HomeMy WebLinkAboutBuilding Permit ApplicationThis 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: 7567547 Date : 08-03-2018 Model Status : Active
AHRI Type: RCU-A-CB
Series: XR14
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR40371-1
Indoor Unit Model Number (Evaporator andlor Air Handler) : TEM6AOC42H41+TDR
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, Wl, 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.
The manufacturer of this TRANE product is responsible for the rating of this system combination.
Rated as follows in accordance with the latest edition ofANSUAHRI 2101240 with Addenda 1 and 2, Performance Rating of Unitary
Air -Conditioning & Air -Source heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 34800
SEER : 16.00
EER (A2) - Single or High Stage (95F) : 13.00
f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being
marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still
selling or offering for sale.
Ratings that are accompanied by WAS indicate an invpluntary re -rate. The new published rating is shown along with the orevious (i.e. WAS} ratine
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 produtt(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.ahridfrectory.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; Rhali
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.ahrid!rectory.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. _-
02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131777936740754168
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: , Not Applicable I 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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated,
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.
5 nature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA ff ! � STATE OF FLORIDA
COUNTY OF 7# �c "l COUNTY OF
The f going instru ent was acknowledged before me
this(day of 20/ -by
if+ --
Name of person m king statement
Personally Known I OR Produced identification
Type of Identification
Produced
r
t, P,
(Signature of Notary P -
,.+pro"�.,, MIKE MARTIN
Commission No. `gam. Notj%§Jlic - State of Florida
+= Commission # FF 216951
My Comm. Expires Apr 5, 2019
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
LATE
DATE
COMPLET
Rev. 8/2/17
The forgoing instrum nt was acknowledged before me
this fes' day of }� 201yby
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Pure of Notary Publ ,p,p ori a
'MIKEMARTIN
Notary Public - State of Florid
fission No. ��"slon # FF 216951
ty Comm. Expires Apr 5, 201
9andedthrouah National Notary As
PLANS VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
NT Y '.,A
•,` r L o R
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23000 Virginia avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1578
Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 7
Legal Description:
Property Tax ID #: 3 - �-� Lot No.
Site flan Name:
Block No.
Project Name:
Setbacks Front Back; Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
F. l
HVAC Gas Tank IGa:
OElectric El Plumbing ospi
Total Sq. Ft of Construction.
Cost of Construction: $ -
OWNER/LESSEE:
f-� 14-
. .
viz - cnecK an apply.
Piping _ Shutters Windows/Doors
nklers Generator Roof �] Roof pitch
S Ft. of First Floor:
Utilities:llSewerESeptic Building Height:
Name I I 1\^
Address: �7�'c
City: 4
R State•%
Zip Code: Y Fax -
Phone No.
E -Mail:
Fill in fee simple Title holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:
Company:
Address:
City: - . e ✓;re
State:J•�
2
Zip Code: s '�5'
3 �
Fax: C< —11 7
Phone No. - ti- b7;, 9 �
E -Mail: CJ 6 c, r e-6 Y, J I e- S
State or County License:
C ) Er3& b--/
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.