HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/11/2018 Permit Number:
_c_'J:
Le_LBuilding 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 X Residential
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 N AIA UNIT 1207
Legal Description: SEA PALMS UNIT 1207 AND PRO -RATA SHARE IN COMMON ELEMENTS (OR 4124-1948)
Property Tax ID q:
Site Plan Name:
Project Name:
Setbacks Front
1425-600-0113-000-5
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 2.5 TON TRANE A/C SYSTEM, 15.5 SEER WITH 5 KW
ELECTRIC HEAT
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name NANCY H HIRSCH
Name: JAMES F GRIMES
trona work to Be Dertormed
Z✓ HVAC
under
Gas Tank
tispermit—check
OGas Piping
all appy:
Shutters
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
_
Windows/Doors
11Electric Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 5,042.00
SFt. of First Floor:
Cost of Construction: $
UtilitiestSewer
OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name NANCY H HIRSCH
Name: JAMES F GRIMES
Address: 130 CYPRESS POINTE CT
Company: GRIMES HEATING AND AIR CONDITIONING
City: MEDFORD State: NY
Zip Code: 11763 Fax:
Phone No. 516-446-8585
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 va ie o7 construction is sz!)uu or more, a RECORDED Notice of Commencement is required.
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FRONT
,�EMEN1�Al
,LAW
PLANS
VEGETATION
DESIGNER/ENGINEER:
_/n Not Applicable
MORTGAGE COMPANY:
� Not Applicable
Name:
REVIEW
Name:
REVIEW
Address:
REVIEW
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:k1Not
Q Applicable
Name:
Name:
7
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
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i
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S7 - LU C tt= COUNTY OF ST. 1 k l C _\=
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of {Pmh� • 20 lLby this day of '�p"% { 20 j� by
-'URMES r C'94mES F
(Name of person acknowledging) (Name of person acknowledging )
of Notary Public- State of
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio roduced Type of Identificatio
_ _ .>..y :.
SU SANCM,,O'�TENEGRO ?y�l. MY COMMI ON GG 089099
Commission No. r n 9GG 089099 Commission No. E o
11'C_MAIf5�9C EXPIRYyiIV.. 2021
EXPIRE:-. April 2, 2021 .`�F ' 2uMed in:�l:utary PIU, UMer+:rllers
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratings
AHRI Certified Reference Number: 7932229 Date: 09-10-2018 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR14
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package): 4TTR4031L1
Indoor Unit Brand Name: TRANE
Indoor Unit Model Number (Evaporator and/or Air Handier): TMM5AOB30M21SAA
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI. ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS,
MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S.
Territories)
Region Note; Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions
until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for
which they meet the regional efficiency requirement.
The manufacturer of this TRANE product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary -
Air -Conditioning & Air -Source Heat Pump Equipment and subject to falling accuracy by AHRI-sponsored, independent, third parry testing:
Cooling Capacity (A2) - Single or High Stage (95F), bluh : 29000
SEER: 15.50
EER (A2) - Single or High Stage (95F) : 12.50
t'Aclhre' Model Status are those that an AHRI Certtiication Program Participant is currently producing AND selling or offering for sale; OR new Models that are being
marketed but are not yet being produced'Produclion Stopped" Model Status are these that an AHRI Certification Program Participant is no longer producing BUT Is suit
selling or offer. for sale
DISCLAIMER
AHRI does not endorse the product(S) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and
confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated;
entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual. tam
personal and confidential reference. AIR-CONDmONING. HEATING,
CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahHdImctory.org, click on -Verffy Certificate- link
and enter the AHRI Certified Reference Number and the date on which the certificate was issued, "° "'.tl"= iliv Ira°cr
which is listed above, and the Certificate No., which Is listed at bottom right ---------.-._..—..._._
02018Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 131810758790117798