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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9-16-19 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 Commercial Residential x PERMITTYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 4500 S 25TH STREET Property Tax ID #: 2433-331-0001-000.0 Lot No._ Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF (1) 4 TON TRANE AIC 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 _ Windows/Doors __.. Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 5,600.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name FIRST BAPTIST CHURCH OF FORT PIERCE INC. Name. JAMES F. GRIMES Address: 4500 S 25TH STREET Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State:Address: 3054 N US HWY 1 Zip Code: 34981 Fax: City: FORT PIERCE State: FL Phone No. 772-461-7950 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 E -Mail ROSERTGRIMESAC@AOL.COM from the Owner listed above) State or County License 4426 ---.. r__. , ......,.., ..�. ...,..�., �.w%«v v, {.ufllfflCfumment IS requlrea. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. . 5� ��L �T • 4'}f-ss.ir Na 2i'Ti �"k -L ` ! { }i. b1 4�F1/jH1�1[�RF4i ,. `w'. --r, iii!'.. T.c � `f.%�r�Y.. �. ..... : . 1�... �.J .,7`. ;:. �: t. _... �..x.,.�.• if: r1 r.r�'"i:. .. DESIGNER NGINEER. Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address Address: City: State: City: State: Zip: Phone Zip; Phone: FEE SIMPLE TITLEHOLDER: i Nat Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: ___��_ .,...tet. .. A ;. +o11�1inn x inelirntMi- OWNER/ CONTRACTOR AFFIDVIT: Application is hereby mage to UOL61u a NU, i11'L <U Uu � �� ....•. �..� __._.. __ 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 theermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict orppr ibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which mayapply. p1 . 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 roams 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 WffH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT -7 Aature of Owner/ LesseeJContractor as Agent for Owner STATE OF FLORIDA COUNTY OF SI ature of Contra ctor{License Holder STATE OF FLORIDA COUNTY OF�- The fnraning instrument wnc acknowledge before me The for Ding instrument was acknowledgecybefore me this � day of S 4e '� 2011 by this i;day of � �' 281 by Name of person making statement. Name of person making statement. Personally KnownOR Produced Identification Personally Known_OR Produced identification Type of identification Type of Identification Produced Produced r Signature of Notary Public- State of Florida } S&qAN MONTENEGRO Commission No. _ ';'; y 0OMMISSION BGG 089 REVIEWS FRONT Sur'tnvla COUNTER �RE�VIEWREVIEW C3ATE ATE of Notary Public- State of Florida ) No. My GOMMI' ,StON A GO 089099 6and:-d Tliry Ike ry Pu�lc lttkieiw7�iG�s ""FLANS VEGETATI W 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: 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, A2, 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 ANSIIAHRI 2101'240 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 (95F), btuh ; 46500 SEER: 16.00 EER (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 sate. Rahn s that are aocom anied bV WAS indicate an involunta re -rate. The new Dublished ratin2 is shown-alona with the previous li=Lrjtin . DISCLAIMER AHRI does not endorse the products) 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.abridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AH RC 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-CONERATIoN rNSTITurE HEATING, CERTIFICATE VERIFICATION & REFRIGERATION 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. ©2019Air-Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 31 96 8851 961 727044 1