HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/16/2018
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 X Residential
Address: 31 LAKE VISTA TRL 205
Legal Description: VISTA ST LUCIE BLDG 31 UNIT 205
Property Tax ID #: 3422-500-0432-000-7
Site Plan Name:
Project Name:
Setbacks Fn
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 2 TON TRANE A/C SYSTEM, 16.5 SEER WITH VARIABLE
SPEED AIR HANDLER AND 8 KW ELECTRIC HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
rtlona wor to
a er orme under
this perm t— Check all
tuat appy:
City: PORT ST LUCIE State: FIL
Zip Code: 34952 Fax:
Phone No. 772-336-6063
❑✓_ HVAC
Gas Tank
[]Gas Piping
_ Shutters
Windows/Doors
11 Electric
Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
SQI
�Ft.I of First Floor:
Cost of Construction:
$ 4,282.00
Utilities:
lSewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name THOMAS S BOZAK
Name: JAMES F GRIMES
Address: 31 LAKE VISTA TRL 205
Company: GRIMES HEATING AND AIR CONDITIONING
City: PORT ST LUCIE State: FIL
Zip Code: 34952 Fax:
Phone No. 772-336-6063
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 52500 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: 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
structure. Please
estrict or prohibit such
consult with your Home Owners Association and review your deed for any restrictions wc
hirh 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 the
posted on jobsite
before the first inspection. If you intend to obtain financing, consult with lender
or an attorney before
commencing work or recording our Notice of Commencement.
Sicto ense Holder S
.Mature o f O Le /ContrAgent for Owner
COUNTY FLORIDA �T j
FLORIDA
OF5T_- LUThe
for ping instrument was acknowledged before me
eforgoing instrument was acknowledged before me
this) ay of p[? -\l 20 -It-by
thisuQljOdayof_j1orYUV farR _ ZG f by
J ►SEs F_
(Name
of person acknowledging)
(Name of personacknowledging )
(Signature of Notary Public- State
of Florida)
(Signature of Notary P blit- State
of Florida)
Personally Known OR Produced Identification
Type of Identificat'
Personally Known 'Q _ OR Produced Identification
Type of Identificatio
Commission Na. CHRISTINEC EPPER
COMMIS@I'IGG081780
fHtt°(; CHRISTINE CULPEPPER
Commission No. 7MYCOMMI>)GG081780
- ;�• °d: EXPIRES: January 11, 2021
i ..Dep
.• de C�JEXPIRES: January 1
'•OPOTAQP•
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W TIvu Nolety Pd*U "-
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
VEGETATION
SEA TURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS
ueraticate of FrOCIUM Katin
AHRI Certified Reference Number :8626099 Date: 01-12-2018 Model Status : Active
Old AHRI Reference Number :
AHRI Type : RCU-A-CB
Seder : XR16
Outdoor Unit Brand Name : TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6024J1
Indoor Unit Brand Name
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOB24H21+TDR
Furnace Model Number :
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, NO, 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 unlit 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.
The manufacturer of this TRANE product is responsible for the rating of this system Combination.
Rated as follows in accordance with the latest edition of ANSVAHRI 210/240 with Addenda 1 and 2. Performance Rating of Unitary Air -Conditioning
& Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 24400
SEER '16-50
EER (A2) -Single or High Stage (95F) :14.00
IEER :
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models hat arebeing
marketed but are not yet being Produced. -Production Stopped" Model Status are those that an AHRI Cerdhcation Program Participant is no longer producing BUT is still
selling a ,T rimfor sale,
Raknos loaare a.. tinted bWAS indicate an involuntary iti-rala. The new published rating' shown alone with the previous fie WAS) ratirw
DISCLAIMER
AHRI does net endorse the PrGdUet(a) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for.
the pro luct(s) listed on this Certificate. AHNI expressly disclaims all liability for damages of any kind arising out of the use or performance of the producgs), or the
unauthorized alteration of date hated on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.ahridireetory.org.
TERMS AND CONDITIONS ® �
This Certificate and N
Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
confidential referencerence purposes. The convents of this Certificate may net, in whole or in part, be reproduced; rnplad; disseminated;
entered into a computer database; or otherwise utilized, in any fops or manner or by any means, exrept for the user's Individual,
Personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION 6 REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verlaed at www.ahridireetary.mg, crick on *Verify Certificate' link
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, t.e make lire Iutknc
which is listed above, and the Certificate No., which is listed at bottom right.
0201BA1r-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 111602310474313365