HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-18-19 Permit Number:
COUNT3+
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: 5624 SUN VALLEY DR
Property Tax ID #: 1312-501-0069-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No._
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE A/C SYSTEM, 17 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:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
— Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,625.00
Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name POLAND WILLIAM
Name: JAMES F. GRIMES
Address: 5624 SUN VALLEY DR.
Company: GRIMES HEATING AND AIR CONDITIONING
City: FORT PIERCE State:
Zip Code: 34951 Fax:
Phone No. 201-390-0918
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: NA
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
it value or construction is !�,ZSUU or more, a KELL)RUtD Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:_
Address:
_,,,_ Not Applicable
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: "—
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name: '-`
Address:
City:
Zip:-
Phone: State:
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.
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
commencing work or recordin our Notice of Commencement.
Si azure of Owner/ Lessee/Contractor as Agent for Owner Si azure of nt ar ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF T LaC. C COUNTY OF Si .
The for oing instrume t was acknowledged before me
this day of 20]4 by
G� �S-
Name of person making statement
Personalty Known_ OR Produced Identification
Type of Identification
Produced
re of !Votary Public- State of
The forgoing instrument was acknowledge dJ,before me
this day of 20 by
Name of person making statement
Personally Known �� OR Produced Identification
Type of Identificafion
Produced
(Signature of Notary Public- State of Florida
Commission No. Commission No.
My COWAISSEON # GC 089099
E;PiRES: A; di 2, 2071
REVIEWS I FRONT ZONING
COUNTER REVIEW
LCOMPLETED
Rev.8/2/17
SUPERVISOR PLANS I VEGETATION
REVIEW REVIEW REVIEW
SUSAN �,[NB NEGRO I
MYCOMPAiSSiON GG080099 fl
EXPIRES: April 2. 2021
SEA TURTLE MANGROVE
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 Ratinas
AHRI Certified Reference Number: 8676079 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) : 4TTR6036JI
Indoor Unit Model Number (Evaporator andlor Air Handler) : TEM4AOC42S41+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, Ml, 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, VVI, 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 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:
Cooling Capacity (A2) - Single or High Stage (95F), btuh : 36400
SEER: 17.00
EER (A2) - Single or High Stage (95F) : 14.00
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 for sale.
Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) rabricl
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.ahrid1rectory.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,
CERTIFICATE VERIFICATION
& REFRIGERATION INSTITUTE
The information forthe model cited on this certificate can be verified atwww.ahridirectory.org, click on "Verify Certificate" link
µe 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.
CERTIFICATE NO.:
�31959243422026t58
02019Air-Conditioning, Heating, and Refrigeration Institute