HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/11/2017 Permit Number:
` J':`
m
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: To Select from dropbox, click arrow at the end of line Mtc�\mYhica.
PROPOSED IMPROVEMENT LOCATION:
10920 Kimberfvld Ln. Port St. Lucie. FL 34986
Huuf CJJ:
Legal Description: Sabal Creek, Phase 1, Lot 18 (2.06 AC) (OR 3017-376; 1538-2152)
Property Tax ID #: 3321-501-0018-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 18
Block No.
INSTALLATION OF LIKE FOR LIKE 3.5 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW
ELECTRIC HEAT.
CONSTRUCTION INFORMATION:
Additional work to b rtormed under this permit —check all thatapply:
HVAC Gas Tank []Gas Piping 1IOShutters D Windows/Doors
Electric Plumbing Sprinklers OGenerator 0Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3,950.00
S Ft. of First Floor:
Utilities:Sewer[]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bruce Center
Name: James rimes
Address: Harbour Isle Dr E Unit #105
Company: rimes Heating & Air Conditioning
City: Fort Pierce State: _
Address:
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
-
Phone No.
Zip Code: Fax:
Phone No.
E -Mail:
KA
Fill in fee simple Title Holder on next page ( if different
E -Mail:
State or County License: RA001 8071
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL: CdNSTRVCTION LIEN°LAW INFORMATIOW
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 vour Notice of Commencement.
/1'," -F/"� �'
/n�� s
' ature of Contractor/License Holder
ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA -
COUNTY OF S% - L
STATE OF FLORIDA <
COUNTY OF -S7`-
The for ojng instrument was acknowledged before me
The forgoing instrument was acknowledged before me
JIMI-
this day of 'fit -AA 20 /26y
this //"day of 20 L7 by
,\(, m cs �i^�%r��f'
J awes F
(Name of person acknowledging)
(Name of person acknowledging)
REVIEW
REVIEW
(Si nature of Notary Public- State of Florida)
gnature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Personally KnowQR,PmuCednldnt�fication
Type of Identification ProduC
Type of Identification fro0y SARInDA UA,
' y C f I"'
-- I'
-
F ae Notary Public State of Florida
Commission No. 1 ° ° Notary bli State of Florida ,
My Com ir,,s '.1ar 14, 2010
Commission No. -' t' '' = M CO
,� Y rr�( I s ,. ar 14, 2013
- a
° e:
,;r�or•v�°; Commission s FF 071630
P,
.p -9J n i PJ�� Commission V FF 071630
JJ n'
rou hPdailo
v
Revised 07/15/2014
INITIALS
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 Enei
Efficiency Tax Credit when placed in sere
between Feb 17, 2009 and Dec 31, 20
Uertificate of kroducrt Ravn!Ls_.,_,,
AfiRI Certified Reference Number: 8703699 Date: 1/9/2017
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number. 4-1 TR6042JI
Indoor Unit Model Number; TEM4AOC42S41+TDR
Manufacturer: TRANS
Tradeffirand name: TRANE
Region: Ali (AK, AL, AR, AZ, CA, CO, CT, DID, DE, FL, GA, HI, ID, IL, 1A, IN, KS, KY, LA, MA, MD, ME,
MI, MN, MO, MS, MT, NC, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, Rl, 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 reglon(s) for which they meet the regional efficiency requirement.
Series name- XR16
Manufacturer responsible for the rating of this system combination is TRANS
Rated as follows in accordance With A14RI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third
party testing:
Coating Capacity (Btuh): 41000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating ;Cooling):
- Ratings foflooed by an asterisk a4 ate . vurAwy mte ofinavicusly published data, unless accompanied j: 3e a WAS. which indicates an involuntary revel.
DISCLAIMER
AMPI does net end.— the produot(s) listed on this Cerfifirate and makes no representations, warranties or guarantees as to. and assurnas
no responsibility for,
f
bmarodue4s, listed on this Certificate. ARM expressly disclaims all liability to, damages of any kind arisingout of the use or Derformarice of the produchsJ_ or the
unauthor;zed alteration a' data listed on this Certificate. Certified ratings are valid only for models and configuradons listed in the
d _crc' at h'id i
TERMS AND CONDITIONS
This Certificate and Its ... tents are Proprietary Products of AHRv This Certificate shall only be used for dr .dual, personal and
dioearmocittid:
all ad
entered I- -a a computer datzhase: or otherwise utilized, in any mro—
om or by anv S. except far the individual,
persona!ouid confidential reference.
A!-, Co"-_'moonrr. HeADNO'
CERTIFICATE VERIFICATION
Lr rRirERATieW i5`flfftqii
The inforination for fine mode; cited nn iris ..nitioatic at diul, co'vc�lft, fink
and enter the ARRi Certified Reference Number and the date on which the certificate was issued,
which is listedl ab—, and the Cartifirate No_ which m listed at bottom right.
@2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:
131284579638461965