HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/28/2018
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 III
Address: 5101 S INDIAN RIVER DRIVE
Legal Description: RIVERSIDE S/D N 62.5 FT OF LOT 1(OR 948-1383:
Property Tax ID #: 3401-601-0001-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 3.5 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW
ELECTRIC HEAT
ivna- WUI R w uc
HVAC
CIM
IIICU
Gas Tank
unuo ono
❑Gas
pen mL — uieLn do
Piping
_
dpply.
Shutters
❑
Windows/Doors
Electric ❑
Plumbing
❑Sprinklers
❑
Generator
❑
Roof
❑
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 4,785.00
Name HOWARD L PELLET
SqI FFtt.I of First Floor: _
Utilities: LJ Sewer ❑Septic
Address: 5101 S INDIAN RIVER DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 602-750-8898
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: JAMES F GRIMES
Building Height:
Company: GRIMES HEATING AND AIR CONDITIONING
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: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
—
Name: r
Address:
Address.
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that nttoo� work or installation has commenced prior to the issuance of a permit.
St.
Is inownTllcctt with any applicablelHome Owners tAssoclatlonl rulesabylaws or angcovenants that build
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.
c
(�
afore of Owner/Lessee/Contractor as Agent for Owner s
ature of Contractdr/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF_ �T_1
1)C COUNTYOF SC L\)C tt=
The forgoing Instrument was acknowledge before me The forgoing instrument was acknowledged before
me
this.Z day of IY�V 20 by this. day of N V
[�_ 20 � by
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florid (Signature of Notary Public- State of Florid er
Personally KnownOR Produced Identification Personally Known OR Produced Identification
Type of Identification produced Type
ofIdentlficatio roduced
Commission N Commission No.
,.�q•.•;; AN MON RO (Seal)
+,: MYCOMMISSIONRGG 089099 ,x�;:';�•,,,
.• o: '" SUSAN MONTENEGRO
Comm Tm oaPuRevised 07/ # GG 089099
•%Spt":;S EXPIRE S: Apra 2. 2021
• Bonded Thio Notary Pubic Undpnnfers
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 Ratings
AHRI Certified Reference Number: 8703699 Date: 11-26-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6042J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC42S41+TDR
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 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 party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 41000
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.00
1"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.'Production Stopped Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sake.
Ratinas that are accompanied by WAS indicate an imoluntawvl te._ The new published ratino is shown alonewith the previous fi.e. WAS rating.
DISCLAIMER
AHRI does not endorse the praduet(s) listed on this Certificate and makes no representations. warranties or guarantees as to, and assumes no responsibility for,
the products) 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.shridirectory.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 forthe model cited on this certificate can be verified at www.ahridirectery.org, click on "Verity Certificate" link
ve makr !i@ Neuer°•
and enter the AHRI Clarified Reference Number and the date on which the certificate was issued,
which Is listed above, and the Certificate No., which Is Ilsted at bottom right.
3tgn,4,37sa�R�ea
02018Air-Conditioning, Heating, and Refrigeration Institute
CERTIFICATE NO.: