HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/21/2018 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: 2251 S FFA ROAD
Legal Description: FORT PIERCE GARDENS OF 21-35-39 BLKA S 251 FT OF LOTS 5 AND 6-LESS RD RSAN TO ST LUCIE CO ASIN
Property Tax ID#: 2321-501-0006-000-2 Lot No.5 AND 6
Site Plan Name: Block No. A
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE A/C SYSTEM, 17 SEER WITH 10 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION: ,
ACIClitional work to be performed under t ispermit—check all apply:
❑✓_HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 4,672.00 Utilities:CnSewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DIXON MCCAIN Name: JAMES F GRIMES
Address:PO Box 456 Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:FL Address: 3054 N US HWY 1
Zip Code: 34954 Fax: City: FORT PIERCE State:FL
Phone No.772-465-4796 Zip Code: 34946 Fax: 772-461-8722
E-Maik 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.
� a, .ffyn J •1 y7� �' I'f�.u:.,. ». .. n~N. 9• 11•'S'� ..
.I f'n.t"S 7,ti 6�gihil'r lI t bF';1&+;'fiJ:
t, i n 't Y .,I. •t1 `'[ a' !IP'n,
� `,i i,��,yys..J.,i�.)Jn`0O°:t•i t@nd;rCy�i'�"`�:i.YM: 'i�'IV•:✓�8=!Nrii
t � '�.: ' a, . .� 1�-..h G.�cR>J?•� M'. :.Odkise ! ��.:,, b; 15`6 �!�
DESIGNER ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.L cle Count make no TepresentatIon that is granting a Permit will auTorize the ermit holder to build the subject structure
whicult is In 4onti�ict wit an applicable Home Owners Assoc ation rules,by aws or an covenants that may,restrict or prohibit such
structure.Please consult with your Homeowners Association and review your deed c r 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
commenciniz work or recording your Notice of Commencement.
nature of Owner/Lessee Contractor as Agent for Owner ature of contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr. t_VLIE COUNTYOF -r •LuC-tE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2-11 day of E�C jn y-fAa Y 20 Eby this ZL day of F-CIQ l%�L_,20 I�; by
-t•S f�W1 F� � ,C��urn� ,I�n�t Es�� ���.i cat E s
(Name of person acknowledging) (Name of person acknowledging)
•----
-=-m—✓
gnature of Notary Public-State of Florld ) Signature of Notary Public State of Florid
Personally KnowgX OR Produced Identification Personally KnownOR Produced Identification
Type of Identification Type of Identification Produced
BS' 1 9USAN MON I (�,,�,�
� � "1 #GG9SM Commission No, I!."... SUSAN(<xwwgNEGRO
Commission No. MYCOh(19�; �s1�r
t} ` X NIR 202 R' 1 S MY COAIMISSION#GG 989699
+•a 21
Il11u Sawed TWU Notary PUM
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
OATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy Efficiency tax Credit when
platted in service between Feb 17.2M and Dec 31,Milt.
ru so ad CERTIFIED
Certificate of Product Ratings
AHRI Cer ifieC Reference Number:W76079 Date:32-20-2015 Model Status :AcU"
OW AHRI Reference Number'.
AHRI Type:RCU-A-CB
Series :XR16
Ouldeor Unit Brand Name :TRANE
Ouldopr Unit Model Number(Comeard ror Single Package) :4TfR6036J1
Indoor unit Brand Name :
Indoor Unit Model Number(Evaporator andlor Air Handler):TEM4A0C42S41+TDR
Furnace Model Number:
Region :All(AK,AL,AR,AZ,CA,CO,CT,DO,DE,FL,GA.HI,ID,It.Id,IN,KS.K ,IA,MA,MD,ME.MI.MN,MO,MS,MT,NG ND,NE,NH,
NJ,HM.NV,W.OH,OK.DR.PA RI,Be.SD,TN,Tx,UT,VA VT,WA W V,VA.WY.U.S.Temrories)
Region Note :Central air candftio manufactured prior M January 1,2015 are eligible to be installed in am regions unit[June 30,2016.
Beginnug July 1,M16 central air Condltipnels can only ba Installed in regiments)M which Omy meet OR regional emdeldry
fequimrrlenl.
The manufacturer or Mis TRANE product is responsible for the rating of INS system comDirreGon.
Rated as follows In accordance with She latest edition of ANSVAHRI 2T01240 win Addenda 1 and 2,Perform m Rating of Unitary Air-Conditiorli g
&AirSolNre Heat Pump Equipment and subject to reline accuracy by AHRI-sponsored,independent,third parry tasting'
Cooeng Capacity(AZ)-Single or High Stage(95F),bWh:36400
SEER :17.00
EER(A2)-ShgM m High Singe(9SF) :14.00
IE0t
}•Active'Model Stains and Hoes matan AHRI LeNfwalian Program Patti pe^t is wrraotly Conduchg AND sellag oro6erelp M deft;OR nay,toddles Pont ore hand
maMeled bun are not yin being pmdxed'Prod�lionStoppertandel Sm...Sae.awtan AHRI CaNpueon Pronoun Perlin'pant M n^lorper pmd tin,BUT lsnal
-In,or otlenng la M1 wm dare was ,.lino
DISCU11MgR
ANRIdoesnete,dona Ills,dadediumedon this Grtlfleata and makesnorepratentatione,x-e efies erguarantees asto,end assumesrwnapovibillty for.
the ptoducl(e)NOW en the GnIMVM.AHRI espread,dlaclalms all IfthIIItV Mr damages of arty I led owned.,of Me use or peddrmad.In the productfs),or the
aul6aDed altmatb ta n Mda IhMd an this feNdvta,cenined ratingF an relH duty rw modee antl conFg^mliem listed In the
dl recNry at w..W dreoto ry,oni
TERMS AND CONDmans
Thls CenMWMand"addidenshe ProprieMry products of AHRI.This Cer101vM shall ody beused lurindNICkel,pereonaland :.�.-
cona m danaal relemncn puouta.The centente of O6 Deranwa l may not,in whole or In paR be marroduted;cophat dlnemineree;
eMerm InM a canpWerdalebMe:or olherMse utllicetl,in ant My pr manned or by any toaav,euep[Mrllh used IndIMMMi.
paRpvl and COnfiMndel reference. NR{OHDmOMtXG X(ATINC.
CERTIFICATE VERIFIGITION aREFRIAMADOCKINaThl
She h4wmadenbMa md1e1 n1e0onlNa embecala Can lea sefiad mwww.aandirectorY orB.aacN.-Wdly Ceritill—Oak „erri•ti:,,r ixl:.,
ant emarlho AHRI Grtified Reference Number and Me data on which the oMinceM win bored,
which b Oahe abov and the CartlRcela No.,which is usual at aoanm rid,l r.. - —.—..—'...--'.........._.___ _
t02018Air-Conditloning,Healing,and Refrigeration f=1be I CERTIF"TE NO.: 131a16o33eeaa66e14