itlirl]V�I�.h�'r Yfvfi.N•uI��If� p;;lbry,'+I�, ,,,�� �'�r,, Y llZtf 4'rl l{4� ,J'. j fi'911'1151 WET Y",
DESIGNER/ENGINEER: x
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY:
Name:
!_Not Applicable
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is In conid with am applicable Home Owners Association rules, bylaws or andpcovenants that may restrict or prohibit such
structure. Please consult w th 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
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.W C -\E COUNTY OF cam_ ta1C It
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�jdayof Q C16bp. 20 L -1 -by this 25 day of (-). 20 �7by
,I MIME; P GQ—IMtCI _ JN-MiL F r AIMEC
(Name of person acknowledging) (Name of person acknowledging)
-(Signature of Notary Public- State of Floc
Personally Knowrj>s�_OR Produced
Type of Identification pad ,&e4. gm
Notary Public -State of
Personally Known OR Produced Identification
Type of Identification Produced
.'.$r....nr."E - - 600089099
Commission No. MY CO Commission No. t'."•„
MN SUSAN(.�MNEGRO
i s EXPIRES: AW 2.2021 R' rq "e t MY COMMISSION 9 GG 089099
,,.o.: S•° 9ooEod lTm Notary Pubk Unoen�e 3 21
�7�t``W Bonded Thtu Notary Puck UWarwtiters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
INITIALS
is
Certificate of Product Ratings
AHRI Certified Reference Number: 9968428 Date: 10/2312017
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-source,
Outdoor Unit Model Number: 4TWR4036GI
Indoor Unit Model Number, TEM4AOC36S41+TDR
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name: XR14
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): 36600
EER Rating (Cooling): 11.50
SEER Rating (Cooling): 14.00
Heating Capacity(Bfuh) @ 47 F: 34200
Region IV HSPF Rating (Heating): 8.50
Heating Capacity(Btuh) @ 17 F: 22600
Rau,,a Katmai by an transit c)Inklealaa Velumnyunder ol ana,lously 11A."d bah. hues. ercomwniee in a WAS, which Imitated, an Imdultur, am.
DISCLAIMER
AHRI tlam rmtemase the pMtlud(s) luded on the Certlbgb land induct do repmsentatkn,andr-deco, goarante05. to, anp akards no rp3p(Msindi tor,
IM produat(si Inked on this Csrtlflub. ANNI evprossly declaims all xehlNy for danoom of any kind aming out of the me or pertormmlce of the producysryor the
rdai h h'ad allemli in tf dh ousual on this Certlfle s e. commit rat
mings are valid only for n udeti antl conlibe atlmn Hated! in the
air..,, at vww.ahn0I,ctdryorg.
TERMS AND DOHDrt10Ne ` RACI®
TM1b CenHiwee and bouneadontenb are pcontetsra this ctof AHRL This MWand, In wholons ebmlantyber,used bill sodded; dianalantl /A'�
confidential arm
Merexca a destaes, The rotten of this rd, in any may nM, In neon min part, be , except
for copulae; Ulssemirlated; ti .n IL'
pereretll anaromWter naborese;welherwlse utlllzaq In any farm or MaaNrorpydM meolK, ee¢pt for the uxialndintlual,
CERT Fl and wnitlenllal TION AIFuni...N. HEATIN e
CERTIFICATE VERIFICATION a n6RlaEleMbx MsIDDfF
The inter rel AMIRI emodal Rferenc Nu berandt can to maybonadhtlathe adficate [aryencedorg. dlth an'Verlfy Cartifleate'IMh r,ah, ILT iyat .«
and enter the AHRI Certifim Reference Number and Ilio tlam on wRKh the cedmcate was Issum, t31'
n,
which Is IIs[e0 abore, antl the Certificate Na, which u Bated at bottom right -'-' - ""--'- —----.--..
®2014 Air-conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: sazae+ealsaetar