HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/15/2018��� Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 2712 FLOTILLA TERRACE
Legal Description: CORAL COVE BEACH -SECTION ONE- ELK 6 LOT 6 AND W 10 FT OF VAC ALLEY ADJ ON E
Property Tax ID #: 1425-701-0161-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 4 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
trona workto a erorme un ert ispermit–c ec alal appy:
❑✓—
HVAC Gas Tank Das Piping_Shutters o Windows/Doors
Electric OPlumbing Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 5,482.00 Utilities* — ewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name W WAYNE LORENZ
Name: JAMES F GRIMES
Address: 147 Randolph Ave
Company: GRIMES HEATING AND AIR CONDITIONING
City: MINE HILL State: NJ
Address: 3054 N US HWY 1
Zip Code: 07803 Fax:
City: FORT PIERCE State: FL
Phone No. 973-366-1999
Zip Code: 34946 Fax: 772-461-8722
E -Mail:
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.
�� .wa ntslJllba Ule
Name:
MORTGAGE COMPANY:
ta
Not Applicable
Address:
Name:
STATE OF FLORIDA
City:
Address:
was acknowledged before me
this day of ),�^y� 20 l�by
Zip:State:
Phone:
City:
thisI S day of dt i o me
20 JLZ' by
1 S4i _
(Name of person acknowied
e.
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING
Personally Known—_OR Produced Identification
Type of Identification
COMPANY:
_kNot Applicable
Address:
Name:
Produced
City:
Address:
Zip: Phone:
City:
PLANS VEGETATION
DATE REVIEW
COMPLETE
Zlp: --_ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
which County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which (sin 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 job
site
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin work or recordin our Notice of Commencement.
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
ature of Contractor/License Holder S
COUNTY OF I
STATE OF FLORIDA
The forgoing instrument
COUNTY OF t J r 1
ST t
was acknowledged before me
this day of ),�^y� 20 l�by
The forgoing instrument was acknowledged before
thisI S day of dt i o me
20 JLZ' by
1 S4i _
(Name of person acknowied
gI ng)CTRL
(Name of person acknowledging )
(Signature of Notary Public- State of Flori )
Personally Known—_OR Produced Identification
Type of Identification
(Signature of Notary Public- State of Florida )
Personally
roduced
Known OR Produced Identification
Type of Identificati
Commission No.
Produced
ssion No.
SUSANMONTENEG 0
' MYCOMMISSIONgGGO 9099 ° :K°ya'• AN MONTENEGRO
'I MY COMMISSION K GG 089099
Revised 07/15/2014 ".<;:�tiga'ggIRu021 t
ndennilels
•"°fi5BaldeO Thnl Nolely Pub9e UnNn
REVIEWS FRONT
COUNTER ZONING SUPERVISOR
REVIEW
PLANS VEGETATION
DATE REVIEW
COMPLETE
SEA TURTLE
REVIEW REVIEW REVIEW MANGROVE]
REVIEW
INITIALS
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate ®f Product Ratings
AHRI Cerfified Reference Number _ W76M1 Dale: 06-15-2018 Model Status : Active
AHRI Two; RCU-A-CB
Series: XR16
Outdoor Unit Bron Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package): 4TTR6o49J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4ADCd8S41+TDR
Region: All (AK, AL, AR, A2, CA, CO, CT, DC, DE, FL. GA, HI, ID, IL, IA, IN, KS, KV, W, 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, VT, WA, M. WI. Wy. U,S,
Territories)
Region Note: Cental air Conditioning; marwfneol rel prior W January 1, 2015 are eligible to be Installed in all re0ions
unfit June 3D, 2016. Beginning July 1, 2016 central air Conditioners Can only be Installed In region(s) for
which they meal the regional efficiency requirement.
The manufaquler of this TRANE product is responvible for fire refing of this system combination.
Rased as folie" in 4CCOmbVK S Al the latest edlikOn of ANSOAHRI 210/240 MM Addenda 1 and 2, Performance Rating of Unitary
AirCondlfi ning 8 AbSoufce Hest Pump Equipment and subject to rating accuracy by AHRlsponewed, independent, ihild Party, lesfing:
Goofing cS,xioty, (A2)- Single or High Stage (95F), btuh :46500
SEER: 1600
EER (A2) - Single a High Slags (951) : 13.So
that an AHRI Cedilicalbn PrO1Vam Paadpant is amently Produdn0 AND seliiml or oN.drg b sale; OR new madCls that aro bait,
Waved.TroduUlon alo oser MotlW S%Ws as. thaso that an AHRI Carifialoa Program Parlidpenl ie no bnger anax[ ng BUT le villi
DISCLAIMER
AHRI aoas nor ender.. IM PrvdUm(s) Was oa this "real --ad makes no ral esenlmen"r wanemkia or g—ronsas as W. and assumes
the pmduct(s) fined On Nis Certificate, AHRI expressly discalms all linblUty for damages
no responsibiNry for
of any hind arising out M the use or pxformance of the productfs), or
nauthodmd alteration of data listed on this Cemflcate. sentries Turn IS Bre valid only for
models and confi seasons heard in Ne
directory at www.amidireetary.urg,
TERMS AND CONDITIONS
This CenIRWa a" be contents ane proprietary pmdmis of AHRI. This Canifl=C shall Only be used for Indloond. personal dad
confidentlal reference purposes. The tenants of this Cenlacatn may an. In whale or In pan, be mpral.eed; copied; disseminated:`r
entered Into a computer database; or otherwise injured, In any farm or manner or by any means. eusx key Ne uses Indiidual,Jima
EE
personal and Wmldemul refiretica_
nIR-CpNmiloulYG. 4EATL4G.
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CERTIFICATE VERIFICATION
ThOlna—aI.. for Ne moaol 'led on atop eemrcase urn ka-1.4 Or r.e�lnr
ASTINTE
n�[e[N on'Vr.: 1-11,.,IInN
and enter the AHgI Certlaetl geference Number and the date an wh¢M1 the cedincate was bsued.
which Is listed.burs, and the CebMcat. No.. whlch Is listed at bMtom right. - —
rZ2018AW-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
1317355E91e35373a6