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NELSON PERMIT APP
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date. 3-7-19 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 TYPE:A/C CHANGEQUT PROPOSED IMPROVEMENT LOCATION: Address: 6824 TRAVELERS WAY Property Tax ID#: 3410-503-0126-000-1 Lot No. Site Plan Name: Block No. Project Name: 3 TON A/C REPLACEMENT DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE FREPLACEMENT OF (1) 3 TON TRANE HEAT PUMP, 14 SEER WITH 5 KW ELECTRIC HEAT. CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC CIRCUITS. CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: Mechanical _Gas Tank —Gas Piping —Shutters Windows/Doors Electric _Plumbing _Sprinklers —Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4,688.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Name:JAMES F. GRIMES Address: Company:GRIMES HEATING AND AIR CONDITIONING City: State: Address:3054 N US HWY 1 Zip Code: Fax: City: FORT PIERCE State:FL Phone Na. Zip Code: 34946 Fax: 772-461-872 E-Mail: Phone No772-461-8722 Fill in fee simple Title Holder on next page (if different E-Mail ROBERTGRIMESAC@AOL.COM from the Owner listed above) State or County License4426 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. DE! '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: 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. ature of Owner/Lessee/Contractor as Agent for Owner ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY Of _ % GiL= COUNTY OF The forgoing instrument was acknowledged before me The for of g instrument was acknowledged before me this�day of _/i�f�a'l-ej) 20L7by this Cy of MCU- b ,204 by Name of person making statement Name of person making statement Personally Known�OR Produced Identification Personally Known>C::_OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of N 6 (Signature of Notary Public State of Flort ._- � MAN WNTENGGRO c i�aN h `,1 y FR�Commission No _ �h�h�isSadr� 89oss Commission No. ��, 9C99 yCOM EXP}RES;ApN 2,2021 �= t PIk�S',AFfi12 2 -1 Ba4rkd ihru h:;,wi Public Urrder riters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 wvvw.atiridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:201763659 Date:03-07-2019 Model Status:Active AHRI Type:HRCU-A-CB Series:XR14 Outdoor Unit Brand Name:TRANE Outdoor Unit Model Number (Condenser or Single Package):4TWR4036G1 Indoor Unit Model Number(Evaporator and/or Air Handler):TEM4AOB36S31+TDR 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 ANSI/AHRI 210/240 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(A2)-Single or High Stage(95F),btuh:35000 SEER: 14.00 EER(A2)-Single or High Stage(95F): 11.50 Heating Capacity(H12)-Single or High Stage(47F):34400 HSPF(Region IV):8.20 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 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. Rat in s that are a. ." ccom anied by WAS indicate an involunta re-rate. The new published rating is shown alon with the orevious i.e.WAS ratin . 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 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; AM 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. &REFRIG RATIO G,HEATING, &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION LLTheormation for the model cited on this certificate can be verified at www.ahridirectGry.org,click on°Verify Certificate"link use make IiFe hetter'"er the AHRI Certified Reference Number and the date on which the certificate was issued, s listed above,and the Certificate No.,which is listed at bottom right. 131964487288783652 9Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Michelle Franklin, CFA— Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address: 5824 TRAVELERS WAY Parcel ID: 3410-503-0126-000-1 Account#: 133245 Map ID: 3411013 Use Type: 0100 Zoning: PUD City/County: Saint Lucie County Ownership Larry L Nelson Debra K Nelson , 5824 Travelers Way Fort Pierce,FL 34982 , Legal Description _ PALM GROVE SID BLK D LOT 30(0.12 AC)(OR 3471-653) z Current Values Just/Market Value: $121,300 Assessed Value: $48,018 y f Exemptions: S25,000 e } Taxable Value: $23,018 Taxes for this parcel: SLC Tax Collector's Office 12 Total Areas Download TRIM for this parcel:Download PDF p FinishedlUnderAir(SF): 1,450 Gross Sketched Area(SF): 1,972 Land Size(acres): 0.12 Land Size(SF): 5,227.2 This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2019 Saint Lucie County Property Appraiser.All rights reserved.