HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/2/2018 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:?e–X'\n\J LXl
Legal Description: LAKEWOOD PARK -UNIT 7- BILK 86 LOT7 1
Property Tax ID #: 1301-607-0366-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
13/02N) (OR
Right Side: Left Side:
Lot No. 7
Block No. 86
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE A/C SYSTEM, 15 SEER WITH 10 KW ELECTRIC
HEAT
CONUCTION INFORMATION:
CONTRACTOR:
trona wor to
a erorme under
t–checkispermit a
appy:
AND AIR CONDITIONING
❑✓— HVAC
11 Gas Tank
❑Gas Piping
_Shutters ❑ Windows/Doors
❑Electric
E] Plumbing
❑Sprinklers
1:1 Generator
❑Roof ❑ Roof pitch
Total Sq. Ft of Construction:
SFt.
of First Floor:
Cost of Construction:
$ 4,500.00
Utilities:n
Sewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Walters Family Properties III LLC
Name: JAMES F GRIMES
Address: 3108 LOST TREE BLVD
Company: GRIMES HEATING
AND AIR CONDITIONING
City: FORT PIERCE State: FL
Zip Code: 34981 Fax:
Phone No. 772-240-5767
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: KAYLAGRIMESAP@AOL.COM
State or County License: FA0018071
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: rO Not Applicable
Name: T
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: -,XJ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE
7� Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.
is inoconflic makes no
anrepresentation
applicable! Home Owners Association! permitwill
or andpcovenants that may restrictbor 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 vnur Nntirp of rnmm>nrpmcnr
91"ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ____ -a. . COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of (r beA( . 20 JIE, by
(Name of person acknowledging)
Of
Personally KnownOR Produced Identification
Type of Identification roduced
Commission No.
:•Tway;,., SUSAN ON NEGRO
.'� �•i_`: MY COMMISSION 9 GG 089099
Revised 07/15/ibl�; .,to'° Bo ded
c
The forgoing instrument was!!acknowledged before me
this Z day of 0 CA -b 6 CA"- 20 l'Z by
J�WES�(ogA m E
(Name of person acknowledging)
(Signature of Notary Public- State of Florid
Personally Known
Type of Identificat
Commission No.
Produced Identification
(Seal)
MY COMMISSION # GG 089099
EXPIRES. AprN 2.2021
Pagea
i n Notary Pubic Urgan tm
REVIEWSFRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
COMPLETE
INITIALS
Certificate of Product Ratinc s
AHRI Certified Reference Number: 201763703 Date: 10-02-2018 Model St tus : Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6036JI
Indoor Unit Model Number (Evaporator and/or Air Handler); TEM4AOB36S31+TDR
Region: All (AK, AL, AR AZ, CA, CO, CT, DC, DE, FL, GA, HI, 10, IL, IA, IN, KS, KY. LA, MA, M`1', ME, MI, MN, MO, MS,
MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, TN, T)(, UT, VA, `1�', WA, WV, WI, WY, U.S.
Territories)
Region Note: Central air conditioners manufactured prim to January 1. 2015 are eligible to be
until June 30, 2016, Beginning July 1, 2016 central air Conditioners can only be
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, Park
Air -Conditioning 6 Air -Source Heat Pump Equipment and subject to reting accuracy by AHRI-sponsored,
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 33400
SEER :15.00
EER (A2) - Single or High Stage (95F) : 12.50
ucing AND selling or
rmarrkketed but are not yet e Model Status rbei g produced.°Productiothat an AHRI dn Stopped' Model Statution Program s aam arose that ant is Currently n AHRI Certification Program n
DISCLAIMER
AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees
the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the u
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations III
directory at www.ahridirectury.org.
TERMS AND CONDITIONS
This Certificate and Its Contents are proprietary products of AHRI. This Certificate shall only be used for individual, persc
confidential reference purposes. The contents of this Certificate may not. in whole or In part, be reproduced; copled; dis
entered Into a computer database; or otherwise utilized in any form or manner or by any means, except for the user's Ii
personal and confidential reference.
CERTIFICATE VERIFICATION
The information forthe model cited on this certificate can be venfl.d at www.ahridirecto y.org, click on 'Verity Certil
and enter the AHRI Certified Reference Number and the date on which the certificate was issued
which Is listed above, and the Certificate No., which is Rated at bottom right. C ERTIFIC�
02018Air-Conditioning, Heating, and Refrigeration Institute
in all regions
n region(s) for
Rating of Unitary
lent, third party testing:
OR new models that are being
is no longer producing BUT Is still
and assumes no responsibility for,
ierformance of the product(s). or the
the
d
ned; AM
al,
AIR-CONDITIONING, HEATING.
It REFRIGERATION INSTITUTE
link we mate HF@ II rtvr
NO.: 131929610742788865