HomeMy WebLinkAboutBuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4-30-19 Permit Number:
oil IN
COUNZ
1: 1 0 R
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION
Address. 114 QUEEN ELIZABETH CT
Property Tax ID #: 1414-701-0068-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No.
Block No. —
LIKE FOR LIKE REPLACEMENT OF (1) 2 TO TRANE A/C SYSTEM, 16.5 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 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: $ 5395.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
Name DAVID WRIGHT
CONTRACTOR:
Name: JAMES F. GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
Address: 114 QUEEN ELIZABETH CT
Address: 3054 N US HWY 1
City: FORT PIERCE State:
Zip Code: 34949 Fax:
Phone No. 772-46-5193
E -Mail: NIA
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772-461-8722
Phone No 772-461-8711
E -Mail ROBERTGRIMESAC@AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement
State or County License 4426
Commencement is required.
is required.
pp r U
s- 71 1777 77
a zip
r a 4 f 3
DESIGNER/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.
certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie county L makes no representation that is granting a permit will authorize the permit holder to build the subject structure
stru cture. Please consult nvs with your Horne Home
Association ndrreviewyyour or and
or any restrictions which rmay arpply. obit such
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.
5 n azure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST -
The
r • LGCr
The forgoing instrument was acknowledge before me
this _*2Qday of 1 20 by
Name of person making statement
Personally Known
OR Produced Identification
Type of Identification
Produced
ZSignature of Notary Public -State of Florid6)
SUS( bhlfyNTa EGRO
Commission No. "=
NiY C0fAVdSS!ON # GG 089099
�= EXPIRES', Apnl 2 2021
&:,p'ed 1 nF+c-3ry F Ltk Ur ; �riys I
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev. 8/2/27
SS''gfiature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF!
The for sing inst mens was acknowledged before me
this day of iC- 204 by
i
Name of person making statement
Personally Known N �-- OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida
Commission No. SUSAN NkOWRN�FGRO
N4! Ct?"�1ih4SSi0N GG (189099
EXPIRES:Apn12.2021
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
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
Ratings
AHRI Certified Reference Number: 8626099
Date : 03-04-2019
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 andlorAir Handier) : TEM6ADB24H21+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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, 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 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 : 24400
SEER : 16.50
EER (A2) - Single or High Stage (95F) : 14.00
T"Active" Model Status are those that an AHRI Certif cation 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 stili
selling or offering for sale.
Ratings that are accompanied by WAS indica#e an invoiunta re -rate The new ublished ratin is shown algn with the Previous i.e. 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 ridirectory.ceg. 1210, TERMS ANDD 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
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 hake 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. 9 31 96205882631 941 1
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: