HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/29/2018 Permit Number:
SIM
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: 2511 GRAY TWIG LANE
Legal Description: TWELVE OAKS ESTATES LOT 20 (0.27AC) (OR 252-170: 3859-2095)
Property Tax ID#: 3405-801-0020-000-7 Lot No.20
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE A/C SYSTEM, 17 SEER WITH 10 KW ELECTRIC
HEAT
CONSTRUCTION INFORMATION:
Aciclitional work to e e orme under t ispermit—checka apply:
❑✓_HVP 11 Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric El Plumbing Sprinklers El Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4885.00 Utilities:'nSewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MARY T WROBLESKI Name: JAMES F GRIMES
Address:2511 GRAY TWIG LN Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:FL Address: 3054 N US HWY 1
Zip Code: 34981 Fax: City: FORT PIERCE State: FL
Phone No.772-370-6842 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: KAYL AGRIMESAC@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.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: �Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: 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
commencing work or recording our Notice of Commencement.
c
j/7iiYYL,vJ— s
Pftature of Owner/Lessee/Contractor as Agent for Owner 5 ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF " T . I \)c t E COUNTY OF sr. 1_u c-l,}F_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2A day of (linoA Cam} 20 �by this day of A lna 20 �$by
1 )P MESC F r_ZXN\SJ I yatVN E-S IF h�\Y1n�S
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florid (Signature of Notary Public-State of Florid
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification roduced Type of Identification roduced
Commission No. 'i.' '°`"'•: SU=NE Commission No. SUSAN MC 'L�GRO.,? MY CO ;E MY COMMISSION#GG 089099
.,,o:n::. 8orgyd Thru Notary Po* "r�; Bonder!Tlxu Notary PLbkt UWANribrs
Revised 07/15
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 Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31,2016.
a ,
Certificate of Product Ratings
ANRI Codified Reference Number:8676079 Date;08-29-2018 Model Status:Active
AHRI Type:RCUi
Series:xRt6
Outrbor Un8 Brent Name:TRANE
Outdoor Unit Model Number(COMenser or SM910 Package):41
Indoor Unit Model Number(Evaporator and/or Air Handier):TEM4AOC42S41 rTDR
Region: All(AK,AL,AR.AZ,CA CO.CT,DC,DE,FL,GA,HI,ID,IL.IA,IN,KS,KY,(A,MA,MD,ME,MI,MN,MO.MS,
MT,NC,NO.NE,NH.NJ,NM,W.NY,OH,OK,OR,PA,Rl,SC.SD,TN,Tx,(Tr,VA,Vr,Will V V,WI,WY,U.S.
TeMbo )
Region Note: Central air meditimera manufactured poor he January 1,2015 me eligible to be installed Mall regions
until June 30.2016.Beginning July 1,2016 com al air conditionals can only be Installed in region(s)for
which they meet die regional efficiency requirement
The manuft cWRr of this TRANE product Is responsible for the rating of this system combination.
Rated as follows In armdance with Me latest edition of ANSVAHRI 210/240 with Addenda 1 and 2,Performance Rating of Unpary
Ah-CondObning A Air-Sours Heat Pump Equipment and subject ta rating accuracy by AHRI-spordsored Independent,thud party testing:
Cooling Capacity(A2)-Single or High Stage(951 1,Club:36400
SEER:17.00
EER(A2)-Single or High Stage(95F) :14.00
YAc%W Model 9lalue are puree met an AHRI Cerlif Ean Possession Isoldiciplund is sumn6y sections AND halldgor added for sew:OR now models Matem Mine
markMkd but die awl yet being poOucN.'Prpductlon Sapped'MWel SwWs aw(hme putan AHRI contras llon Regain FeNppMHS no larger producing BUT IS YR
I�ja�T�atl�aMW"Mmed,by WAS Yaficate an Frwlunlary te,reerawsutbelowl reran,shorn alone who lhaomnaus fie.WAS)whose
DISCUIIMER
AHRI doesnut etmowe the product(.)listedon the Ceri .Wantmakesno mpnxnmti.ns,aartentles or guarantee Si and assumes no maharani for.
Meproduct(.)listedon the Crt .M.ARM am....ly declaims all retai y for damages of any kind Wising out of the use or performance of the products).or the
uneudp alienation M dam Mi on die Cenlhcete.Garbled Shop arc salts only far models and computations Inked In me
Wall at wwwo hrldirecw,cm.
TERMS AND CONDITIONS
The DadlNcam and as commints am monetary produce of AHRI.This CeHificom shall only be used for indMdual,personal and
confidential refmnes purpose..The contents of this Certificate met net.in whole or in part,be reproducem copy;dsseminatem
entered Into a computer OebfreTs:at emanates utllleed,In any loam or manner or by any meanC Recent tor the us sIndisidual,
peRana communist sad co m ist refemnee. MR CONDITIONING,HEATING,
CERTIFICATE VERIFICATION a REFRMERm1ON INSTRUfE
The inearmadah for the mailer cited on this ceniecote son to verlaed alwww.ah,ldirecmry.oaa,cock he'e-cal c-1,n.,one '.lift i—r.-
ant enter We AHRI Cedlfled Rate..Number end We data on which the ceNlfleate was Issued,
which Is Mated above.and the Certificate No.,which 6 Model at bottom died.
020161hir-Conditioning,Heating,and Refrigeration Institute CERTIFICATE Ill /318032112375i