HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/10/2019 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
PERMIT APPLICATION FOR: Mechanical
Address: 9430 MEADOWOOD DR APT 206
Legal Description: QUAIL RUN VILLAGE BLDG 1 UNIT 206 (OR
Property Tax ID #: 1327-703-0012-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Residential X
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 4 TON TRANE AC SYSTEM, 16 SEER WITH 10 KW ELECTRIC
HEAT
❑✓_ HVAC Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 5,782.00
Name PATRICIA A MAYNE
Address: 101 WILLOW ST
Piping "Shutters
nklers []Generator
SQ. Ft. of First Floor: _
Utilities: Sewer 0Septic
City: GUILDERLAND State: NY
Zip Code: 12084 Fax:
Phone No. 518-669-1874
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice
Name: JAMES F GRIMES
Windows/Doors
ERoof = Roof pitch
Building Height:
Company: GRIMES HEATING AND AIR CONDITIONING
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: KAYLAGRIMESAC@AOL.COM
State or County License: RA0018071
is required.
Name:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _1XJ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
k1Not Applicable
St.
is In confllcmt makes no
any applicable lHome Owners tAssociation rullesauthorize
bylaws or the
covenants that build
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 recordin<s vnnr Nntirp of r„r, m..,....,,e. +
c
SAf(ature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF SZ -\,UUP COUNTYOF ST.L,I)r IF_
The forgoing instrument was acknowledged before me The f rgoing instrument was acknowledged before me
this Ib day of sbn, A aAn� 20 Lby this day of_ �13 ytI,Lkj4_20V.Lby
-1 ( PAIS r l L t\I �t NI
(Name of person acknowledging) (Name of person acknowledging) C �`w—
n
hlgnature of Notary Public -State of Florida" (Signature of Notary Public -State of Florid
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificatio roduced Type of Identificat' n Produced
Commission No
SAN MOAEeatRO Commission N
'°�• MY COMMISSION C GG 089099 AN hIUNT
.c MY COMMISS!ON S GG 089099
c 91
°'•:?'o:6C;::' Bonded Thm No-arY Wbk UrI o.,o,:K°•� .
Revised 07/1 d "NI ld I�
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
This combination qualifies for a Federal Energy Efficiency tax Credit when
As placed in service between Feb 17,2009 and Dec 31, 2016.
NOUN CERTIFIED�
Certificate of Product Ratings
AHRI Certified Reference Number; 8676081 Date: 01-10-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6049J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4ADC48S41+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, Vi, WA, WV, WI, WY, U.S.
Territories)
Region Note: Central air conditioners manufactured priorto 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 regions) 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 of ANSVAHR1210/240 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 (AZ) - Single or High Stage (95F), btuh : 46500
SEER: 16.00
EER (A2) - Single or High Stage (95F) : 13.50
t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that ale 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
sRelling or offedrlg Por sale.
9bnos otat are eccomoenied by WAS indicate n "nvoluntery re- ate The new published rating is shown akmo with the previous (i.e WAS) retina
DISCLAIMER
AHRI does not endorse the products) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for,
the produchs) 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.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,NETTING.
CERTIFICATE VERIFICATION &REFRIFRIGERATI ON INSTITUTE
The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link r, mdr lice
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 191916064470584574
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..