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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/20/2016 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: 3200 N A1A 504 Legal Description: SEA PALMS UNIT 504 AND PRO -RATA SHARE IN COMMON ELEMENTS Property Tax ID #: 1425-600-0040-000-2 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. LIKE FOR LIKE INSTALLATION OF A 2 -TON TRANE A/C SYSTEM, 16 SEER W/8KW HEAT FjWindows/Doors gRoof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 3482.00 Utilities: 0 Sewer 0Septic Building Height: Name LESLIE E PAPKE & JEFFREY M WOOLDRIDGE Address: 1684 WALLINE RD City: MASON State:MI Zip Code: 48854 Fax: Phone No. 517-231-6285 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: JAMES F GRIMES Company: GRIMES HEATING & A/C 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: SUSANGRIMESAC @AOL.COM State or County License: RA0018071 i If value of construction is $2500 or more, a RECORDED Notice of .;ommencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: xx Not Applicable State: xx Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: xx Not Applicable State: xx Not Applicable 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 your Notice of Commencement. ature of wnJLess e€ /Contractor as Agent for Owner STATE OF FLORIDA COUNTYOF STLUCIE The forf�g instrument was acknowledged before me this day of 201lby (Name of person acknowledging ) Ignature of Notary P Personally Known Type of Identifica ' Commission No. - x qq P -W -W Revised 07/15/2014 REVIEWS FRONT COUNTER DATE COMPLETE INITIALS of Florida ) My CO=,x :.tar 14, 2018 Co (diR3141 # FF 071680 Bonded Throuah National Nrv� A.— �� Si ure of Contractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument was acknowledged before me this / ay of Ann, .20 4(— by (Name of person acknowledging ) /Y �� �g ure�ublic- State of Florida ) Personally Know �?gPwdyced Identification Type of Identifica ' n Pro diced,,,,,,-�- - ` SANDRA NOHMANN Commission No.N M`§i'a1rb1ic - Sla[a of Florida .,, , C Explrs f.tar 14, 2018 Ib Commission # FF 071Pc„ ,w=u "mrough National Notary Assn. ZONING SUPERVISOR PLANSI VEGETATION I SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW III u,111.1. IIL1,11IL.IIILa,IL 1Lh 111 11W a a"I nl I II 11& a JI IYII LILI.I. 11 1. 111I.Jn.11I 1.1111i I'm I IYI uWF Is I rvIN L a LL6An.1enll Mu 11 11Nlll.WWIIYI 1111 111 Il 111 Ln I ILll ll 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: 7932227 Date: 12/13/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR40251_1 Manufacturer: TRANE Indoor Unit Model Number: TMM5AOB24M21SAA 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: XR14 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 (Stuh): 24000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): Ratings followed by an asterisk (') indicate a voluntary rende of previously published data, unless accompanied with a WAS, which indicates an involuntary renate. DISCLAIMER AHRI close, 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 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,ahrid1rectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and 1 confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; VIU ■ 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. AIRCONOITIONING, HEATING. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information forthe model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate' link ..e 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 Refrigeration Institute CERTIFICATE NO.: 131261296971361728 IIILWYWiW111JLWINWI WeIIJillu, 111[J