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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 XXX PERMIT APPLICATION FOR: Mechanical Address:,,WY01 S. &roCK61n/T6S eoer/ rot -7- rle/-Cf %L 3ief Legal Description: SUBDIVISION OF MC NURLEN FARMS BLK 3 E 1/2 OF LOT 10 Property Tax ID #: 2320-501-0041-010-9 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. LIKE FOR LIKE INSTALLATION OF (1) 5 TON TRANE HEAT PUMP, 15 SEER WITH 5 KW ELECTRIC HEAT AND VARIABLE SPPED AIR HANDLER ❑✓ HVAC Ll Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: _ Cost of Construction: $ 5,982.00 Na unaerthispermit — check all apply: []Gas Piping _ Shutters Windows/Doors Sprinklers 1:1 Generator Roof = Roof pitch SFt. of First Floor: _ Utilities:Sewer Septic City: &C State: FL Zip Code: 34945 Fax: Phone No. 772-332-5665 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: Name:_ Sam,PS_ I— (9rirnes Company: GRIMES HEATING & AIR CONDITIONING Address: 30�SL Til. / (( /7i✓y / City: fv2T State: FL Zip Code: 34945 Fax: 772-461-8722 Phone No. 772-461-8711 E -Mail: SUSANGRIMESAC@,AOL.COM State or County License: RA0018071 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPCEMEIVtAL DESIGNER/ENGINEER: Name: xxx Not Applicable MORTGAGE COMPANY. Name: 'Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: 'Not Applicable BONDING COMPANY: Name: r�Not Applicable Address: Address: City: AprG 2.2021 City: REVIEWS Zip: Phone: ZONING SUPERVISOR Zip: Phone: VEGETATION SEA TURTLE OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 commencingwork or recordingour Notice of Commencement Rev. 8/2/17 Si ature of Owner/ Lessee/Contractor as Agent for Owner 5 ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUgE COUNTY OF STHLUQE The forg�oJ'ng instrum nt was acknowledged before me The forgoing instrument was acknowledged before me this L'"iiay of �, 20L$� by this �hday of [(2,�. 20�by Name of person making statement Name of person making statement Personally Known �_ OR Produced Identification Personally Known k- OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Nota Public- State (Signature of Notary Public- State of FI ida ) Commission N SUSAN MONT NE,�7�0 ,•„ 56&AMISSION���89099 Commission No. :•:'�::I:�-., SUSAN�IQ@P�'jfNEGRO F EXPIRES: April 2.2021 MY COMMI SIONpGG 089099 ,.•• BorAed ThN Notary Pub4.� Undenvntes �< EXPIRES: AprG 2.2021 '•; f••••'o°.+ 19r PJC4: Ufde(vrt�lers REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED 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: 10034742 Date: 10-18-2018 Model Status : Active AHRI Type: HRCU-A-CB Series: XR15 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TWR5060H1 Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AOC6OH51+TDR+UF/HRZ 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 rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 57500 SEER: 15.00 EER (A2) - Single or High Stage (96F): 12.50 Heating Capacity (1-112) - Single or High Stage (47F) : 55000 HSPF (Region IV) : 9.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced-Producdon Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate The new published ratio is shown along with the Previous (i a WAS) retina 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, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, we make We beuerr. which is Ib4ed above, and the Certificate No., which Is listed at bottom right. .— ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.- 131aaa53627145M63