HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/11/2017 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: To Select from dropbox, click arrow at the end of line 9e-6\0JA;C0J
PROPOSED IMPROVEMENT LOCATION:
n,4Aro«, 10920 Kimberfyld Ln, Port St. Lucie, FL 34986
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
Right Side: Left Side:
Lot No. 18
Block No.
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF LIKE FOR LIKE 3.5 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW
ELECTRIC HEAT.
CONSTRUCTION INFORMATION:
Additional work to En
r orme un er t is permit —c ec a appy:
HVAC Gas Tank []Gas Piping _ Shutters F—] Windows/Doors
Electric a Plumbing Sprinklers 1:1 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 15 DC.
S Ft. of First Floor: _
Utilities:OSewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ruce Center
Name: James F Grimes
Address: Harbour Isle Dr E Unit #105
Company: rimes Heating & Air Conditioning
Address:
wt Ferce State:
City:
-F I
_
Zip Gr, 34949 !e: Fax:
City: For lerce State:
772 4
34946 -461-8=
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:
from the Owner listed above)
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP..IIIVTAL0NTt"1Ul1EN LA4N ttVFORMATION .
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 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 recording your Notice of Commencement.
s
ature of Owner/Lessee/Contractor as Agent for Owner ' ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA <
COUNTY OF Sj _- LCOUNTY OF -S7`
The for ojng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 [ 2by this 11 day of •�iirV• , 20 L7 by
(Name of person acknowledging) (Name of person acknowledging)
(Si nature of Notary Public- State of Florida) •gnature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Know rt� QEi Truce Id nt fication
- -^ " Type of IdentificationcPro it
Type of Identification Prod' u4ed - Yp , ta!4 SJINBRl4 H8+
` r°wp`�= Notary Public - Stace of Florida l'
Notarybli - State of Florida L., = a
�1 - p,� Commission No. •= M Com
Commission No. ; My Com`fX7j it . 'Aar 14, 2010I� oPc y�li�s 'lar 14, 2013
i '9J nr r`nµ Commission +' FF 071630
L o Commission x FF 071630 F
nrcu h National Notary Accn
Revised 07/15/2014
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 Enert
Efficiency Tax Credit when placed in servii
between Feb 17, 2009 and Dee 31, 201
err fliCate of Product Ratings
AHRI Certified Reference Number: 8703699 Date: 11912017
Product: Split System- Air -Cooled Condensing Unit, Coll with Blower
Outdoor Unit Model Number; 4TTR6042J1
Indoor Unit Model Number: TEM4AOC42S41+TDR
Manufacturer: TRANS
Trade/Brand name: TRANS
Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, !D, 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, 2416, 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 TRANS
Rated as follows in accordance with AHRI 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:
Cooling Capacity (Btuh): 41000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
!EER Rating (Cooling):
Rat;ngs followed by an asterisk (') indicate a voluntary retie of previously published data, unless accompanied mth a WAS, unich in6caies an involuntary ferats.
DISCLAIMER
AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility fon
the prdduct(s) listed on this Certificate. AHRI expreWy disclaims all naoliity, for damages of any kind.rising out of the use or perfann.nce of the pfodust(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.ahrldirecto:y-org.
TERMS AND CONDITIONSKimp
At
This Certificate am its contents are proprteuny 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;
PME MA 7LI
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 €NSTITUTE
The information for the model cited on this certitltate can be vertred at www.ahridirectory.org, click on °Verify Certificate' link
and enter the ARRI Certified Reference Number and the Gate on which the certificate was issued,
which is fisted above, and the Certificate No., which is listed at bottom right.
131284579838161985
02014 Air -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: