HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/14/2018 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
PERMIT APPLICATION FOR: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 5503 PALEO PINES CIR
Residential X
Legal Description: HOLIDAY PINES S/D-PHASE I- LOT 4(MAP 13/12S) (OR 1033-2294: 1833 -
Property Tax ID #: 1312-500-0005-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 4 TON TRANE A/C SYSTEM, 17 SEER WITH VARIABLE
SPEED AIR HANDLER AND 10 KW ELECTRIC HEAT
CONSTRUCTION INFORMATION:
Additional wor toa erorme under tispermit—checka appy:
❑✓HVAC 11GasTank ❑Gas Piping In _Shutters ❑Windows/Doors
11Electric ElPlumbing ❑Sprinklers []Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 5,130.00 Utilities:nSewer 1:1Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SIDNEY JERGER
Name: JAMES F GRIMES
Address: 5503 PALEO PINES CIR
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State: FIL
Zip Code: 34951 Fax:
Phone No. 772-579-6826
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
;:SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
7zo Not Applicable
MORTGAGE COMPANY:
Name:
✓1 Not Applicable
7
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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
3
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S"� - I COUNTY OF S1 _ I X) C_\ P
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this `lil[A day of 20 -Mby this � day of,OzNP 20 by
11A-0AES � l_� kmc-� c,j S
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida'" (Signature of Notary
Personally KnownOR Produced Identification Personally Known _
Type of Identification roduced _ Type of Identification
Commission No.
MY COMMISSION 9 00 089099
SondW TTN NOINy
Revised
Commission No.
OR Produced Identification
Sp�IIMONTENEGRO
MY CbM_M_I$SION R GG 089099
EXPIRES: ADN 2.2021
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
As CHOP placed in service between Feb 17,2009 and Dec 31, 2016.
&VW 11110111 CERTIFIED")
Certificate of Product Ratings
AHRI Certified Reference Number: 8936367 Date: 09-12-2018 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6049J1
Indoor Unit Model Number (Evaporator andlor Air Handier) : TEMBAOC48H41+TDR+UFIHRZ
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, SD, 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 regi0n(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 ANSIIAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third parry testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 48000
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 14.00
1 -Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR now, models that are being
marketed but are not yet being produced.'Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale. —
Rab that a accomoa ed b WAS indicate Involuntary ata The new Publish mina is shown along 'BIM s f e W - r n0.
DISCLAIMER warranties or grantees as to, and assumes no responsibility for.
AHRI does not endorse the produa(s) listed on this Certificate and makes no representations, guarantees
the producl(s) listed on this Certificate. AHRI expressly disclaims ail liability for damages of any kind arising out of the use or performance of the produa(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.,hridirectory.019.
TERMS AND CONDITIONS
01
This Certificate and Its contents are proprietary products of AHRL This Certificate shall only be used for individual, personal disseminated; �
and
confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; ,
entered Into a computer database; or otherwise utilized, in any fore or manner or by any means, except for the user's Individual, AIR-CONDITIONING. HEATING,
personal and canfidentt it reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION ..� n,n6e Iilc hcnnr^
The Information for the model cited on this certificate can he verified at www.ahridifectory.org, click on °Verify Certificate" link
and enter the AHRI Certified Reference Number and the date on which the cerlfkate was issued,
which Is listed above. and the Certificate No., which Is listed at bottom right. CERTIFICATE NO.: 131812542677618577
02018Atr-Conditioning, Heating, and Refrigeration Institute