HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/20/2018 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
dential X
PERMIT APPLICATION FOR: Mechanical I III
PROPOSED IMPROVEMENT LOCATION: II
Address: 12865 SOUTH INDIAN RIVER DR
Legal Description: 4 37 41 N 100 FT OF FOL DESC PROP: BEG AT APT ON W BANK OF IND RIV 335 7/12 FTN OF S
Property Tax ID #: 4504-340-0006-050-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
OF SEC, TH RUN SWLY TO E RNV FEC RR,
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I III
INSTALLATION OF LIKE FOR LIKE 5 TON TRANE A/C SYSTEM, 16 SE
HEAT AND VARIABLE SPEED AIR HANDLER
WITH 10 KW ELECTRIC
CONSTRUCTION INFORMATION:
iUona work toe e orme under t—checkispermit a appy:
❑✓— HVAC - Gas Tank E]Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing 11 Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,350.00
SFt. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name H Kenneth Sebok
Name: JAMES F GRIMES
Company: GRIMES HEA1
Address: 3054 N US H
City: FORT PIERCE
Zip Code: 34946
Phone No. 772-461-8711
E -Mail: KAYLAGRI MESA
State or County License: IZA0018071
Address: 12865 SOUTH INDIAN RIVER DR
ING AND AIR CONDITIONING
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 561-373-1595
1
State: FL
Fax: 772-461-8722
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
@AOL.COM
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
t1R�VIENTALrCONSlRU�7ION LIEN W77,
FRONT
DESIGNER/ENGINEER: �o Not Applicable
Name: T
MORTGAGE COMPA Y:
Name:
Not Applicable
Address:
Address:
MANGROVE
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANYk1Not
Name:
Applicable
7 "
Address:
Address:
DATE
City:
City:
Zip: Phone:
Zip: Phon
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 covens is 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 re pects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amenc ments.
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 re ult in your paying twice for
improvements to your property. A Notice of Commencement must be recorde and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lend r or an attorney before
�Pature of Owner/Lessee/Contractor as Agent for OwnerS ature of Contractor/LiCE rise Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—___Sl, k.0 1 E COUNTY OF c
The forgoing instrument was acknowledged before me The forgoing instrument wa- acknowledged before me
this zg day of Acuo u 20 JK -by this day of 20 V? by
1 ftwE ` F— 9L
(Name of person acknowledging) (Name of person acknowled ins 1
(signature of Notary Public- State of Floridadr (Signature of Notary Public- State of Florid
Personally Known OR Produced Identification Personally Known R Produced Identification
Type of Identifica ' oduced Type of Identificatio Produ ed
Commission No. iT'. ' * SUSANMI�nEGRO Commission No. SUSAN SUSANN�GRO
OMMISSION 0 GG 089099 My OMMISS Px�089099
EXPIRES: Nod 2.2021 ;; E,,� �, EXPIRES: Apri72. 2021
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy E
Wency tax Credit when
ung placed in service between Feb 17,2009 and Dec
1, 2016.
P&
onsi CERTIFIED'
Certificate of Product Ratings
AHRI Certified Reference Number:8858422 DeM:08-18-2018 Model Status: Ac
as
AHRI Type: RCU-ALB
Series; XR16
OuldoM Unit Brand Name; TRANE
Ouldom Unk Model Number (CanINu:M or Single Peonage) : 4TrPJMIC1
Indoor Unit Model Number (Evaporator, anitM Air Hander): TEM6AOC601151*TDReUFMRZ
Region: All (AK, Al- AR. AZ, CA. CO. CT. DC, DE, FL, GA, HI, ID, IL. IA, IN, KS, KY. LA, MA, MD. ME, h
, MN, MO, MS,
MT. NC, NO, NE, NH. NJ, NM. W. NY, OR, OK, OR, PA, RI, SC. SD, TN, Tx, UT, VA, Vr, VIA.
NV.VII, WY, U.S.
Tersodes)
Region Note: Central air conditioners mamdeeWred prior W January 1, 2015 are eligible to he installed in all re
lions
until June 30.2016. Beginning July 1, 2016 central air Ceram onere ran only be installed In regio
(s) for
which they meet the regional efficiency requirement.
The manufacturer of this TRANE product's responsible for the hug of this system Combination.
Rated as follows in accordance wlm the latest edition of ANSVAHM 210/240 with Addenda 1 and 2, Performance
Tg of Unitary
Ai,Core idoning 6 AlrScurce Hurt Pump Equipment an subject m aging accuracy by AHRI sponsored. indepance
it, third parry tasfin9:
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SEER: 16.00
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DISCLAIMER
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unautlealred alteration of tlata rated on this CVUgcete. Certified ratings are made only far models and configurations listed in the
almctary at www.ahrmi eaicry.org.
TERMS AND CONDITIONS
ThIs Cengrato and he contemn are proprietary products of ARM. This Certificate shall only fie used its Indirdual. personal and,.,
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an6dentiel reference purpaas. The content of this CMifpam may not, In whole or In pan, W apmducea; aop�ed; d.1 1.ateP.
enforce anis a computer dater are; in mMmied ulikence, in am form or manner or by any meant, errata, h r IM users IndMpYal,
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®2018AIr-Conditioning, Heating, and Refrigeration Institute, CERTIFICATE NO:
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