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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09/17/2018 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 Residential x PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 17025 HAMMOCK LANE Legal Description: HIDDEN ACRES BLK D LOT 2 (2.75 AC) (OR 762-1031 Property Tax ID #: 3211-811-0026-000-5 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. 2 Block No. D DETAILED DESCRIPTION OF WORK: III INSTALLATION OF LIKE FOR LIKE 5 TON 2 -STAGE TRANE A/C SYSTEM, 16.5 SEER WITH VARIABLE SPEED AIR HANDLER AND 10 KW ELECTRIC HEAT CONSTRUCTION INFORMATION: III umuondi worx tD De Derrormeo unaer tnis permit — cnecK a ❑✓— HVAC Gas Tank E]Gas Piping 11 Electric 0 Plumbing Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 6,250.00 Shutters Windows/Doors Generator Roof = Roof pitch SFt. of First Floor: _ Utilities:5ewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name ERICK R JACKSON Name: JAMES F GRIMES Address: 17025 HAMMOCK LN Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: FL Zip Code: 34987 Fax: Phone No. 772-465-3939 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 o value or construction is �,zeuu or more, a nttmKutu Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: 7p Not Applicable MORTGAGE COMPANY:✓1 Not Applicable Name: 76 Address: VEGETATION Address: City: Zip: Phone: State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Not Applicable BONDING COMPANY: Not Applicable Name: // v Address: REVIEW 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. �Nffature of Owner/Lessee/Contractor as Agent for Owner ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �� . �)C 1 E COUNTY OF Qj _ l .t x \r— The for oing instrument was a knowledged before me The forgoing instrument was acknowledged before me this day of __�T JoyWk L. 20 by this day of. �0 yg by SFS r-" Ilg-w��� F to lyl (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 rg. �e Type of Identification Produced MY COMy�}!!S�S-� QQN is GG 089099 Commission No. '= �,� ExPHtu.�AprA 2. 2021 Commission No. SU 7ENEGR0 =��' Boded TMu Nomry Public Undenvrders " MY comMISSION p GG 089099 •':Er:i' 0�:'p���-� ��Y ho. PUNY il(I�BMTiB!$ Revised 07/15/2014 k uN 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. Certificate of Product Ratin AHRI Certified Reference Number: 9133435 Date: 09-17-2018 Model Status: Active AHRI Type: RCU-A-CB Series: XR17 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR706OAl Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOC6OH51+TDR+UF/HRZ 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 unfit 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 ANSIIAHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning 8 Air -Source Heal Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 57500 SEER: 16.50 EER (A2) - Single or High Stage (95F) : 13.00 -"Active" Model Status are these that an AHRI Certification Program Participant Is currently producing AND selling or offering for sale; OR new models that are being marketed but am not yet being produced'Productlon Stopped" Model Status are those that an AHRI Certi ica ion Program Participant is no longer producing BUT is still seNingor offering fTo or sale. s th t ac o a 'ed by WAS indicate involuntary re -rate. The new PUttfished ratno is shown abed with the orevous (i.e. WAST retina DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no minasematlons, 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 Attention of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the TERMdirectory at D CONDITIONS tory.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: R entered Into a computer database; or otherwise utilized, in any tone or manner or by any means, except for the user's individual, personal and confidential reference. AIRANETTING, a REFRIGFRIGERATING. pN INSTITUTE CERTIFICATE VERIFICATION The infortnaUon for the model cited on this certificate can be verified at www.ahritlirectory.arg, click on 'Verify Certificate' link r,4rAe life boort' and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which Is listed above, and the Certificate No., welch Is listed at bottom right. 131816549521762715 ©2018AIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: