HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/20/2018 Permit Numbe
:
L" -11
•
Building Permit Application
Planning and Development Services
Building and Lode Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re
idential x
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 12865 SOUTH INDIAN RIVER DR
Lega l Description: 43741 N 10OFT OF FOLDESC PROP, BEG AT APT ON W BANK OF IND RIV3357112 FTN OF SB
BY OF SEC, TH RUN SWLY TO E RAN FEC RR,
Property Tax ID #: 4504-340-0006-050-1
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 2.5 TON TRANE A/C SYSTEM, 16.5
SEER WITH 10 KW
ELECTRIC HEAT AND VARIABLE SPEED AIR HANDLER
CONSTRUCTION INFORMATION:
Aaartional work to a orme un ert Ispermrt—c ec a appy:
❑✓ �
HVAC Gas Tank ❑Gas Piping _ Shutters
Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1 Generator
Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 3,600.00 Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name H Kenneth Sebok
Name: JAMES F GRIMES
Company: GRIMES HEAJ
Address: 3054 N US HWY
Address: 12865 SOUTH INDIAN RIVER DR
ING AND AIR CONDITIONING
City: JENSEN BEACH State: FL
1
Zip Code: 34957 Fax:
City: FORT PIERCE
State: FL
Phone No. 561-373-1595
Zip Code: 34946
Fax: 772-461-8722
E -Mail:
Phone No. 772-461-8711
E -Mail: KAYLAGRIM ESAC
Fill in fee simple Title Holder on next page ( if different
@AOL.COM
from the Owner listed above)
State or County License: FA0018071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: -7?0 Not Applicable MORTGAGE COMP NY:✓1 Not Applicable
Name: Name: 7"`
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Ph ne:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Not Applicable
BONDING COM
Name:
Address:
Zip: Phone: Zifty
p:
I certify that no work or installation has commenced prior to the issuance of a permit
ANot Applicable
which is in contfllct with any applicable lHome Owners Asssociat� nl rullesabylaws or the
covens is that may restrict oir 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 Amendments.
The following building permit applications are exempt from undergoing a full concurrency rev ew: 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
boemorneencen firstinspection. or I�f you intends o obtain financing, consult with lend r or an attorney before
;Wlature of Owner/Lesse�ntrtctr as Owner S ature of Contractor/
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument
this 2D day of J�OAT Ltis.� 20 &by this%D day of _4q)
_ 4PLML,- CIA W,e�c
JPrYV1�s
(Name of person acknowledging) (Name of person acknow
(Signature of Notary Public- State of Florida (Signature of Notary.
Personally Known OR Produced Identification Personally Known
Type of Identificati0 Produced
Type of Identification
Commission No. Commission No.
;z41�•t SUSAN MONTENEGRO
r-+�'IRES: Apra 22021 Revised 07/15/ 'x",s Babad Thv Notary PV�'u
Cq
acknowledged before me
L5,+, 20 lK by
ate of Florida
Produced Identification _
..."07 __
SUSAN MONTENEGRO
s MY COMMISSION# GG 011904
EXPIRES Apri12, 2021
Bated Tlxu Notary Pupy�
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
COMPLETE
INITIALS
This combination qualifies for a Federal Energy flit
placed in service between Feb 17,2009 and 0 n.
Certificate of Product Rati
AHRI CeN6ed nor ..nco Number'. 8626669
AHRI Type : RCU-A-CB
Series: XR16
Outdoor Unit Brand Name : TRANE
Date : 08-18-2018 Model Strauss:
Credit when
Outdoor Unit Model Number (Condw.w or S'ugb Package) : 4TTR6030J1
Indoor Unit Model Number (Evaporator andlor Air Hendhr) : TEM6AOB3OH21+TDR
Region: Ali (AK, AL. AR, A2, CA, CO, CT, DC, DE, FL, GA, HI, to, It. IA, IN, KS, KY, LA, MA, MD, ME, 0 11, MN, MO, MS,
all NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK OR, PA, RI, SC, SO, TN, TX, UT, VA, Vr, IRA, I yal WY, U.S.
Temtories)
Regain Note; Central air conANoners manufacWretl prior to January 1, 2015 are eligible to be installed in
t u d June 30, 2016. Beginning July 1, 2016 central air conditioners can ordy be in bated in
which RMy mesa Eta regional efidency requirement.
The manufacturer of this TRANE Product is responsible for the rating or this system combination.
Retail as folbwa in accordance with the latest edition of ANSBAHRI 2101240 with Addenda 1 and 2. performance ng of Unitary
Air-conditioning 8 Ah -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independ t, third party testing:
Cooling Capacity (A2)- Single or High Stege (95F), btuh : 29200
BEER: 16.50
EER (A2)-Singleor High Stage (95F) :14.00
DISCLAIMER
Cx6btation Pmgmm Padkipanl is tanenlfy producing AND seting or oRedng for sale: OR new models that am being
ubx,Swpped- Modw sudua are Ihase mel an AHRI Caraontan pnevem beffilopard 4 no Mayer xotlucirg BUT Is Mai
, AHRI wlpreaaly aleclalms all liability I
On rah GOHkew. Grtiflea natinge ora
aMles.r ¢uaramevs az to, ane p es no respomlblgy ML
,d.ming eat of the use e, Ped. of the pmduN(N, or the
..it wnflundamm ¢Nail in the
TERMS *No CONDITIONS
This Cenmcara end Its [..lent. are nr.prletary manducts of AHRI, red Cerifiram shell only Os used tin IndNdual, personal and
confdenial hawance pumosea The roman of this Cariflrab may not, In whole Or In pa". So leproducetl;[npied; ilowledawd;�OVA
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nixed Iran - b mputer dylawae: or xhemac utlllred, 11 Amylorm diamond, or lwarry means, ercept lx Is .11s {,wlvidaaL
rs
personal and ron6tlerdlnl reference.
INC. HEATING.
CERTIFICATE VERIFICATION
a REFRgEPRNX IXai1NiE
tau lnb-nam.I— di. -pe,ca—an rnw c.m,rw cnn.-nd[e nl www,an'I01rMory.o.g click ba ..-Hy d-mmuto"XM[
and amentia MRI Grilled Reference lament and the date on which the camEeale was issued,
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which Is Rated above, and the Gnmond No., which is Rated at bottom right, _--......--.._......—.
—_..—..... ____ __....... _.
®201811i)r-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.
1317MO2640095M