HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/03/2018
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 0 Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 6816 THOREAU TERR
Legal Description: OLEANDER PINES BLK 1 LOT 27
Property Tax ID #: 3415-705-0028-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 27
Block No. 1
INSTALLATION OF LIKE FOR LIKE 4 TON TRANE HEAT PUMP, 15 SEER WITH VARIABLE SPPED
AIR HANDLER 10 KW ELECTRIC HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name MARTIN LIPMAN
Name: JAMES F GRIMES
trona wor to Die
nertormed under
tis permit checkal
Address: 3054 N US HWY 1
appy:
E -Mail:
❑✓— HVAC
Gas TankGas
Piping
_Shutters
0 Windows/Doors
Electric
Plumbing
Sprinklers
Generator
1:1 Roof Roof pitch
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Construction:
$ 4,892.00
Utilities:nSewer
1:1 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARTIN LIPMAN
Name: JAMES F GRIMES
Address: 6816 THOREAU TERRACE
Company: GRIMES HEATING AND AIR CONDITIONING
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-465-7310
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: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
UC31UIVCK/tNGINEER: x Not Applicable MORTGAGE
COMPANY:
Name: Name: x Not Applicable
Address: Address:
City: State:City: State:
ZiP: Phone: Zip: Phone: 11
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Address:
ZIP: Phone: ZIP: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. fs in lease c with t x appllcabte iHothat
e Owners Assoctationi rules authorizethe
andpcovenants that mays estrlct o(rprohibit 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
commencing work or recording vour Notice of Commenc t
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
II �`T•�\., aonacu mu NowryPuwuncerolem III
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
emen .
S ature of Contractor/Llcens He older S
nature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF_ ST. t U c t E
COUNTV OF_ Sj . I l) C I
The forgoing instrumentwas acknowledged before me
The forgoing instrument was acknowledged before
this day of ,201 by
me
thisdayof,JgWVp-" 20 by
(Name of person acknowledging)
(Name of person acknowledging )
Signature of Notary Public- State of Florida
,-Mgnature of Notary Public- State of Florid )
Personally Knowr _ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification regi m
Type of Identification Produced
R"'••. SUSAN MO NE
Commission No. MYCOMMUIIONN000S9099
Commission No. SUSAN (,&RAhjNEGRO
EXPIRES: April 2.2021
'•tEo. 5�I aorWm Tom Nolwy Pubk Underwidars
,Kr ,,
MY COhIM SSION it GG 088099
' I 021
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
II �`T•�\., aonacu mu NowryPuwuncerolem III
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
This combinationualifies for a Federal Energy
a Efficiency Tax Credit when placed in service,
IQ f between Feb 17, 2009 and Dec 31, 2016..
WH11'401'rte t.tr-_
1 .111,
AHRI Certified Reference Number: 9561123 Date: 113/2018 y '
Product: Split System: Heat Pump with Remote Outdoor Unit-AirSourc ,
Outdoor Unit Model Number: 4TWR504SHI
Indoor Unit Model Number: TEM6AOC48H41+TDR+UFIHRZ
Manufacturer: TRANE
Trade/Brand name: TRANE
Series name: XR15
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 (Bluh): 48000
EER Rating (Cooling): 12.50
SEER Rating (Cooling): 15.00
Heating Capacity(Btuh) @ 47 F: 43500
Region IV HSPF Rating (Heating): 9.50
Heating Capadly(Bluh) @ 17 F: 28600
Rater, elected by an a9etlskI')Indicate a wlumary reale of previously WlchrinN Bale. orkes acco'nfonieJ with a WAS, w h me4ales an inudnnl0ry remm.
am.. OBee. c..Ilia pma WI(a)1151ea an This Cer dearer aM creature no representation, wareentl s W guarantees as In, and a0aam04 no reepondechty far,
the pradud(a).h. on this Co... ARM eaplassly difedalma ell lability Me deal of arty Wind unseal out at the use or performance of the products), ar Ins
uwllthorincl alleratlon of data listed an this creature. IkrtMed outlets are valid only for models and conhgumtlons inted In the
dill" at r.I sx, -the cm:::s,..
TERMS AND CONDITIONS
This Garth. and IIs contend.,a propr4tary p,ad.. or ANSI. This CarlMcate shall only he used for IMMleual, personal and
confitlerolal Werence puMoses The contents of this Cedlllcale an, not, In whale or In pan, be mproduchd: sop W; dlxaeminetetl
entered Into a cmmpuler detabase, or otherwlY Willord, In any loom or Tenter or by an means, sweet far the users halide l '
Forecast aM mrdar— it refodhcu.
CERTIFICATE VERIFICATION `
The farallon Me the model cited an this certldote can be walked at , ; r:. click on ." e' link
and enter the AHRI Centered fleference Number antl the dale on which the ceSMWd was issued.
which is listed abate. ane the CenlBcate No. which Is IIAW at Work MAIC
02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: t3159d5919]3952531