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HomeMy WebLinkAboutHICKS PERMIT APP - 5936 TRAVELERS WAYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/04/2019 Permit Number: 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 PERMIT TYPE:A/C CHANGE -OUT PROPOSED IMPROVEMENT LOCATION: Address: 5936 TRAVELERS WAY Property Tax ID #: 3410-503-0112-000-0 Site Plan Name: Project Name: I DETAILED DESCRIPTION OF WORK: Commercial Residential X Lot No._ Block No. LIKE FOR LIKE REPLACEMENT OF (1) 2.5 TON TRANE HEAT PUMP SYSTEM, 14 SEER WITH 5 KW ELECTRIC HEAT. CONNECT TO EXISTING REFRIGERANT LINES, DRAIN, DUCTWORK, HIGH AND LOW VOLTAGE ELECTRIC. I CONSTRUCTION INFORMATION: I 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: Cost of Construction: $ 4,685.00 Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name CARL HICKS Name: JAMES F. GRIMES Address: 5936 TRAVELERS WAY Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772464-7052 Address: 3054 N US HWY 1 City: FORT PIERCE State: FL Zip Code: 34946 Fax: 772-461-8722 Phone No 772461-8711 E-Mail: NA Fill in fee simple Title Bolder on next page [ if different from the Owner listed above) E-Mail ROBERTGRIMESAC a_#OL.COM State or County License 4426 IT value oT construction Is :>l5UU 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. INEIER: Name: Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: �� Phone:. BONDING COMPANY: Nalne: Address: City: Zip: Phon( Not Applicable State: 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 unty.ct with o r applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such ociation and reviewyour deed for any restrictions which may apply. structure. Please consult with your Horne Owners Ass 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. W YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT-7 5' ature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF S St ature of ContractorJLicense Holder STATE OF FLORIDA COUNTY OF-- fnr mein instru Rnt ac acknowledge before me The for oing instrument w s acknowledge before me She 1 � . g .. � _ � -,n I� htr this � day of 20� 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 ProduceJJd ignature of Notary Public- State of Fioriaa 1 111� Commission No. ,o ? ' y AN MONTENEGRO My GQmNE5SIQN n GQ 689 EXPI RES: April 12021 REVIEWS I FRONT COU NTER R PLETED REVIEW I REVIEW azure of Notary Public- State of Florida } No. : A SU(S0W 7N7ENiEGR0 �''�:: htY C�7MMiS�IiJ�i � i50 p89D49 Ror,W Thru Wiary PUbk Ui,4e S IftANS VEGETATI as '"�'�" REVIEW REVIEW REVIEW REVIEW Certificate of Product Ratings AHRI Certified Reference Number : 8908428 Date : 10-04-2019 Model Status : Active AHRI Type: HRCU-A-CB Series : XR14 Outdoor Unit Brand Name: TRANE Outdoor unit Model Number (Condenser or Single Package) : 4TWR4030G1 Indoor Unit Model Number (Evaporator andlorAir Handler) : TEM4AOB30S31+TDR 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 : 28000 SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11.50 Heating Capacity (H12) - Single or High Stage (47F) : 27800 HSPF (Region IV) : 8.50 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. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WASI 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 ail 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 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 for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life bertern 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. 132146891017603321 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: