HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6-7-19 Permit Number:
COU NZ
K I n. 4
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: 1000 SAVANNAH CLUB BLVD
Property Tax ID #: 3426-700-0002-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial X Residential
Lot No. —
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 5 TON TRANE A/C SYSTEM, 14 SEER WITH 10 KW ELECTRIC HEAT.
CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC.
I 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:
Cost of Construction: $ 6,395.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name AMERICAN LEGION POST #318
Name. JAMES F. GRIMES
Address: 1000 SAVANNAH CLUB BLVD
Company: GRIMES HEATING AND AIR CONDITIONING
City: PORT ST LUCIE State:
Zip Code: 34952 Fax:
Phone No. 772-201-5393
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: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above]
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.
SUPPLi=MENTAL CONSTRU.0 rl. 'NL'L�I:EN LAWINFO.RK4ATION
pE51GNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Address: Address:
City: state: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the wont and Inswiiauun as nuicaicu.
I 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 ermit holder to build the subject structure
st ucture. Please c nsuh withpyolurr Home Owners Associationtlandrreview bylaws
deed for any restrictions which ma oapply.
prohibit such
Y
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
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S' ature of Owner/ Lessee/Contractor as Agent for Owner
j ature of Contractor/License Ho3der
STATE OF FLORIDA
S Lr lCiC
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The fo aing instra ent was acknowledged before me
this day of �uyl-k_ 20TILby
The forgoing instrument was acknowledge before me
this 3 day of TA—r%. Zfl& by
CS
7i� i 1/r�eS
Name of person making statement
Personally Known! OR Produced Identfication
Name of person making statement
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 }
Commission No, SUS 'JTEIr'E._ GR6
Commission Na. "" SJSkN !461BRi�'?;.-,RO
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ry
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Certificate of Product Ratings
AHRI Certified Reference Number: 9130253 Date: 06-07-2019 Model Status : Active
AHRI Type: RCU-A-CB
Series : XR14
Outdoor Unit Brand Name: TRANE
Outdoor Urit Model Number (Condenser or Single Package) : 4TTA406OA3
indoor Unit Model Number (Evaporator andfor Air Handler) : TEM4A0C60S51 +TDR
Region Nate : 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:
Coofing Capacity (A2) - Single or High Stage (95F), btuh : 55000
SEER: 14,00
EER (A2) - Single or High Stage (95F) : 11.50
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 rot yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is stiil
selling or offering for sale.
Ratin s that are 'or sale,, anted b WAS indicate an involunta re -rate. The new published ratin is shown alongwith the previous 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;
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.
& 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 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. i
t 32tk14125729122924
DD 2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: