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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6-25-19 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: b:5b PUNY IAIL LANE Property Tax ID #: 3410-503-0369-000-6 Site Plan Name: Project Name: Commercial Residential X Lot No. Block No. DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE HEAT PUMP, 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 _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 4,695.00 Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name MICHAEL LUPO Name: JAMES F. GRIMES Address: 636 PONYTAIL LANE Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State:, Zip Code: 34982 Fax: Phone No.860-951-2513 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 • '­ — � Vcsvv., ncwnvcv ivonce or commencementis regwrea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. t�� 'R..:'. `A'»Y K Ea _. M re A R3 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 AFFlDVIT: 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 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, 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 commencine work or recordine vour Notice of Commencement. Wature of Owner/ Lessee/Contractor as Agent for Owner Si atureature of Holder STATE OF FLORIDA COUNTYOF s1. LGtC/E STATE OF FLORIDA COUNTYOF The ing instrument was acknowledged before me forgor— The forgoing instrument was acknowledged before me this day of—TIAr1 Q- . 2QLCA by this _ day of 20_ by / eS 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 ) ..... SU h Commissibn No. ''0` :•=: �'NitNEGRO - Commission No. SUSAN h($@At�'EGRO _ -- • = hi'' COtdNJSS10N k GG 089099 `� ': `? AfY GOtANdSSION m GG US9099 •. .';4c EXPIRPS: A012.2021EXPIRES: Fubk II"d h' �e;s Ap!i12262i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION MANGROVE SEA TURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Certificate of Product Ratin AHRI Certified Reference Number: 201763659 Date: 03-07-2019 Model Status: Active AHRI Type: HRCU-A-CB Series: XR14 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TVVR4036G1 Indoor Unit Model Number (Evaporator and/or Air Handier): TEM4AOB36S31+TDR 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 : 36000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 Heating Capacity (1-112)- Single or High Stage (47F) : 34400 HSPF (Region IV) : 8.20 1"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 CenNcation Program Participant is no longer producing BUT is still selling or offering for sale. Ratinas that are accomoanied by WAS indicate an involuntary re -rate. The new oublished rating is shown along with the orevious (i.e. WAS) ratino. 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 am 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. CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life betu,v and enter the AHRI Certified Reference Number and the date on which the cer ll was issued. which Is listed above, and the Certificate No., which is listed at bottom right ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1319 4B7288783662