HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/18/2018 Permit Number:
e
erre
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5931 ALEXANDRIA CIR
Legal Description: PALM GROVE S/D BLK F LOT 15
Property Tax ID #: 3410-503-0184-000-5
Site Plan Name:
Project Name:
Setbacks Fr
Back: Right Side:
Left Side:
Lot No. 15
Block No.
DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE A/C SYSTEM, 17 SEER WITH 10 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
Td
itiona wor to a ertormed under tispermit—check all appy:
❑✓_ HVAC Gas Tank E]Gas Piping _ Shutters ❑ Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,685.00
S Ft. of First Floor: _
Utilities:cnSewer 0Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name REBECCA GAGNON
Name: JAMES F GRIMES
Address: 5931 ALEXANDRIA CIR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-519-9750
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
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.
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit 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 vour Notice of Commencement_
i L� • � c
ature of Owner/Lessee/Contractor as Agent for Owner ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST u) 1 COUNTY OF
The for Ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this May of w; l 20 )-&by this A_ day of Ary -i' 1 201 by
(Name of person acknowledging) (Name of person acknowledging )
of Notary Public- State of
Personally Known - OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio roduced Type of Identificati Produced
Commission No.
Revised 07/15/2014
SUSAN
M,
Bondetl Thou NOWY PUNC UW WMtem
No.
7"AN MONTENEGRO
MY COMMIMtON O GG 089
NaarY
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Katings
AHRI Certified Reference Number: 8676079 Date: 04.16-2018 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Nam: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTRW3BJ1
Indoor Unit Model Number (Evaporator and/or Air Handier): : TEM4AOC42S41+TDR
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, It., IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA. Vr. WA, WV, Wl, WY, U.S.
Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
until June 30,2016- Beginning July 1, 2016 central air Conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement
The manufacturer of this TRANE product Is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSIIAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air-Conditoning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35400
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 14.00
}-Active' Model Status aro those that an AHRI Certification Program Participant is currently producing AND selling a offering for sale; OR new models that are being
marketed but are not yet being produced.'Production Stopped' Model Status are those mat an AHRI Cemficstian Program Participant is no longer producing BUT is still
selling or offering Tor safe.
Rabnas mat gra aocompanted by WAS indicate an ifivolumary re -rate. The new published rating is shown alono with the orevious (i.e. WAS) retina.
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the produces) listed on this Cenificato. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s). or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the
directory at www.uhridimotory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and
confidential reference purposes. The contents of this Certificate may not in whole or in part, be reproduced; copied; disseminated;'
entered Into a computer database; or otherwise utilized, In am form or manner or by any means, except for the user's individual,
personal and confidential reference. AIR-CONDITIONING, HEATING,
CERTIFICATE VERIFICATION a REFRIGERATION INSTIVITE
The Information for the model cited on this certificate can be vettified ai www.ahridirectory.arg, dlck 0. -Verify Certificate -link ,y�n,akc Iitlr berrt:r`
and enter the AHRI Certified Reference Number and the date on which the certificate was Issued,
which Is listed above, and the Certificate No., which Is listed at bottom right. f ""- "'—'- "" ---1-"--- 71188-"
OKO2018Ait-Conditioning, Heating, and Reftigeration Institute V CERTtFtCAT- PtO.: 1318 1 71