HomeMy WebLinkAboutimg-180409223943ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/10/2018 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 III
PROPOSED IMPROVEMENT LOCATION:
Address: 5500 ST LUCIE BLVD # H-23
Legal Description: 30 34 40 SW 1/4 OF SW 1/4 -LESS ASTRIP OF LAND ON E BEING 331.2 FT ON N LI AND 333 FT ON S LI
Property Tax ID #: 1430-331-0002-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: i III
INSTALLATION OF LIKE FOR LIKE 2 TON CARRIER PACKAGE UNIT, 14 SEER WITH 5 KW
ELECTRIC HEAT
I CONSTRUCTION INFORMATION: I
❑✓ HVAC Gas Tank
11 Electric � Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3,500.00
this permit —cnecK an t08t appiy:
❑Gas Piping ILnnJI Shutters ❑ Windows/Doors
❑Sprinklers I—� Generator Roof = Roof pitch
SFt. of First Floor: _
Utilities: Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROAD RUNNER TRAVEL RESORT/LOREN SHELLMAN
Address: 5500 ST LUCIE BLVD
Name: JAMES F GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 607-363-7718
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 $2500 or more, a RECORDED Notice of Commencement is required.
I certify that no work or Installation has commenced prior to the Issuance of a permit.
which Is In torifltcf witTi an appllcabPe Home Owners rAssocPaYion� pules abylaws or angpiovenants YheY malt' restric[ o prohrlblY such
structure. Please consult w th 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
im rovements 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 recordine vour Notirs- of rnmman,u...n +
rye••-•-•oma•—-i—saenra.ancmcrorasAgentforowner
STATE OF FLORIDA
COUNTY OF ST_ r–U C_ t C
The forgoingInstrument was acknowledged before me
this U day of f�'t7✓ IT l = 201 -C -by
c
STATE OF FLORIDA
COUNTY OF S 1 L17C 1 1=
The forgoing Instrument was acknowledged before me
this, jC�_ day of I 1 20 k K by
-L jd nagn j li r �� Inn
(Name of person acknowledging) (Name of person acknowledging )
-Mgnature or Notary Publlc-State of Florid@) Signature of Notary Public -State of Florida
Personally Know OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of tdentlflca on Produced
SL MON
Commission No. <'� MYCOAjMa N#GG08S086 Commission No. ,qur, SAN
E, IRES:Apr02, 2021 R,, -t�fry SU6AN NEGRO
'•:°e� x&f° 9a�EcdTkmNowyPudkUsdnwliles f ; 1 q MY cc
Revised 07/15/2014
REVIEWS I FRONT I ZONING I SUPERVISOR I PLANS I VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ATE
INITIALS
4 M 'ily'�I
F1 : Tn " ,alll!��i � sNj � 4 fi klX Ise s6 i;Mrjr 7,H+ dr. si µn .�iE .
� 1"x
DESIGNER ENGINEER.
.::'a-dh
—x pp
Not Applicable
MORTGAGE COMPANY:
•:"?,.°'"yb
Name:
Name:
Address:
City:
"Not Applicable
Address:
City: State:
Zlp: Phone:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY: x
— Not Applicable
Address:
Name:
Address:
City:
Zip: Phone
city:
Zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
which Is In torifltcf witTi an appllcabPe Home Owners rAssocPaYion� pules abylaws or angpiovenants YheY malt' restric[ o prohrlblY such
structure. Please consult w th 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
im rovements 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 recordine vour Notirs- of rnmman,u...n +
rye••-•-•oma•—-i—saenra.ancmcrorasAgentforowner
STATE OF FLORIDA
COUNTY OF ST_ r–U C_ t C
The forgoingInstrument was acknowledged before me
this U day of f�'t7✓ IT l = 201 -C -by
c
STATE OF FLORIDA
COUNTY OF S 1 L17C 1 1=
The forgoing Instrument was acknowledged before me
this, jC�_ day of I 1 20 k K by
-L jd nagn j li r �� Inn
(Name of person acknowledging) (Name of person acknowledging )
-Mgnature or Notary Publlc-State of Florid@) Signature of Notary Public -State of Florida
Personally Know OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of tdentlflca on Produced
SL MON
Commission No. <'� MYCOAjMa N#GG08S086 Commission No. ,qur, SAN
E, IRES:Apr02, 2021 R,, -t�fry SU6AN NEGRO
'•:°e� x&f° 9a�EcdTkmNowyPudkUsdnwliles f ; 1 q MY cc
Revised 07/15/2014
REVIEWS I FRONT I ZONING I SUPERVISOR I PLANS I VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ATE
INITIALS
��^Mli CE
Certificate of Product Ratings
AHRI Certlfrod Reference Number: 7490501 Data;(WI0-2018 Model Status:Active
AHRI Type: SPA
Outdoor Unit Brand Name : CARRIER
Outdoor Unit Model Number (Condenser or Single Package): 50ZPCg24-30"
Region: All (AK, AL, AR, AZ, CA, CO, CT, OC, DE, FL, GA, HI, ID, IL, a, IN, KS, KY, V, MA, MD, ME, MI, MN, MD, MS,
MT, NC, NO, NE, NH, NJ, NM, HV, W. OR, OK, OR, PA, RI, SC, SO, TH, TX, UT, VA, Vf, WA, WV, Vol, WY, U.S.
Temitorles)
Region Hole : Central air oondMonem manufa2ned prior to January 1, 2015 ere allggde Io W installed in all regions
until June 30. 2016. Beylnning July 1, 2016 cental air conGNonals can only be installed in region(s) her
wrinkle Mey meet the regional eTd..y requirement.
The manufacturer of this CARRIER product is responsible for Me rating of this system Combination.
Rated as follows in accordance With Me latest edition of ANSOAHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning 9Air-Source Haat Pump Equipment and subject to rating accuracy by AHRLsponaaed. Independent, Mail party heating:
Cadging Capacity (az) - Single or High $toga il) F), both : 22400
SEER: 14.00
EER (A2)- Single or High Stage (95F) : 11-50
t"Adwi Martel Status are Mose Met a AHRI Crmaeafim Program Participant is sumansy producing AND sling or assume for ale; OR new mage , hall are being
m rimled Due are mol yet being pmdumTTuar den SbDpeG added Stands are those Mal an AHRI C 11`1.lka Propose, Parlidpanl k Ia broker Pmdaainp BUT H left
=o m� la �saltled W WAS
eask,ale an imOlUffiew m -fuse Th less ridImo tire 1' WAST
DISCLAIMER
Waal does rot enda— tro p,atlun(s) mora m In. Ceru sand ane moxas no representations. cementum or guarantees este, and summers no responsibility for,
the prodad(S) Ibhtl on the 4vllhcals. Old eapreWy dlaciaMsan urewhy lordamages of any hind arising out of the use or redommuse, of the pra ucl(s), or the
unauNaiyetl alferetbn of date Ikted m iM1h [Ciliatae. Cedifletl ratings ere veld Doty for models end mnfigumdms ihted in Me
TERMS AND
CONDITIONS inry.drg.
TERMS AND CONpewribl 'Oh "IMP
This Cermalmaantlha contents are comets ptoducb oficate This et,in aateshall only beused for Ind; cool,personaland w
mfiedurglracomuter dameeslheCmtataMMe Certificate may not,InnMla or anyPalL be remenreaoduced;hena;dkseminal, /70 1.0/
entered urge a computer daulnse; w oMarwla utlllttd, In any farm q manner or by any me6na, eacepl for the usel•s individual,
trammelandE VERIFICATION
TION .e. . sN R FRe m k1TuTE
CERTIFICATE yERiFICATIDN a gEiglcERanox INSTITUTE
rot memod Re. ee roleebnand the
ea—hied on
clagoate was ead ctmx on •vdnry e..uneete•nnx mskaWhiw;rr-
and enter m AHRI Deletedthe
gangre Number and the date on bottom
the certificate was lasuaq
wake Is f9ted aDOye.aM(M DeNfiale No.. each bl4bd atrotlom deal.
02018Air-Conditluning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1916T°4011T"