Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-16-19
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1.553 Fax. (772) 462-1.578 Commercial Residential X
PERMITTYPE:AIC CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 6607 S INDIAN RIVER DRIVE
Property Tax ID #: 3412-501-0001-000-9
Site Plan Name:
Project Name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
LIKE FOR LIKE REPLACEMENT OF (1) 5 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:
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: S 6,725.00
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOHN VERSTRAATEN
Name: JAMES F. GRIMES
Address:6607 S INDIAN RIVER DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-460-8014
Company: GRIMES HEATING AND AIR CONDITIONING
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 ROBERTGRIMESAC@AOL.COM
E-Mail: NA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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.
L�P1.11I:iTALU=�IlllI�Uf�I�IAkOI.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
5' ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA t
COUNTY OF S . e
The fnraning instrument wnc acknowledged before me
this _+day of Sew J 20�q by
Sr ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF—
The forgoing instrument Aas acknowledged before me
this tdayof C 26ACt by
Name of person making statement. I Name of person making statement.
Personally KnownX —OR Produced Identification
Type of identification
Produced
'(§ignature of Notary Public- State of Florida) U
Commission No. o (Se AN MONTENEGRO
MY GOMMIS&ON # GG 089
EXPIRrS; rill, 2021
ocf �;;•` lary GiiC naern
REVIEWS FRONT i�iTA
COUNTER REVIEW REVIEW
RECEIVED
DATE
COMPLET
Personally Known )—OR Produced identification
Type of identification
Produced
nature of Notary Public- State of Florida)
mmission No. �'. SU4ak]7N1 tr'TGRO
MY COMMISSION # 08900
NS VEGETATI
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 Ratings
AHRI Certified Reference Number: 10093803 Date: 09-16-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: XR16
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6061C1
Indoor Unit Model Number (Evaporator and/or Air Handier) : TAM9AOC6OV51
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 TRANS 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), btu : 57500
SEER: 16.00
FER (A2) - Single or High Stage (95F) : 13.00
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
sellior offering for sate
Ratingngs that are accomp. .
anied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (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.ahridirect©ry.ofg.
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; roam�■�
entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the users 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 male life hetrer"
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. 132131113053430301
OO 2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: