HomeMy WebLinkAboutBuilding Permit ApplicaitonALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/15/2019 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 Residential x
PERMIT APPLICATION FOR: Mechanical
Address: 9540 MEADOWOOD DR 103
Legal Description: QUAL RUN VILLAGE BLDG 3 UNIT 103
Property Tax ID q: 1327-703-0027-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
INSTALLATION OF LIKE FOR LIKE 3 TON TRANE A/C SYSTEM, 16.5 SEER WITH VARIABLE
SPEED AIR HANDLER AND 10 KW ELECTRIC HEAT
HVAC II Gas Tank UGas Piping
Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 5,635.00
Name RICHARD DOOLITTLE
Address: PO BOX 1134
UShutters []Windows/Doors
[] Generator [] Roof = Roof pitch
S Ft. of First Floor: _
Utilities:11Sewer []Septic
City: MISHAWAKA State: IN
Zip Code: 46546 Fax:
Phone No. 772-460-0653
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: JAMES F GRIMES
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:
City:
Zip:.
iER/ENGINEER: zO Not Applicable
s:
State:
_ Phone:
FEE SIMPLE TITLE HOLDER: Jq Not Applicable
Name:
Address:
City:
Zip: _
Phone:
MORTGAGE COMPANY:Not Applicable
Name: (T
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.
Is In conflict with any applicable lHome Owners tAsssociationl rules authorize
bylaws or the
covenants that may restrict the estr ct 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
commBncina Wnrlr nr rornr.Jioa vn,,, ki-+;.- _f r`........_____.Y__.
piature of Owner/Less�ntr�r as Agent o -owner
C4
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF a . I t) COUNTY OF_ Ort, L_UC 1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this lZ day of U Zp n_by thisIS day of Zp ('1 by
(Name of person acknowledging) (Name of person acknowledging)
n
(Signature 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 Identification roduced Type of Identificati Produced
Commission 6-v=C•, SUSAN MGNTE�G�G� 0
1.;,.• aU'rC�°9099 Commission --
%MY GO ISSION� `iQ:e4; „N MGNTE�
4.
EXPIRE S: Apd12. 2021
,e MY COMh11SSi0N is GG 089099
Revised 0 ':Ea .cs = Sxd dThn Noary PubGcu de inters
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 Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
Certificate of Product Ratinqs
AHRI Certified Reference Number: 8627727 Date: 01-10-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Ung Model Number (Condenser or Single Package) : 4TTR6036J1
Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AOC36H31+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, SO, TN, TX, UT, VA, VT, WA, WV, Col, 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 of ANSIIAHR1210/240 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, thins party testing:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35000
SEER: 16.50
EER (A2) - Single or High Stage (95F) : 14.00
}"Active" Model Status are those that an AHRI Certification Program Participant is Currently producing AND selling or offering forsale: OR new models that are tieing
marketed but are not yet being produced "Production Stopped' Model Status are Nose that an AHRI Certification Program Participant is no longer producing BUT is still
selling ar offering (or sale.
Ratings that are accomoamid bv WAS Indicate an involuntary re -rate. The new Dublished called is shown atom with the Drevious (i.e. WAS} ratim.
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 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 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; "Y1 r
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 & REMIGERATION INSTITUTE
The Information for the model cited on this certificate can be verified M wwwahridirectory.org, click on "Verify Certificate' link we rneAc 14, heeer^'
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 fight
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131916194749226249