HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-21-19 Permit Number:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 3221 S LAKEVIEW CIR 18103
Property Tax ID #: 1426-501-0003-000-0
Site Plan Name:
Project Name: A/C REPLACEMENT
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No. _
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE AIC SYSTEM, 15 SEER WITH 8 KW ELECTRIC HEAT.
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit –check all that apply:
Y- Mechanical _ Gas Tank — Gas Piping — Shutters
Electric — Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4,988-00
Sprinklers — Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
Name RAYMOND ARSENAULT
Address: 3221 S LAKEVIEW CIR 18103
City: FORT PIERCE State:rL.
Zip Code: 34946 Fax:
Phone No. 581-986-6305
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
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 ROBERTGRIMESAC@AOL.COM
State or County License 4426
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.
IN
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
^ Not Applicable
Address:
STATE OF FLORIDA
COUNTYOF
Address:
The forgoing Instrument was acknowledged before me
this _ day of 20 , by
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Produced
Address:
City:
City:
(Signature of Notary Public- State of Florida
Zip: Phone:
commission No su nh llSevdkr R
Zip: Phone:.
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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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat 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 fallowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residentlal 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
.L ., —rAi . Rintir of rnmmonrpnnpnt
Rev. 8/2/17
S ature of Owner/ Lessee/Contractor as Agent for Owner
�jgilature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTYOF
The for Ding instru nt was a knowledge be€ore me
this day of u r e 2R_M by
The forgoing Instrument was acknowledged before me
this _ day of 20 , by
r %
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known "_ OR Produced. Identification
Type of Identification
Type of Identification
Produced
Produced
Signature of Notary Public- State of Florid)
(Signature of Notary Public- State of Florida
cgmmissibn No
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REVIEWS
FRONT ZONING SUPERVISOR
PLANS
VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Certificate of Product Datings
AHRI Certified Reference Number : 201763703 Date : 03-06-2019 Model Status: Active
AHRI Type : RCU-A-CB
Series : XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6036J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB36S31+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, 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, 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 ANSIIAHRI 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 : 33400
SEER: 15.00
EER (A2) - Single or High Stage (95F) : 12.50
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 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, offering for sale.
Ratings that are for by WAS ind§tate an involuntanr re -rate The new published rafin is shown aloe with the revious i.e. WA rafin .
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.ahfidirectory.org.
TERMS AND CONDITIONS 1101
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, AIR-CONDITIONING, HEATING,
personal and confidential reference. & REFRIGERATION INSTITUTE
CERTIFICATE VERIFICATION y click on 'Verify Certificate link
The information for the model cited on this certificate can be verified at www.ahridirector .org, Y we make lite 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. I1 CERTIFICATE NO.: 131963822825735307
02019Air-Conditioning, Heating, and Refrigeration Institute