HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/12/2018 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 Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 9408 Meadowood Dr
Legal Description: MONTE CARLO COUNTRY CLUB -UNIT ONE- LOT 5 (OR 1034-1921)
Property Tax ID p: 1327-801-0009-000-9 Lot No. 5
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FR LIKE 2.5 TON TRANE A/C SYSTEM, 15.5 SEER WITH 10 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
Additional work to be pertormel lliler:t Ispermrt—c ec a appy:
❑✓_
HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4,785.00 Utilities:USewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT FORD
Name: JAMES F GRIMES
Address: 9408 MEADOWOOD DR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Address: 3054 N US HWY 1
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 772461-8711
Zip Code: 34946 Fax: 772-461-8722
E -Mail:
Phone No. 772-461-8711
Fill in fee simple Title Holder on next page ( if different
E -Mail: KAYLAGRIMESAC@AOL.COM
from the Owner listed above)
State or County License: RA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
--------------
Address•
City: State:
Zip: Phone:
MORTGAGE COMPANY: X_ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x
Name: Name: Not Applicable
Address: Address:
City: City:
ZIP: Phone: Zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
whictur fn cont let with eny appllcabla Home Owners Assoctationirules aliylawsZor angpcovenants that may restrict or or 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
Commencing work or recording your Notice of rnn,n,a„ro .,e
,,y o••-•-•- -• �•...=.r,esseetuomractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. LU C.t E
The forgoing instrument was acknowledged before me
this _LL day of v, layV . 20 JLby
C_
STATE OF FLORIDA
COUNTY OF.
The forgoing Instrument was acknowledged before me
this IL day of �jy "n „moi • 20 IT by
G CSIInAr—c JAM- IF �Q.tIMt:_C
(Name of person acknowledging) (Name of person acknowledging)
-Mgnature of Notary Nublic-State of Florid@) - Signature of Notary public -State of Florida
Personally KnOR Produced Identification Personal) Known
Type of Identification e y OR Produced Identification
Type of Identification Produced
R""• MON7EN
Commission No. SUSAN
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MYCOMMUIfJN#06089099 Commission No. y�,.,,,
EXPIRES:Apd 2.2021 — '�-!�,•� SUSAN "NEGRO
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11 r�i
Revised 07/15/2014
REVIEWS I FRONT I ZONING I SUPERVISOR I PLANS
IVEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
ATE REVIEW REVIEW
INITIALS
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratings
MR! Certified Reference Number :6676077 Geta: 02-0 0318 Model Status Alive
Old ANRI Raterenca Number
ANRI Type : RCU-H-CS
Series : xR16
Outdoor Unit Brand Name : TRANE
Outdoor Una Modal Number (Condenser or Single Package) :4TTR6030J1
Indoor Unit Brand Name
Indoor Unft Model Number(EYap r andror Alr Hentller) :TEM4AOB30S31+TDR
Furnace Madel Number :
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HB, 10, IL, It IN, KS, KY, LA, MA, MD, ME. MI, MN, MO, MS, MT, NC, ND, NE, NH,
NJ, NM, W. NY, OH, ON, OR, PA, M. SC, SO, TN, T)(, LIT, VA, VT, wA, M. cul, W. U.S. Territories)
Region Nde :Central air condltloners menulaush red prim to January 1, 2015 are eligible to be installed in at regions until June 30, 2016.
Beginning July 1. 2016 Cannot air conditioners Can only be installed in region(s) fmwhich May mast the regional effidency
requirement.
The manufacturer of this TRANE product is responsible for the rating ofthis system combination.
Raletl aS fdlewa in etmd —w the latae[ adMon d ANSVAHRI2lW240151th Addmda 1 anal 2, Pedorma w RaOng olUnitary Air-Condibonirg
& AirSoume Haat Pump Equipment and Subject to rating accuracy by AHRI-spartumed, independent. third party Isstirg:
Cooling DaPadty (A2) -Single m High Stage (95F), bluh : 28600
SEER :15.50
MR (A2) -Single or High Stage (95F) :13.00
BEER :
earn Program Pee cipam is cunendy pmdudrp AND Wake oraaering her aab; OR new models that are being
Supped'Mohd Seats No Show that an ANRI Certidp Program Perlrtrardls no wager Producing BUT la all
DISCLAIMER ---
ANRI Noes not andome the Poxhatus) Ilstud on els Cam ., and makes no repmsenteaons, wemante5 or guamntass asto, and assumes no rezpon,bllily far.
�aP--'(.) hated m hale Ctmfiuo e. ANRI acpreal, ahcle,me an naglffygwaareAD, M any Ind edang cot of the use or pditmranm of tae proa.,$), or me
ummu ed ahermom &dam hated on NK Certlrk'ale. CMifletl ratings are yell one Iormodeld and configurations listed In the
dlrecary at rvww.ehddirectory.org.
TERMS AND CONDITIONS A u®®
Tula otmal to and ka <mD MS am ProOderaryf the Cb of ANRI. This a.In WI
I shall only be use ler ,telydual, perwaeI entl
areal
me a camp teraimm se;ocontentsof elsGMlNcam may footerwhale m In Pert,bereproduced:enjut disseminated' ``
persoalnbommpulmdefaarefteradhoo emlce utllliM,lna,ry}otm or mannerorby erry meene. eacept ler the umr'e lnalylItud. � H-'
personalandE VERIFICATION
TION lrE,
CERTIFICATE YERIFICgTION AIRLonomOnlN6 xFannc.
The lnfearmon for the model cited on lata corefimm wfie Wanted shw
es at ww,ahtldh,,a,,rorg, dark an'Verlfy Certi(feafe' Ifnk A atFR1a5NAl10NIN5ny
MW enter the MRI Central RaMence Number and the data on Which the cerMfc he w09 h51Md, •"^"t° 1u. hkne�^
Which is listed aboae. and the Certificate Na, Which S llshtl at bottom rl®IL
02016AIT-Condilluning, Heating, and Refrigeration Institute CERTIFICATE NO.: lstez4roTeeeeeTa2a