HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-29-19 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
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 224 RIO MAR DR.
Property Tax ID #: 3419-510-0320.000-0
Site Plan Name:
Project Name:
Commercial Residential X
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 2 TON TRANE A/C SYSTEM, 15.5 SEER WITH 5 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:
Mechanical Cas 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: $ 4285.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOSEPHINE LAWSON Name: JAMES F. GRIMES
Address: 224 RIOMAR DR. Company: GRIMES HEATING AND AIR CONDITIONING
City: PORT ST. LUCIE State:"F_L Address: 3054 N US HWY 1
Zip Code: 34952 Fax: City: FORT PIERCE State: FL
Phone No. 772-878-7880 Zip Code: 34946 Fax: 772-461-8722
E-Mail:NA Phone No 772-461-8711
Fill in fee simple Title Holder on next page ( if different E -Mail ROBERTGRIMESAC@AOL.COM
from the Owner listed above) 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.
Name:_
Address:
City:
Zip:
Phone
Applica
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip- Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:
Zip:
Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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, wails, 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.
Si store of Owner% Lessee/Contractor as Agent for Owner
,S'96ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF LirG'iC" COUNTY OFiGt':r
The forgoing instrugnent vy s acknowledgeq before me
this 1_04 day of t 20JLI by
Name of person making statementn
Personally KnowOR Produced Identification
Type of Identification
ignature of Notary Public- State of
Commission No.; SU4gg NJi NTErNEGRO
_ . - : i�iY COMi�iES�iOiti° � GG Ut3t99
r EXPIRES: April 2,20",
``� .... flt��d Cmu iY r% P -,;L . �Fi�C2i'hTf_ '
REVIEWSI FRONT ZONING
COUNTER I REVIEW
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this _ day of _ 20^, by
Name of person making statement
Personally Known �- OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida }rte
Commission No. SUSAN IASQAk'EGRO
hiyCO'4iAISSlJfv GG Oa9099
EXPIRES: Apnl 2.2021
UPERVIS
S REVIEWOR I REVIEW PLANS IvREVIEWEGETAtf®N S REVEWLE REVIEWVE
AHRI Certified Reference Number: 8626097 Date : 03-27-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6024J1
Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOB24S21+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 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 (95F), btuh : 24000
SEER: 15.50
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 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 far sate.
Ratio s that are accom anied b WAS indicate an involuntaryre-rate. The new published ratio is shown alon with the previous i.e, WAS ratio .
DISCLAIMER
AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibiiityforh
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), oe
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;
JU go
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
The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we Make life bcaer"
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. 9 3 1 981 932450603360
r
02019AiConditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: