HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/28/2018 Permit Number:
•
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 II
PROPOSED IMPROVEMENT LOCATION:
Address: DAVID SIMEUR
Legal Description: PORTOFINO SHORES (PB 43-6) LOT 465 (OR 2861-388)
Property Tax ID #: 1312-501-0124-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 465
Block No.
INSTALLATION OF LIKE FOR LIKE 3.5 TON TRANE HEAT PUMP, 14 SEER WITH 10 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION: III
HVAC L==j Gas Tank
Electric E] Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,485.00
Piping LJ Shutters
nklers Generator
Sq.I []Sewer
of First Floor: _
Utilities:Sewer Septic
Windows/Doors
0 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAVID SIMEUR
Name: JAMES F GRIMES
Address: 5853 SUNBERRY CIR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-460-5960
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
n value or conscrucnon is >[ouu or more, a ntcunutu Notice of commencement is required.
Name:
Address,
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address.
City:
Zip: Phone:
MORTGAGE COMPANY:
Not Applicable
Name:
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
which is in conflicmt with any applicable Hothat
e Owners Assopiatlonirwill
es,bylaws or anscovenants 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 your Notice of COmmen[ernPnt
azure of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF VC I+=
The forgoing instrument was acknowledged before me
this ?A_ day of I � !&Y-11- . 20 1$_.by
(Name of person acknowledging)
Personally Known _;!1_0 OR Produced Identification
Type of Identification Produced
Commission No.
,.•;Q::R';tl�y;_,_ SUSAN MONTENEG
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _7—% day of(i\ XAf . 20 IZ- by
JRVIIEs — Cvkf�11 S
(Name of person acknowledging )
n r
of Notary public- State of Florida
Personally KnownOR Produced Identification
Type of identification Produced
i'
fission No. — --
REVIEWS I FRONT I ZONING I SUPERVISORI PLANS
TATE
COUNTER REVIEW REVIEW REVIEW
INITIALS
MY COMMISSION # GG
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW
REVIEW
Certificate of Product
AHRI Carpeted! Reference Number: 8908429 Oats: 06-27-2018 Model Status : Active
AHRI Type: HRC" -CB
Series: XR14
Outdoor Un8 Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package)' 4TWR4042G1
Indoor Udt Made[ Number (Evaparetar and/or Air Handler) : TEM4AOG2S414TDR
The manufacturer of this TRANE Product is responsible for Ole rating of this system mmbinetion.
Rated as follows in accordance with the latest screen of ANSI/AHRI 210240 with Addenda 1 and 2, Performance Rating of Unitary
Air-Condificnirg 8 Air -Source Heat Pump Equipment and Subject to rating accuracy by AHRI-sponsored, independent, third Deny lasting
Coding Capacity (A2) - Single or High Stage (91 tech : 41500
SEER: 14.00
EER (A2) - Single or High Stege (95F); 11.50
Heading Capacity (H12) -Single a High Stage (47F): 39000
HSPP (Region IV): 8.50
those that an AHRI Corhasflon Pm,mn Partitiponl u.. It, produdrg AND eellirg w ^goring for Sale: OR naw modes, firer ere being
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DISCLAIMER
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Ynauthmioad allocation M data gated on Ike Cwtlficate. Certified ratings are valid anlytor models and oonOSuratlons listed In the
direttary al www.ahridi,eelory.atg.
TERMS AND CONDITIONS
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®2018AjfConditioning, Heating, and Refrigeration Institute '�, CERTIFICATE NO.:
13174EDlle°°owage