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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8-9-19 Permit Number: 11 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 PERMIT TYPE: A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 5015 PALMETTO DR. Property Tax ID #: 3402-606-0025-000-4 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Commercial Residential X Lot No._ Block No. LIKE FOR LIKE REPLACEMENT OF (1) 4 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 Windows/Doors Electric _ Plumbing _ Sprinklers —Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ S45 �_ Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name SUSAN COLLINS Name: JAMES F. GRIMES Address. 5015 PALMETTO DR. Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: Zip Code: 34982 Fax: Phone No.407-866-9208 Address:3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-8722 E-Mail: NA Phone No 772-461-8711 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail ROSERTGRIMESAC@,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. DESIGNER/ENGINEER: Name: Address: City: Zip: Phone Not Applicable State: MORTGAGE COMPANY: Name: Not Applicable Address: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: Address: City: Not Applicable Address: City: Zip: Phone: Zip: Phone: 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 commenr_ino work or rprnrding vour Notice of Commencement. S' ature of Owner/ Lessee/Contractor as Agent for Owner 01ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA C COUNTYOF S COUNTYOF The forgoing instrument was acknowledged before me The far oing instrument was acknowledged before me this � day of 26a by this day of 26JI by 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 ) Commission Na. SU �1 NTf;VFvR0 MY COMMISS€GN RGG 089,099 Commission No. SU3AN h( 1EGRO = r !<iYCOIhMISSiON i GG G$9099 April 2, 20? i r7V4"d i nrJ Nc zir� Fu w_ Und rfiTta E:�PIRES' April 2. 20? 1 REVIEWS FRONT PLANS VEGETATION MANGROVE ZONING SUPERVISOR SEATURTLE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 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: 8936367 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) : 4TTR6049J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOC48H41+TDR+UFIHRZ Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FI_, 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 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 : 48000 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. Ratings that re at aaccom rnied b WAS indicate an involuntaryre rate. The new ublished raUn is shown alon with the revious 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 oniy be used for individual, personal andAM 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 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. 131962057640692086 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: