HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/20/2018
Permit Number:
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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 I III
PROPOSED IMPROVEMENT LOCATION:
Address: 4704 MYRTLE DRIVE
Legal Description: INDIAN RIVER ESTATES -UNIT 07- ELK 40 LOT 10 (MAP 34/02N) (OR 3750-2701)
Property Tax ID q: 3402-608-0085-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No. 10
Block No. 40
I DETAILED DESCRIPTION OF WORK: I
INSTALLATION OF LIKE FOR LIKE 2.5 TON TRANE A/C SYSTEM, 15 SEER WITH 10 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
Additional work toa
nerformed under
this permit —check all
appy:
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-834-8113
❑✓_ HVAC
Gas Tank
E]Gas Piping
_ Shutters
❑ Windows/Doors
11 Electric
E] Plumbing
Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Construction:
$ 4,250.00
utilities
Sewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name TERRI TESCHNER
Name: JAMES F GRIMES
Address: 4704 MYRTLE DR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-834-8113
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 $2500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City: _
Zip:
Phone:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip:Phone:
BONDING COMPANY:
Name:
Address:
ZIP: Phone:
-,& Not Applicable
Applicable
I certify that no work or installation has commenced prior to the Issuance of a permit. —1
St. Lucie County makes no representation that is granting a permlt will authorize the permit holder to build the subject structure
which is In conflict with an yi applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult w th your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, 1 do hereby agree that I will, In all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of commencement may result in your paying twice for j
improvements to your property. A Notice
before the first inspection. If you intend tof Commencement must be recorded and posted on the jobsite
o obtain financing, consult with lender or an attorney before
commencing, work or recording Your Notice of Commencement
C
o __ -• _- 'f uc»cc/�umraaor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this dayof_ liktylf 20l -by
STATE OF FLORIDA
COUNTY OF
S]_ V 1
The forgoing instrument was acknowledged before me
this 2,& day of td 20
J$ by
(Name of person acknowledging) l Y�/L�
(Name of person acknowledging) .
J_ n r
Personally Known OR Produced Identification
Type of Identificatigri Produced__
Commission No. -- - _
Revised 07/15/2014
REVIEWS
INITIALS
_—F-.•:e01.2f'W",'s. SUSAN MGNTENEG
of Notary Public -State of
Personally KnownOR Produced Identification
Type of Identificati Produced
ssfon No. rs ���•
1'%"AN MONTENEGRO
MY COMMISSIONI! GG 084
FRONT
COUNTER
I ZONING
REVIEW
I SUPERVISOR I
REVIEW
PLANS
REVIEW
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
WMAR• • # .
AHRI Cef ed Reference Number: 8876077 Date: 06-20-2018 Model Saudi Ache
AHRI Type: RCU-ALB
Serer: XR16
OuMoor Unit added Name: TRANE
OUMaor Unit Model Number (Condenser or Siegle Pac),age) : 4TTR6030J1
Indoor Unit Model Number (Evapearabr andlor Air Handler): TEM4AO830S31+TDR
nation: All (AK, AL, AR. AZ, CA, CO, CT, DC, DE, FL, OA, HI, N, IL, IA, IN, K5. KY, IA, MA, MD, ME, MI, MN, MO. MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX UT, VA, VT, WA, WV, WI, WY. U.S.
Trumbries)
Reglan Note : Central an conditioners manufactured prior to January 1, 2015 are eligible to be installed In all regions
unfit June 30, 2016. Beginning July 1, 2016 moral air Condhim ars red only be in dolled M regions) for
which they meet the regional efficiency requirement.
The manufacturer of this TRANE product is responsible for Rhe sling of this system combination.
Rated es follows in accordance anth the latest di tion of ANSVAHR12101240 with Addenda 1 and 2. Performance Rating of Unitary
Air-Conditlon rg & "-Source Haat Pump Equipment and Subject to dnq eccumoy by AHRI-sponsored. Independent, third party testing:
Coolies Capitol (A2) - Sk qe or High Stage (95F), Wh : 26800
SEER: 15.50
EER (A2)- Siegle orHigh Stage (95F) :43.00
1'Adhe'Model Statusamthose Natan AHRICerlifmia nPmgmm Pargnpantiewv YPmd(dng ANDselling"rg gPorsan:ORnawmodeLNtWmebehM
...e.uwu r.x o.e.,,.r „et net,.. a.ad,awd xrmrximn Stroked -Madel Sobs are (hose IM1q an AHPo Cmtifrretion Program PeXdpanl n.largerpmdudng OUT is stal
DISCLAIMER
AHRI do. nM endorx the pool Votes on this Certlfwate and makoa no representatlane. vannou. or strata rtaea as to, and assumes no rezpwnAle r, tor,
the producan Rated do mus Combined. AHRI eaprmzly dlscnima all Ilabilily for damages, of any kind arising out of the use or performance of the produdfs), or Na
unautbodund efterate. of data listed on this CadMcan. Codified mtlngs are uafid only for models odd confgumoons listed in the
directory at wrvw.ebrldiraetory,or&
TERMS AND CONDITIONS
no antiques, mod rte wnhnde are proprietary products of AHm. We CedMoah shell onry W ufed for lndlWduel. panoral antl AMR] confidential absence puryasas. The contents of this Ce dale met not, In when or In pad, be reproduced; Coped; disseminated: ..
entered iota s computer dataMwe; or Mbs rwbe VON", In am farm or manner or ay arty means, auept for the users indleid-1,
personal and confidential tlential reference. IDRCONpIT... msnTiRE
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CERTIFICATE VERIFICATION
The iMma
orlion for to. meds' cped on his eemnmb can a. -dead of Sun'wabriaienetory.erg, slideOn'venly eortttienta'Ink
and enter Ne AHRI Certified Reference Number and the date on whNh the mdlflcaa.unded,
which is hand ander, and the Ce " No_ and" N dark at bottom dent
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@2018AIr-Conditioning, Heating, and Reingeration Institute CERTIFICATE NO.: