HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/02/2018 Permit Number:
5 J_
• 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: 1520 S BROCKSMITH ROAD 11
Legal Description: 17 35 39 NE 1/4 -LESS N 1280 FT ANDLESS COMM AT SW COR OF NE 1/4 RUN N 89 DEG
Property Tax ID #: 2317-113-0000-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
[ DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE A/C SYSTEM, 16.5 SEER WITH 10 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name PETE HAYS
Name: JAMES F GRIMES
Additional work to be rtormed under tispermit—check
❑✓— HVAC Gas Tank ❑Gas Piping
a y: app
Shutters
❑
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No. 772-461-8711
_
Windows/Doors
11 Electric Plumbing
Sprinklers
1:1Generator
0 Roof Roof pitch
Total Sq. Ft of Construction:
SFt. of First Floor:
Cost of Construction:$ 5,300.00
Utilities:T]Sewer1:1Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PETE HAYS
Name: JAMES F GRIMES
Address: 1520 S BROCKSMITH RD
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 772-216-0323
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
1n ;'cJuu or more, a ntwnutU Notice OT commencement Is required.
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Lip: Phone:
X_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
City:
State:
Zip: Phone:
BONDING COMPANY:
Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no y work or installation has commenced prior to the issuance of a permit.
which In contlic with any applicable 1Hothat
e Owners Assopatlnrulesabylaws or andpermit covenantsthatthat maybuild
rest ict 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 Notiep of rnmma...,e..«
a.ure of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF__ Jc l
The forgoing instrument was acknowledged before me
this L day of 20 Aby
(Name of person acknowledging)
pnglmwre or Notary PuDlic- State of Floridb )
Personally Known OR Produced Identification
Type of Identificati Produced
Commission No.
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
STATE OF FLORIDA
COUNTY OF SP. L V l E
The forgoing instrument was acknowledged before me
this 2 day of 20 Ja by
JAv\ES FS>
(Name of person acknowledging )
Notary Public- State
Personally Known OR Produced Identification
Type of Identificat' n Produced
--
'•'ttssion No.
;,.ti; SUSAN MONTENEG 0 K;;;Y4••,, AN MONTENEGRO
. MY COMMISSION # GG 0 9099 �' 't, MY COMMISSION#GG 0890
'%' r�;; EXPIRES: April 2.2021 - 21
%S,p fly; BoMM Thm Notary Pu* UWw4em :; t$:' Boded Thm Notary Pub&
ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE;
REVIEW REVIEW REVIEW REVIEW REVIEW
REVIEW
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratings
AHRI Certified Reference Number: 8627727 Delta: 04-30-2018 Model Status: Active
AHRI Type: RCU-A-CB
Series XR16
OUMoor Undersell Nam: TRANE
Outdoor Unit Model Number (Condenser or Single Package): 4TTR6036J1
Indoor Unit Model Number (Evaporalor andror All Handler): TEMSAOCWH31+TOR
Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, 1O, IL, IA, IN, IS. KV, LA, MA, MD, ME MI, MN, MO. MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NV, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, Vr. WA, WV, W, Wy, U.S.
Tangents)
Region Note: Central air mMitioners manufactured prior to January 1, 2015 are eligible to be installed in dl regions
until June 30, 2016. Beginning July 1, 2016 central ak Conditioners Can only be installed in region(s) for
which they met fie regional efficiency requirement.
The manufacturer of this TRANE product is responsible for the rafing of this system Combination.
Rated as (allows in eccurdsnoe with me latest edition of ANSI/AHRI 210/240 with Addenda 1 And 2, Performance Rating of Unitary
Air -Cort toning It Alf -Source Heal Pump Equipment and subject W rating accuracy by AHRI-sponsored, independent, third party, leafing:
Coding Capacity (A2) - Single or High Stage (OF). bah: 35ODD
SEER: 16.50
EER (A2)- Single or High Stage (95F) : 14.00
t'Adwe' Modd Eases ere those that an AHRI CerSficanon Propmm Paroo stilt h cumedy producing AND wife" araxedng for sak; OR crew rocs a ,that are WAS
madrel�bul ars rwl Yet beir"Prvdumd.-Pmiur im Slullocr Model Stakw era Muse ledw. AHRI( port Program POdkipant ie no bnDar prvarMr"ern is on,
R Ids obis\e raAll., edM WAS'nrlu
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AHRI does not endorw the eceductNt all" on this centered And makes on Added-MtlMrs. warmntlea or R neuddes ae W. and aswmas no res otenes , for,
the produces) listed on mh Caudate. AHRI expressly disclaims all Nabulty Mr damages of any kind arising Out tithe use or pe"Ormance 01 Me mducaL or Oe
unsulhorlred alterm n d data tibiad on 1M1k[eHlfinte. ordired raMgs Am void only for matlNs and conneumliens Ihtetl In IM1e
directory of www.6hridinchrry.org.
TERMS AND CONDITIONS s ��
T1rs CedlflwM and hbcOntenl5 are pNpdelary Products orANAL This Cerrlf M9M1a11 only aC so 11 Iced;.11d;;dIandadd
enWmdiiahalemputearpaaas.ille Mhenb eRh6 CedingMtOm Ormmn elebrim pnl.0ere.lea M,th. se:dlssemiwll.
enteral Info a compulerdeta0ew: w alharwBe ulI1m0, In airy holm ar mules or by anY mean; ex[e0t for the user's Irdidduel.
CEpecRTIFICATEan.1 AN VERIFICATION
, Al. CepOTONiHfi.NE0.TME
CERTIFICATE VERIFICATION a RsrRmENAnoN INa11Ma
laa lMarmeHon lq me mvdq cMeEmrlrk mrmule can pa vedne0 yr www nnrrEl,eetveY-vrB. cMCN an NarltY Cvrtiflente•tlnF ...i ..,.��y 1, 1:'. M1e•Ipt^
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WMAir-Conditilning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1316957605340ge2e