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HomeMy WebLinkAboutimg-180204231438ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/05/2018 Permit Number:
i J
NOW 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
PERMIT APPLICATION FOR: Mechanical
Address: 5001 Indian Bend Ln
Legal Description: HOLIDAY PINES S/D-PHASE II -A- LOT 184
Residential x
Property Tax ID #: 1312-800-0015-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 4 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name GINA REYER
Name: JAMES F GRIMES
ACIClitional work toa erorme
HVAC Ei
under t—checkispermit
Gas Tank ❑Gas Piping_
a
appy:
Shutters
❑
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
Windows/Doors
11 Electric 0 Plumbing
Sprinklers
E Generator
❑
Roof Roof pitch
Total Sq. Ft of Construction:
S FtFt.I of First Floor:
Cost of Construction: $ 4,495.00
Utilities:
Sewer 0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GINA REYER
Name: JAMES F GRIMES
Address: 5001 INDIAN BEND LANE
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-323-1541
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
a varve of construction is >z�.uu or more, a ittcuitutu Notice of commencement is required.
uc01arvcn1CIMUIRIMM x Not Applicable
Name:
Address:
City: State:
ZiP: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
ZIP: Phone:
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
ZIP: Phone:
BONDING COMPANY:
Name:
Address
Zip:Phone:
x Not Applicable
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St.
is In con>tic makes
an� representation that
AssoctationirulesabylewsZor ang covenants that build
drestrict or prohibit such
structure. Please consult w th your Home Owners Association and review your deed cr any restrictions which may apply.
In consideration of the granting of this requested permit, 1 do hereby agree that 1 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 your Notice of CnmmPnrPmont
rye• •-•-• _ — - 11• . i Lr»eelwnrractor as Agent for Owner
STATE OF FLORIDA
COUNTYOF S t. LI�Gt
The forgoing instrument was acknowledged before me
this cyday of-FPany�n,r, a .20J-7by
c
STATE OF FLORIDA
COUNTY OF ST t It C t k
The forgoing instrument was acknowledged before me
this __'S_ day of 20 1 IX by
-1 �- Gz1t f=-= 7pur5on
C i�IMC�
(Name of person acknowledging) wledging-t��gnarure of Notary Public -State of Florid) blic-State of FloridaPersonally KnowrOR Produced Identification aynown OR Produced Identification
Type of Identification Type of Identification Produced
a''•• SUSAN MON I .
Commission No. _ ir'°
MYC0Aj181ffl1(UN#06089099 Commission No. I;y;"•,.
1 N. EXPIRES: April 2021 x g SUSAN( NEGRO
'+:•o.
N. 9a�dcaTtkn,NotmyPubGeUrderMOers �;• i+� t'j MYCONIMISSIONOGG089099
Revised 07/15/2014
REVIEWS I FRONT I ZONING I SUPERVISOR I PLANS I VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW II REVIEW REVIEW
ATE REVIEW
INITIALS
amThis combination qualifies for a Federal Entergy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number :8676061 Deb: Mm -2010 Model Status : Active
OM AHRI Reference Number
AHRI Type: RCU-ACB
Searles : XR16
Outdoor Unit Brand Name : TRANE
Outdoor Unit Model Number (Condenser or Single Package) :4TTR6049J1
Indoor Unit Brand Name :
Indoor Unit Model Number (Evaporater an llor Air Handler) : TEM4A0C48S41+TDR
Forme Modal Number :
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE. FL, OA, HI, ID, R, M. IN, KS, KY, LA, MA, MO, ME, MI. MN. MO, MS, MT, NC, ND, NE, NH.
NJ. NM. W. NY, ON, DIC OR, PA. RI. SC. SO. TN. TX. UT, VA. Vr. WA. WV, WI. WY, U.S. Tenilones)
Region Note : Genual air conditioners rrarwfactured prior W January 1, 2015 see eligible to be installed in all regions until June 30, 2016,
Beginning July 1, 2016 omeal air conditioners can only be installed in region(s) for which they meet the regional efficiency
requirement.
The manufacturer of Mis TRANE product is responsible for Me rating of this System combination.
Rated as fdbvrs in accordance with Me latest edition of ANSVAHRI 210240 wit Addenda 1 add 2, PerfomanEs Rating of Unitary Air-Condigoning
8 Air-Sourm Heat Pump Equipment and subject W rating anaril by AtIRI-sponaoed, Imus endenL third party testing:
Coaling Capacity (A2) -Single or High Stage (95F), Muh :46500
SEER :16.00
EER (A2)- Single or High Stage (96F).: 13.50
DEER
YACNVB'Mdtlel Staters am Masa Mat an AHRI Cartlfiratbn Peour mParti[ganl iscominay producing AND selling moRsid, krsale; OR rawmodekmil ere who
marketed ban w not yet baht pmduced.'Producton Slopped' Abdel Stands are Nose Mal an AHRI Certlacagon Program participant Is m lor9er produces Differ sal
991n MOgBdlgfIXante.
Reamslhm a9 anmmmnwdwwas inmmkan rtwloaew rs,aN ma new pdaivad manabsrevan akrp wdn ma mardo� r wAsl a6
DISCLAIMER
AHRI deed not critical the products) listed an this CemNcate ON makes no mpm,mriaYwns, warredues or guarantees as co, and assumes no responsibility ter,
the products) Ibad on Mb Certil[ek. AHRI espressN disclaims all labaQy for damages of any kind amsing out of the use or perlormeme of the pmductts. or the
mrmrdred ahered"al data RON ra this Grtigu2. GrtMed mlinga au valid only lof medah eon
nd [Rgumlkre listed the
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dlreclory at www.ahrldldmt ,,co
TERMSgNGC and
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This TERMS AND and CONDITIONS
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CERT FIaME VE IFIC TION mc. AIRCONamaglN4N INSTITUTE CERTIFICATE, lonmeCgTmN a REFRI6ERATNIN IgSl1TUIE
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©201SAir-Conditioning, Hooting, and Refrigeration Institute � CERTIFICATE NO.: