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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7-19-16 Permit Number: onosima • 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 PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 5701 ORANGE AVE Commercial X Residential Legal Description: 12,35,39,W 102.4 FT OF E 135.4 FT OF S 228.5 FT OF N 261.5 FT OF E 1/2 OF NE 1/4 OF SE 1/4 LESS AS IN ORD TAKING CA #82-131-05 Property Tax ID #: 2312-411-0001-000-3 Site Plan Name: TREASURE COAST STEAK CO Project Name: TREASURE COAST STEAK CO Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: INSTALL 5 TON PACKAGE UNIT NO HEAT 11 EER LIKE FOR LIKE Lot No._ Block No. iamonai worK to De errormea HVAC Gas Tank unser tnis permit— cnecK an []Gas Piping apply: Shutters ❑ Windows/Doors _ City: Ft Pierce State: FI Zip Code: 34947 Fax: Phone No. 772-461-5097 _ City: Ft Pierce State: fl Zip Code: 34946 Fax: 772-461-8722 Phone No. 772-461-8711 ❑ Electric ❑ Plumbing ❑ Sprinklers Generator Roof Total Sq. Ft of Construction: _ Cost of Construction: $ 6880.00 S Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name West of Towers LLC Address: 5701 Orange Ave Name: JAMES F GRIMES Company: Three G's dba Grimes htg & air City: Ft Pierce State: FI Zip Code: 34947 Fax: Phone No. 772-461-5097 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 it value of construction is $7500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: X Not Applicable Name: Address: City: State: Zip: Phone: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable Name: BONDING COMPANY: X Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 commencing work or recording our Notice of Commencement. 4VI-V K� S ignature of Owner/ Lessee/Agent Si ture of Contractor/License Holder STATE OF FLORIDA LL / STATE OF FLORID COUNTY OF �G• !x �CCIL' COUNTY OF�/� The forgoing instrument was acknowledged before me this day of )ftp/ , 20 /6 -by (Name of person acknowledging ) (Sign ure of Notary Public- State of Florida ) Personally Known ®RY'Prdducp`tl'Identification- Type of Identification Produced The forgoing instrument was acknowledged before me this,2& day of 20 /% by JO W�tS 4-iltfie,5 (Name of person acknowledging ) Ao- J1 (Sign ure of Notary Public- State of Florida ) Pei''so Yt known `' ` OR Produced"Identifica ition s,�= Type of Identification Produced Commission No. ,,. , P . ""$eal) SANDRA 01111A 1 commission No. ""'•• • pVP �� 1P Oo; i, S RA HOHMANN I � Florida r rr°ec Notar Public - State o Flonda Notary��lblic State of 2 My Co m. Expires=':1ar 4, 2016 _• d = My Comm. Expiras-'.1ar 14, 2018 "� a"c Co mission # � fF OF FO,, Revised 07/15/2014 ���� L� PBonded Through National Notary Assn. ,moi �f OF f�OP �� FF i Bonded Through National Notary Assn REVIEWS FRONT - LZON'ING - `'SUPERVISOR "PiAAS"""'' VEGETA iUW- S A"TURTCE - MANGI2OVF ` COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Certificate of Product Ratings wI AHRI Certified Reference Number: 786225 Date: 7/15/2016 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: 4TCC3060A3 Manufacturer: TRANE Trade/Brand name: TRANE Region: 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: XB13C 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): 58000 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 IEER Rating (Cooling): i 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. Certifled 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 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. r— ........ _._..........._.. ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131130841287111345