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Buiding Permit
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4-12-19 �,- - COUNTY Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 452-1578 Permit Number: Building Permit Application PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 6672 SPANISH LAKES BLVD Property Tax l D #: 1306-111-0001-000-0 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X Lot No. Block No. LIKE FOR LIKE REPLACEMENT OF (1) 3.5 TON TRANE A/C SYSTEM, 16 SEER WITH 10 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: -zlVlechanical _ Gas Tank _ Gas Piping —Shutters _ Windows/Doors Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Cost of Construction: $ 4,885.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: Name SPANISH LAKES Address: 6672 SPANISH LAKES BLVD City: FORT PIERCE State: F L_ Zip Code: 34951 Fax: Phone No. 772-460-8803 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) I1 ...1..- -L __ __i___ -- 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 .-,a...� .,1 --U UU&IMII 1.� 9bdLaVV yr Il,rsrC, a r%r1LvKvr:u nonce oT 4ommencement is required. if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. = Y fi� � - ���..5�'���%y �TSSF Pi�'sdy�� zae�in'Ya _, �:q . -i '� pP �i`^,;..� �,t•,^1"z� ,nY k� �' i, yy. COUNTY OF ST - %-The The ru fo�oing instent vkas acknowledge before me this C day of C_L 4 21 �. try MORTGAGE COMPANY: Not Applicable 1 2 .. Name of person making statement Name of person making statement '! Personally Known_ OR Produced Identification Address: Type of Identification Address: Produced City: State: City: State: Zip: Phone Commission No. r. Su�tlw-NTi=NEGRO Zip: Phone: = hiYCriMP ISS ONGG08SO98 E :PIRSS Apnl 2.20-21 FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: ZONING Name: Address: ^' Address: City: City: REVIEW Zip: Phone: REVIEW Zip: Phone: REVIEW 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. which is n conflict with anrepresentation lcHme Owners Asssociatior nErulles,bylaws or andpcovenan s that build ctborpr hibit 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 your NntirP of rnmmonramont Rev. 8/2/17 S attuure of Owner/ Lessee/Contractor as Agent for Owner.26ature of Contra ctor}License Holder STATE OF FLORIDA COUNTY S i STATE OF FLORIDA c OF L'v'r COUNTY OF ST - %-The The ru fo�oing instent vkas acknowledge before me this C day of C_L 4 21 �. try The for Ding instrument was acknowledged before me this day of kk 0117 t 2019 by ? 1 2 .. 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 1 Signature of Notary Public -State of Florid ) (Signature of Notary Public- State of Florida )61 Commission No. r. Su�tlw-NTi=NEGRO Commission No. SUSAN I.($,e EGRO = hiYCriMP ISS ONGG08SO98 E :PIRSS Apnl 2.20-21 `= IiYC0�1hAiSSfON�GGU&9L99 f' 3oMt�i ni Nab rr F�tf�_ lnCer�r E.P1R�S: April 2.2 ^ I rr : G_ 1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEA TURTLE MA GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 This combination qualifies for a Federal Energy Efficiency tax Credit when D placed in service between Feb 17,2009 and Dec 31, 2016. www.allridirectory.org Certificate of Product Ratinas AHRI Certified Reference Number: 8703699 Date: 03-01-2019 Model Status : Active AHRI Type: RCU-A-CB Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6042J1 Indoor Unit Model Number (Evaporator andlor Air Handler) : TEM4A0C42S41+TDR Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, Hl, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, INC, 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 TRANS product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 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 (9517), btuh : 41000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR now 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 accomraanied by WAS indicate an involuntary re rate. The new published rating is shown along with the previous fi a WAS) rating 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.abridirectory.org. TERMS AND CONDITIONS it up, 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; �- LA 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.ahridirectary.org, click on "Verify Certificate" link we malce 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. - @)2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131959228S7642©66t