HomeMy WebLinkAboutimg-180410022816ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/10/2018 Permit Number:
e
ma.a
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: SII
Address: 10003 S INDIAN RIVER DRIVE
Legal Description: 29 3641 N 100 FT OF S 225 FT OFTHAT PART OF FOL DESC PARCEL E OF RR -LESS R RM/ -AND ALSO S 20 FT
Property Tax ID q: 3529-231-0003-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: IIII
INSTALLATION OF LIKE FOR LIKE 2 TON TRANE A/C SYSTEM, 15 SEER WITH 5 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
iaitlonai worK to De errormea unaer tms permit — cl
Z✓ HVAC _ Gas Tank E]Gas Piping
11 Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 4.482.00
LiShutters []Windows/Doors
0 Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:CnSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT ISHMAN
Name: JAMES F GRIMES
Address: 10003 S INDIAN RIVER DR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 954-593-7732
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
It value or construction is,52500 or more, a RECORDED Notice of Commencement is required.
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
E-9
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
City:
State:
Zip Phone:
BONDING COMPANY:
Name:
Not Applicable
Address:
Zip:
I certify that noo work or installation has commenced prior to the issuance of a permit.
St.
is in conflict with any applicableiHome Own granting
Association rulest will aby bylaws or andhe pcovenants that may restrict or prohibit structure
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 Commpnrpmpnr
>1&ftature of Owner/Lessee/Contractor as Agent for Owner rTheforgoing
of /V -S
Holder 5
STATE OF FLORIDA F FLORIDA
COUNTY OF ST•I,VC\E OF_ ST- 1 UC \E
The forgoing instrument was acknowledged before me instrument was acknowledged before me
thisIQ day of
Ap YT� ZO Irby this j day of y ; 1 20 19 by
1 J PrM F.S F CQ \ r\n FC T=
(Name of person acknowledging) (Name of person acknowledging )
(signature of Notary Public- State of Floria (Signature of Notary Public- State of Florida )
Personally Known _ X/ OR Produced Identification Personally Known OR Produced Identification
Type of Identificatip Produced Type of Identificatio Produced
Commission No.
Revised 07/15/2014
REVIEWS I FRONTI ZONING
COUNTER REVIEW
INITIALS
SUSAN MONTENEGr0
MYCOMMISSIOI GGO 9099
EXPIRES: APN 2.2021
Bonded Tlw Notwy Public Und&wdtm
SUPERVISOR PLANS
REVIEW REVIEW
No.
k- �%"AN MONTENEGRO
MY COMMISSION # GG 08°
VEGETATION I SEA TURTLEI MANGROVE
REVIEW REVIEW REVIEW
Certificate of Product Ratings
AHRI Canmed Reference Number: 754WQ fate :0&27.2016 Model Stales: Active
AHRI Type; RCU-ALB
Series: XR14
OUMdOr Unit Band Name : TRANE
Discloser Unit Model Number (Condenser or Single Package): 4171
Indoor Unit Model Number (Evaporator and/or Air Handler): TEM4AOB24S21+TDR
Region: All (AK AL, AR, AZ, CA, CO, CT, DC, DE, FL. GA, HI, ID, R. IA, IN, KS, RY, LA, MA, MD, ME, Ml, MN, MO, MS.
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK OR, PA, M. SC, ED, TN, TX, UT, VA, VT, WA. WV. WI, WY, U.S.
TerrNorles)
Region Note: Central aircandiliera m manufactured prior d January 1, 2015 are eligible to be Metalled in all regime
until June 30, 2016. Beginning ay 1, 2016 central ah conditioners can only he Installed in mgion(s) for
whrh they meet the regional effinency Mqukement
The manufacturer of this TRANE product is responsible for tl1e rating Of this system combination.
Reled as follows in accordance with the latest edition of ANSI/AHRI 2101240 with AdderMa 1 and 2, Performance Rafting of Unitary
AlrCorndS ng 6 AirrSource Heat Pump Equipment And Subject to mtlrg accuracy by AHRI-aponsoma, independent, Nird party testing:
Goofing Capacity (A2)- Single or Hgh Serge (95F), bWh: 24200
SEER : 15.00
EER (A2) -Single or High Stage (95F) :12.50
Program Park ens.1 is cenantly pmdurnrg AND eeRing erafeing ren els; OR. ren lks that ere being
W' Model areae am those that an AHRI Certification Frogman Pmtlepant is no longer produdrg BUT N Sill
.1 revere. The new mMisnea ranois w u.....:,n x.....e.,..... ,,.w
DISCLAIMER - --
AHRI don not endorse Ne pm0o[l(sl Rered an Ins Centacah aN mases n0 representation, ammal ea or [uaranteaa as W. and risme, no responsiMNy no,
the aadVo ua) fisted an IN, CmuRred. ANRI eaandsly dbdalms all IlaNllty for damages al any krd i dura Sul of the uu or pmrnmanre of Ne pandad(a). or the
martodmd anermon 0 data Iraq ad this Coronado, Covered mungs are oliid only for models and configurations Some In the
directory at www.ah itanotn,a, .
TERMS AND CONDITIONS
This Cenfikets add aA wndns are amptletery moducr of AHRI. The Cedfleale shall only 0e used nor Individual, persmrel and
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CERTIFIandE VERIFICl
CERTIFICATE VERIFICATION
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02018AIrConditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: