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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 02/12/2019 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 Address: 6010 INDRIO RD D-8 Legal Description: INDIAN PINES VILLAGE- BLDG D UNIT 8 AND PRO -RATA SHARE IN COMMON ELEMENTS (OR 3486-78) Property Tax ID #: 1313-501-0032-000-5 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. INSTALLATION OF LIKE FOR LIKE 2 TON TRANE A/C SYSTEM, 16 SEER WITH 8 KW ELECTRIC HEAT Z✓ HVAC 11 Electric U Gas Tank U Plumbing Total Sq. Ft of Construction: Windows/Doors Cost of Construction: $ 4,582.00 Name THOMAS N LAYTON Address: 804 SALEM DR City: KOKOMO Zip Code: 46902 Phone No. 765-432-3256 — cnecK a Gas Piping U Shutters [] Windows/Doors Sprinklers 11 Generator D Roof = Roof pitch SFt. of First Floor: _ Utilities: Sewer1:1 Septic Building Height: Name: JAMES F GRIMES Company: GRIMES HEATING AND AIR CONDITIONING State: IN Address: 3054 N US HWY 1 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 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 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. r� rr Name: Address: City: State: ZIP: Phone: FEE SIMPLE TITLE HOLDER: No Name: t Applicable Address, City: Zip: Phone: MORTGAGE COMPANY: Name: Addresi'.' City: ZIP: Phone: Not Applicable BONDING COMPANY: .Not Applicable Name: Address: City:_ Zip: Phone: I certify that no work or installation has commenced prior to the Issuance of a permit St L which (s In conflict with anrepresentation lcme Owners AssocFationi rules bylaws orandpcoveinants that build Oir 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 : Your re to ecord a ce Of mApRovtfirNING Os to ouRpropertyuA NotRlce of Commencement must be rMay corded and result In post d Paying he jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before Commencing work or recording Your Notice of Comm encement. `IdLUre of Owner/L�e/C�actor as Agent for Owner STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledge efore me this '2= day ofn� 1 1� 20 acknowledged-before t 1 t y\ S r l' O. t��.-S (Name of person acknowledging) STATE OF FLORIDA courvTYof �E The forgoing instrument was acknowledged before me this _ij- day of 1 L11[� 'T 20 a by (Name of person acknowledging) `'' n r Personally Known�( ) OR Produced Identification Persona Type of Identificati Produced Type of Commission No. ,�;n1'r':tlS._ SUSAN MONTENEG n s Revised 07/15/2014 REVIEWS FRONT�ZONING�SUPERVISOR I PLANS COUNTER REVIEW REVIEW REVIEW ATE INITIALS of Notary Pub'—'c- Known uubb'c-Known OR Produced Identification ntiflcatin o...a..__� No. MY COMMISSION A GG VEGETATION SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW O AHRI Certified Reference Number : 7932227 Date: 02-11-2019 Model Status: Active AHRI Type: RCU-A-CB Series: XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR4025L1 Indoor Unit Brand Name: TRANE Indoor Unit Model Number (Evaporator and/or Air Handler) : TMM5A0B24M21 SAA 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 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 : 24000 SEER: 16.00 EER (A2) -Single or High Stage (95F) :13.00 t"Active" Model Status are prose 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..-Productlon Slopped' Madel Status are Mose that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Retinas that are accompanied by WAS indicate an involuntary re-mle._The new published_2bng isalong with the previous fi.e. WAST 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 products) listed on this Certificate. AHRI expmssly di daims all fiaWlity, for damages of any kind arising out of the use or performance of the produchs), or the unauthorized aherthon of data listed on this Certificate. Certified ratings are valid only for models and Configurations listed in the directory M www.ahrid i rectory.* rg. 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 & RErRIGEnanoN INSTITUTE The Information for the model cited on this certificate can be verified at wwvcaliNdirectory.org, dick on "Verify Certificate"link ,�e mak*lrri :-,eu„r• 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 listed at bottom right.- 131943892ON694550 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: