HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/25/2018 Permit Number:
s 11-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMEN_ T LOCATION:
Address: 2279 KEEN RD
Legal Description: 36 34 39 FROM SE COR OF NE 1/4 OF SE 1/4 RUN N 0 DEG 31 MIN 06 SEC E 417.3 FT TO PT ON E LI
Property Tax ID q: 1336-411-0002-000-1
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 5 TON TRANE 2-STAGE A/C SYSTEM, 16.5 SEER WITH 10 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
Additionalwar to a er orme un er t is permit — c ec a appy:
❑✓_ E]
HVAC Gas Tank ❑Gas Piping _ Shutters o Windows/Doors
11
Electric El Plumbing Sprinklers Generator Roof
Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5,900.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AARON N HOOD
Name: JAMES F GRIMES
Address: 2279 KEEN RD
Company:
Com an GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Address: 3054 N US HWY 1
Zip Code: 34946 Fax:
City: FORT PIERCE State: FL
Phone No. 772-267-8386
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.
$1fp,MITG CO�ISTF4JfiQIV LEN LAyV.IIUFO,RMATION
-
DESIGNER/ENGINEER: -7LO Not Applicable
Name:
MORTGAGE COMPANY: yn Not Applicable
Name: T�
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:Not Applicable
Name:
Name: 710
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
whiLuciey
h is ICount flicmt with any applicablelHome Owners Asssociationlrulesabylaws or andpcovenants that
mayrestrictor prohibits ch
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 the Florida Building
plans, 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
before
jobsite
the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
`
(rte _ • -�_
sWature of Owner/Lessee/Contractor as Agent for Owner
S ature of Contractor/ License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �,� . t.V (t
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before
this -L5 day of �U (.0 20 Eby
me
this 2_4a day of J to `A 20 —L&_ by
1. J Nrv\ -F
, cc" -t rV ;T
)IvlcS F ingI C
(Name of person acknowledging )
(Name of person acknowledging)
(Signatureof Notary Public- Stateof Florida
(Signature of Notary Public- State of Florid or
Personally Known OR Produced Identification
Type of Identification Produced
Personally KnownOR Produced Identification
Type of Identification roduced
Commission No. .•"'+.......
SUSAN-NEGROCommission
�
No. .•^":w•.,,
SUSAN
. MY COMMISSON : GG 069099
GRO
MY COMMI SS:ON
GG &e,9099
:.x• e0"aaarn,+
Revised
Notary P„bku �, tm
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
SEA TURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS
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: 9133435 Date: 07-25-2015 Model Status: Active
AHRI Type : RCU-A-CS
Series: XR17
Outdoor Unit Brand Name : TRANE
Outdoor Unit Model Number (Condenser or Single Package): 4TTR7060A1
Indoor Unit Model Number (Evaporator and/or Air Harkler): TEMSADCSOH51♦TDRaUFMRZ
Realm: All (AK, AL, AR, A7 CA, CO, CT, DC, DE. FL. GA, IN. ID, IL. IA, IN, KS, KY, LA, MA, MO, ME. MI, MN, MO, MS,
MT, NO, NO. NE, NH, NJ, NM, NV, NY, OH, ON. OR, PA, RI, SC, SD, TN, M UT, VA, VT, WA, WV, WI, WY, U.S.
Tenitlydes)
Region Note : Central air cunditimws marwtarearad prior to January 1, 2015 are eligible to be installed in all regions
unN Jure 30, 2016. Beginning July 1, 2016 central air conditioners Can only be installed in regions) for
which they meet the regional efficiency requirement.
The manufacturer of this TRANS pmdud Is responsible for the rating of this system comNnation.
Rated as follows In accordance with the latest edition of ANSI/AHR1210/240 with Addends, 1 and 2, Performance Rating of Unitary
Ah-Cmditloning & Air -Source Head Pump Equipment and subject to rating accuracy by AHRI-sponsored, indeperadenL third party lesting:
Cooling Capacity (A2)- Single or High Stage (95F), bWh :57500
SEER: MIMI
EER (A2) -Single or High Stage (95F) : 13.00
a tied an AHRI CM1612501 Progrem Participant a amently mqursg AND selling aoffai g kr seta. OR new Modals that are being
prMucM.'Produgbn Stepped' Mabe Sbbn are (hose that an ARRI CaMfication Program Paditlpant is no longer woduarlg Our is AM
DISCLAIMER
ARRI don not enEom the Wood uces)Medea no In 4CM. entl me 4s no tepreenumns, wanarom AT guarmuces as to, end Assumes
rib mspasiul mr,
the praluMsl Ikted On this CertifimfeMet eyprnaly discbims all liability for damages of any kind arising Gas Of the use Or MOO nM Of the nickel or the
authMrea alteration of deb land an this Certificate. CertifiM relines are saint only for models and configurations listed In the
directory At www,aXrl0lm<bry.org.
TERMS AND CONDITIONS
This Ce CaleaWnwnbnNsm PmWiataryemducMWARRI TMS Certificate MMll only be used for indMduai personal and
corebrance nominees. Tile contents M ma Certificate may not, In WMla or In pen, be repmducaq settled; MouseenMee
�, �
entered Into a congener research; a otherwise Attend, In any form a man net w 49ny meat ans, amefor ba lMMdua4
_ f}eM
JAMB
users
parcocal and confidaatlal relate oa.
MaCONDITIONING.HEATING,
.CERTIFICATE
CERTIFICATE VERIFICATION
AREFR16ERATION INMITIM[
The Mtertheon
the on ver Medetry v.aM1ridlre
clickan'Vetlfy Cmtliicnia'YnNand
R! CWAka1eltided
Nu beracebcante
Number an'.this asissuK.
which the cerllikab was issued,
the ANm Ce.16
Romance
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wgkX b rveted above, and lge CertlMate Na., x1Nc1, Is lyrod rt bMbm rIgXL
--- —
Ki2016Air-CondNloning, Heating, and Reidgemtlon Institute I CERTIFICATE NO.:
1317 fi7 Ra°R