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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7-19-16 Permit Number: • .I I z _ 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: 3071 CHARLES WAY Legal Description: CHAMBERLAIN BLVD HEIGHTS AND UNRECORDED PLAT SECTION 28-34-40 TRACT G Property Tax ID #: 142880200080005 Site Plan Name: SUSAN LAWERANCE Project Name: Setbacks Front Back: Right Side: Left Side: INSTALL 3 TON SYSTEM 17 SEER WITH 10 KW LIKE FOR LIKE Lot No. Block No. aamonai work to bflGasTank rtormed under this permit –check a appy: ❑✓— HVAC ❑Gas Piping_ Shutters Windows/Doors 11 Electric 11PlumbingSprinklers ❑ Generator ❑ Roof Total Sq. Ft of Construction: Cost of Construction: $ 6475.00 S Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Susan Lawrence Name: JAMES F GRIMES Address: 3071 Charles Way Company: Three G's DBA Grimes Htg & Air City: Ft Pierce State: FL Zip Code: 34946 Fax: Phone No. 772-216-8977 Address: 3054 N US HWY 1 City: FT 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: shannagrimesac@aol.com State or County License: 4426 .ouc w Lvel�Lv M.uvn Macaw or more, a KtLUnUtU Notice or commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable Name: Addre� City: _ Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. Not Applicable St. Lucie County makes no representation that is granting a permit will authorize thepermit 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 recordine vour NotirP of CnnnmPnrPmPnt S s _ gnature of Owner/ Lessee/Agent Signffture of Contractor/License Holder STATE OF COUNTY OF FLORIDA � L r Z/� STATE OF FLORIDA COUNTY OF !i 7' The forgoing instrume t was acknowledged before me The forgoing instrumen✓t was acknowledged before me this day of 201-6 by this2L day of Jtt—/o 20 16 by (Name of person acknowledging) (Name of person acknowledging ) Axi,4,-1-1, �14�1"t (Si ature of Notary Public- State of Florida) (Si a ure of Notary Public- State of Florida ) Personally Known "—� OR Produced Identification Personally Known OR Produced Identification Type of Identification R t eetf' -Tyf3e of Identificatft5t5'Proc uced Commission No. -mmission No. db .•""'��� SANDRA HOHMANN OtiPRY PVB/����� SA DRA OHMANN °;`: Notar Publi -State of Flori `? ' Notary a y Public -State of Florida • ; • "c My Comm. E pins Mar 14, 2018 yComm. xpu,;s .: ar14, ZUn Revised 07/15/2014 '4: Commissi n # FF 071680 ; 'Y, " Commission # FF 071680 •`` Bonded Throug National Notary Assn. C)f '• Bonded Through National NotaryAssn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE, MANGROVE COUiVTEft -": REVIIEWREVIEW w REIVIEW R VfE* REVIEW REVfEW= ` 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. AHRI Certified Reference Number: 8676079 Date: 7/16/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6036J1 Indoor Unit Model Number: TEM4AOC42S41+TDR Manufacturer: TRANE Trade/Brand name: TRANE 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, ND, 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 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. Series name: XR16 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 36400 EER Rating (Cooling): 14.00 SEER Rating (Cooling): 17.00 IEER Rating (Cooling): ' Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate 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.abridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and L% 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 waxw.:ahridirectory.org, click on "Verify Certificate" link we make life better - 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. ©2014 Air -Conditioning, Heating, and Refrigerption Institute CERTIFICATE NO.: 131131359394683833