HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/24/2018 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Mechanical III
PROPOSED IMPROVEMENT LOCATION:
Address: 7601 DONLON RD
Legal Description: LAKEWOOD PARK -UNIT 5- BLK 43 LOTS 24 AND 25 (MAP 13/11
Property Tax ID #: 1301-605-0095-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No. 24, 25
Block No. 43
DETAILED DESCRIPTION OF WORK: III
INSTALLATION OF LIKE FOR LIKE 9,000 BTU COOPER AND HUNTER MINI -SPLIT, 22.5 SEER
CONSTRUCTION INFORMATION:
CONTRACTOR:
trona work toe
performed under
this permit – check a appy:
Company: GRIMES HEATING AND AIR CONDITIONING
❑✓— HVAC
11 Gas Tank
E]Gas Piping _ Shutters
Windows/Doors
11 Electric
0 Plumbing
Sprinklers Generator
a Roof Roof pitch
Total Sq. Ft of Construction:
SL7l''F�tt. of First Floor:
Cost of Construction:
$ 2,888.00
Utilities:CnSewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT J SPRING
Name: JAMES F GRIMES
Address: 7601 DONLON RD
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-332-1529
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
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Name:
Not Applicable
PLANS
MORTGAGE COMPANY: �Q Not Applicable
Name: 11 __
Address:
MANGROVE
COUNTER
Address:
City:
Zip:
Phone:
State:
REVIEW
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:']Not Applicable
Name: //
Address:
Address:
City:
City:
Zip:
Phone:
INITIALS
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
commencing work or recording vour Notice of Commencement.
r <
i
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF C1 .1 1)C -1-T-- COUNTY OF !�F? . LUC,1y—_
c
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this?l- day ofPc1i191AIS 20gby this%J�- day ofdr1,AA&�- 20«by
1 A P,M'F_S F 6X -Al eS 'f 14WVes .- C'! 1_AwF S
(Name of person acknowledging ) (Name of person acknowledging )
(Signature of Notary Public- State
Personally Known
Type of Identificai
Commission No.
Revised 07/15/2014
OR Produced Identification
SUSAN MONTENEGRO
MY COMMIS fSegl} GG 0890"
EXPIRESApril 2, 2021
Bonded Tlxu No
of Notary Public- State of
Personally Known OR Produced Identification
Type of Identifica ' roduced
Commission No. Zz°' "�"; SUSANM
alsVO RO
OMMISSJON # GG 089pgg
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
certificate of Product Ratings
AHRI CertBed Refererive Number : 9119306 Date: 08-2440118 Model Status: Active
AHRI Type:: HRCU-A-CBBO
(hndoor Unit Brand Name; C&H
Outdoor Unit Model Number: C"SSPH•115VO
Indoor Type: MiniSplils
Indoor Model Numbor(s) : CH-09SPH-115A
Rated as follows In accordance with the latest edition of ANSIIAHRI 2101240 with Addenda t and 2, Performance Rating of UnRary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI•Rponsomd, independent, third party testing:
Cooling Capacity (95F): 9000
EER (95F) : 13.50
SEER: 22.50
HigR Heat (47F) : 9800
Low Heat (17F) : 5900
HSPF : 10.50
Sold in? : USA
t"Active" Model Status are those 00 an AHRI Certification Program Participant Is ounenty producing AND selling orotforing Waster, OR new models that aro being
marketryt rid arc not yah being producan.'Product on Stopped- Model Status are those that an AHRI Certification Program Participant Is no longer producing BUT Is sill
"NiN nr nflnrinp for Cala.
RtAii that ere acadnpalde0W WAS indicate an� 111te. The rtety published retied n shown World with the previous (i.e. WASI rotfna.
DISCLAIMER
AHRI dost iml Fntdoru the pmdml(s) listed on this Cenmcato and makes no representations, warranties or guarantees a5 to, and assumes no responsibllhy for,
the pmdtct(s) listed an this Certificate. AHRI expressly disclaims all Ilablilty, for damages of any kind arWng out of the use or performance of the limuct(s), or the
Ord uthodzad aheraton of data listed on this C&Mfl ate. Certified ratings are valid an Py for models and configurations listed in the
directory at www.ahridifectory.org.
TURMS AND CONDITIONS
This Certificate and Its contents am proprietary products of AHRL This Certificate shall only be used for Individual, personal and _ ,
mnfidantiAl rWar.. pumawe. The rordtinte of Mrs Cerefl ate may not, In whole or In part, be reproduced; copied; dlsra minted;
entered into a cunrputar daWbgeai or otherwiw ute"d, m any tone w rammm
er at by airy es, anmcapt far the user's Individuate
la
personal and confidential reference. AIR LONDrhONIND. NFAtft4.
CERTIFICATE VERIFICA71ON aR11nRIaERA1hON INSTnun:
The odor rueliurr for lire rueful sled o,I this ceddreola can bu wa,fi an rd www.&dadd, eetary.org, click on RoNFy Cun:aenie- link "e indiv Illi I;eatP
and enter the AHRI Certified Reference Number and the date on which the certificate was issued.
Which Is listed above, and the CBRNicate, N0., which is listed at bottom right.
a02018Aii-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13 17968000102a.-"