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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7-18-19 Permit Number: COUNTY F L D R e r Building Permit Application Planning and Development services Building and Cade Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 18205 NORTH BLVD. Commercial Residential X Property Tax ID #: 1301-608-0181-000-5 Lot No._ Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 4 TON TRANE A/C SYSTEM, 16 SEER WITH 10 KW ELECTRIC HEAT. CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. CONSTRUCTION INFORMATION: I 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: $ 4,485.00 Generator Sq. Ft. of First Floor: Windows/Doors Roof Pitch Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name DEMETRIUS OWENS Name: JAMES F. GRIMES Address: 8205 NORTH BLVD. Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE StateTL Zip Code: 34951 Fax: Phone No. 772-333-6399 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 II vamu of wnstruction is ,1. LSuu or more, a ntLUKutu Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. NER/ENGINEER: Name: Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City - Zip Phone: — Not A State: — Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: —y 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. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Country 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 cOrnmencinsor work or recording our Notice of Commencement. S••at 're of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTYOF ST- The forgoing instrument was acknowiedgeqbefore me � this day of"j _ 20 % by �L r es Name of person making statement Personally Known,---,—<� OR Produced Identification Type of Identification re of Notary Public- State of Commission No. 9 AQ h4Y Cr-AA f S&!DN4 GG 089099 I' SPIRES •ApnJ 2, 2091, REVIEWS FRONT ZONING COUNTER I REVIEW TE DATE COMPLETED Rev. 8/2/17 nature of Contracto�JLicense Holder STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me thisdayof_s f�l 21311 by Name of person making statement Personally Known 3!�- OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of Florida ) Commission No. _ SUSkN� MY C0MMISS;CN =' G Ga9099 I ,:= EXPIRES: Apol2. 2021 SUPERVISOR PLANS VEGETATION SEAT R E M OVE REVIEW 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 Ratinas AHRI Certified Reference Number: 8676081 Date : 03-12-2019 Model Status : Active AHRI Type : RCU-A-CB Series : XR16 Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6049J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM4AOC48S41+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 TRANE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 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 (9517), btuh : 46500 SEER : 16.00 FER (A2) -Single or High Stage (95F) : 13.50 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 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. Rat nos that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along _with _the pre (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 www.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and its contetonts 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. BEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on thiscertificate can be verified at www.shridirectory.org, click on "Verify Certificate" link we make life beuerTM 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. D2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131968851961727044