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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/14/2018 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: 5931 FOXTAIL WAY Legal Description: PALM GROVE S/D BLK H LOT 18 Property Tax ID k: 3410-503-0228-000-6 Lot No. 18 Site Plan Name: Block No. H Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: INSTALLATION OF LIKE FOR LIKE 2.5 TON TRANE A/C SYSTEM, XR-14 HEAT PUMP, 14 SEER WITH 5 KW ELECTRIC HEAT CONSTRUCTIONINFORMATION: Additional work toe performed under this permit– check a appy: ❑✓— HVAC E] Gas Tank Deas Piping _ Shutters Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof 0 Roof pitch Total Sq. Ft of Construction: SqI—F—t7. of First Floor: Cost of Construction: $ 4,400.00 Utilities:llSewer Septic Building Height: OWNERAESSEEi CONTRACTOR: Name PAUL CZAP Name: JAMES F GRIMES Address: 5931 FOXTAIL WAY Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: FL Address: 3054 N US HWY 1 Zip Code: 34982 Fax: City: FORT PIERCE State: FL Phone No. 772-678-2648 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 $2500 or more, a RECORDED Notice of Commencement is required. +cara�vcryclv�711VCCK: x Not Applicable Name: Address: City' State: Zip: Phone• FEE SIMPLE TITLE HOLDER: Name: x Not Applicable Address: City: Zip: Phone: MORTGAGE COMPANY: X ....., Not Applicable -: Name:_ Address: City: State: Zip: Phone.. BONDING COMPANY: x Not Applicable Name: Address' City: ZIP: Phone: I`certify that no work or Installation has commenced prior to the Issuance of a permit. which is In conflicE with anv applica}�Te Home Owne�srAssoc�atfonirules abylawsZo� antlpcovenants that build o prohriblt such structure. Please consult with your Home Owners Association and review your deed for any restrictions may resich may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentlal use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commenrempnr p•=• •-•-• •• ••. _ ° Le„eetwncractor as Agent for Owner STATE OF FLORIDA COUNTY The forgoing instrument was acknowledged before me thls-J�Ldayof 1 P i In ,n r: i 20 j$._,by c STATE OF FLORIDA COUNTY OF ST_ L l) c t F The forgoing Instrument was acknowledged before me this V -f day of EE AP KSAQ, Vi 1 1 20 kK_ by q Z—r• (Name of person acknowledging) m -_— a ` �1 I c (Nae of persn on acknowledging ) J Wgnature of Notary Public -State of Florid ) Signature of Notary Public -State of Florida Personally KnowOR Produced Identification Personal) Known Type of Identification y t OR Produced Identification Type of IdentlNca on Produced . d y�., SU6AN MONT t Commission No. i MY co f #GG 099099 .� • • EXPIRES: 2, 2021 Commission No. I'R1••. SUSAN/�,,,,,Q JV4M TSN Now" PUNk Undaw:iters fR•• s [,,,N#G0R0 f'I {,1 MYCOhIMISSION#GG089099 Revised 07/15/2014 REVIEWS I FRONT I ZONING I SUPERVISOR I PLANS I VEGETATION SEA TURTLE FREVIEW ROVE COUNTER REVIEW REVIEW REVIEW REVIEW ATE REVIEW INITIALS AL LADIN -I runii CERTIFIED' Certificate of Product Ratings AHRI Certihed Reference Number: 8908428 DOW: U-13-2018 Model Status : Active Old AHRI Reference Numher AHRI Type: HRCU-A-CS Series :XR14 Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or S'vlgle Package) : 4TVVR403001 Indoor Unit Brand Name Indoor Unit Madel Number (Evaporator anWor Air Handler) : TEM4AOB3OS31+TDR Furnace Model Number The mannfacmrer of this TRANE produ4 is responsible for the reerg of this system wmbinalion. Rated as follows in awoManc , with Me latest issued of ANSVAHR12101240 with Addenda 1 and 2, Pedamark. Rating of Unitary Air-COMiOonirg 8 Air- Source Heat Pump Equipment mal 1111-11111111 axurary by AHRl-sponswed, independent, third party teatirg: Cooling Capacity (A2) - Single or High Stege (95F), Eton : 28000 SEER: 14.00 EER(A2)-Single Or High Stage (95F) :11.50 Heating Capacity (1112)- Single a High Stage (47F) : 27800 HSPF (Ragiw IV) :8.50 ,o4pn Program Pargcipant is mmr y producing AND stifling at offering An sale: OR new modals Mal aro being Stepped' Model Status are MOM Mal an AHRI CerUhceBwr Program Participant is he bnger producing BUT is soh DISCLAIMER AHRI does not actions, Me produW(s) listed on this Cmliflaaie and makes no mence ntimad s, ademo les or guarantees as b, and axum¢s no responsibility bA the product(sl thea an MIs CerllHrale. AHRI a rsoney disclaims all Ilahlitty for damages OI mry kind arising Out of the use or partnrmence Of the pmducrysl, or the INlautMo d alteration M data listed on this Cautious. Ce and ratings are valld Only far models end configurations ladd in the airenory at www.ahndheclory.mg. TERMS AND CONDITIONSThi"IMP con Genial te mfodrear unnuntdadn� eregoprleta, Of thectsofrafte This rinearm ch, or In pan, nly he mpwdalndlvlenterdual, perso mcl -" confidential intoreference purposes. the canton of Mss CarIn am may mp In xlwle or In part. Ee reproduced: wpletl: tllsaeminaled; +- �� -® payment anacompeti.1 uter ambase:Or otherwise utlllLed, In any form or man. or ey any means except Nn Me may. Inflected, ` Y CERTIFIandE VERIFICATION reference. am.CpnemOmNa, lie meas CERTIFICATE VERIFICATION a The Informationfor the model etre Certificate ntatl at wwwahndidick, on'YeNry CenlNcele' link RcF^R"1D' C!R'-AI-Ma: NLaIN:mSTr'I NE and anter the AMR] niReference Number and the data an nMo urllcad wo, hoseed which Is listed dome, and theConnected,Na., which is lsted atolet npn.. ©201 BAifConditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 19163D235257009765