HomeMy WebLinkAboutbuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/13/2018 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
PROPOSED IMPROVEMENT LOCATION:
Address: 8206 PASO ROBLES BLVD
Legal Description: LAKEWOOD PARK -UNIT 8- BLK 91 LOT11 (MAP 13/02N) (OR 3395-31
Property Tax ID #: 1301-608-0086-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 11
Block No. 91
INSTALLATION OF LIKE FOR LIKE 2.5 TON TRANE A/C SYSTEM, 14.5 SEER WITH 5 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
rtiona work to be Pertormed under this oermit — check all that anniv"
HVAC LJ
Gas Tank
❑Gas
Piping
Li Shutters
❑Windows/Doors
Company: GRIMES HEATING AND AIR CONDITIONING
Electric ❑
Plumbing
❑Sprinklers
E -Mail:
❑ Generator
❑
Roof ❑
Total Sq. Ft of Construction:
Cost of Construction: $ 4,650.00
StI�Ft.� of First Floor: _
Utilities"
Sewer ❑ Septic
Building Height:
Roof pit
OWNER/LESSEE:
CONTRACTOR:
Name KEITH TAIG
Name: JAMES F GRIMES
Address: 6886 61ST ST
Company: GRIMES HEATING AND AIR CONDITIONING
City: VERO BEACH State: FL
Zip Code: 32967 Fax:
Phone No. 7729716341
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: KAYLAGRIMESAC@AOL.COM
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: RA0018071
n rmue vi wnaarucnun is pc3uu or more, a newnui:u notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 the permit 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
4
S%ffature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTYOF _ulc�E
The forgoing instrument was acknowledged before me
this 12 day of it v" 20 l4by
c
STATE OF FLORIDA
COUNTY OF ST- I_I-) C_l E:
The forgoing instrument was acknowledged before me
this _J�Lday of 3 u 20 Eby
1�I�WI,FJ_. F Gtz(wlEs J'A-��
(Name of person acknowledging) (Name of person acknowledging )
Notary Public- State of
Personal) Known OR Produced Identification Personal) Known
Y Y
Type of Identificatio Produced Type of Identificat
Commission
COMMISSION 0 GG 089099
Revised
Com
OR Produced Identification
SUSAN MONTENEGRO
EXPIRES: April 2.2021
Bended ThN Notwy Pubic U'de *dm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratings
AHRI Certified Reference Number: 7546546 DOW: 07-1&2018 Model States: Active
AHRI Type: RCU-A-CB
Series: XR14
Outdoor Unit Brand Nam: TRANE
Outdoor Unit Model Number (Condenser or Single PaAiwge) : 411R40311.1
Indoor Unit Madel Number (Evaporator amber Air Handler): TEM4AOB30S31+MR
Region; All (AK, Al-. AR, A2, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MO, ME, MI, MN, MO. ME,
MT, NC, NO. NE. NH, NJ, NM, W. NY, OH, OR, OR, PA, RI, SC, SD, TN, TX. UT. VA, VT, WA. M. WI, Wy, U.S.
Territories)
Regain Note: Central air condifionms manufactured! Our o January 1, 2015 am eligible to ba installed in all ragers
unfit June 30, 2016. Beginning July 1, 2016 central air rpWiDoners can only be installed M reglon(s) or
which May meet the regional efficiency requirement
The manufachavir of this TRANE product Is responsible or the rating of this system cpmNnatain.
Rand as ldaiws in accordance wilt, the Intend edition of ANSOAHRI 2101240 with Addenda 1 and 2. Performance Rating of Urinary
Ar-Commominq S Air-Source Heat Pump Equipment and subject to rating accuracy, by A IP"Wnsored, Independent, Ihtrtl party testing:
Cooling Capacity (A2) - Shgla or High Stage (95F), duh: 29600
BEER: 14.50
EER (A2)- Single or High Slags (95F) :1210
}'ArAve" Mold 5lahra are Nose Mel an AHRI Cerlifiralim program Pallopent u wrtemty prmucrg AND selling ordering for sale; Obi new modals Mai are being
meMeled bdere nd yef behg pmtluwd'Pro4uchbn SMppad' Motel StsUrc ere Irma Mat an AHRI CwtRwalon PmgrAm Peditlpent h no Mnger pmtludrg BDT k sMll
ON-adledeg forsele.
Ash Mat — d b WAS heficide An--mer, rate The near andoishan man b sman, abn out, MIo mi no. WAS) none.
DISCLAIMER
ANRI Man not endorse Me pmduegs) Wind on thh Certificate ant makes no mprmentatlons, waaantles or guarantees as W. and assumes he manonslbipry for
the pmduans) fisted on this Consents. Min yepresgy disclaims all Ilawl y ler damages of any hind arbMg out of the use or performorltt of the shenuctist, or My
nautherized Shushan of date Hated on Me Certificate. CeNfiednoires she valid any fm models and confieurroons listed in the
direcory at wwwabidimetoy...a.
TERMS AND CONDITIONS
TIM, Certificate and Its Contents are pmpdabry amounts At AHRI. This Certil a shall Only be UKd fpr Individual,peRonaland
confidential reference pumnses. The coneds of this CarlModni may not In whole or In pad, be repreduced: Annied: dlssemInatAd,` '�`
entered Into a ..,W, database; or dhembui Mitent In soy forth no manner of by ant means, e¢ept for the our. Indivdual.
wheonal and cohmeadal reference. Al. Chun ITaililm. HEATING,
CERTIFICATE VERIFICATION 6 REFRMI WAnrM IRSTIME
TheirrMmetion ler Me motleleiledo.on.Ai tlricate ran be venfi. an www.nF.:airv, rory.o,q, on.h..-ve,, Cedfieafn` sak nuko- ice V.Iler'
ant enterthe AHRI Certified Reference Number and the data on which the constants wee issued,
waits is luted above, are the commove No.. vo,ch h unthe at bodere net.-----
t 02U18AirConditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13176BaBIT52>T31faa