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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLIICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I ! 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 Commercial Residential X PERMIT TYPE:A/C CHANGE -OUT PROPOSED:.IMPROVEMENT LOCATION: Address: 4500 S 25TH STREET Property Tax I #: 2433-331 -0001 -000-0 Site Plan Name: Project Name: Lot No. Block No. 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: 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: $ 5,600.00 Sq. Ft, of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name FIRST BAPTIST CHURCH OF FORT PIERCE INC. Name: JAMES F. GRIMES Add ress:4600 S 25TH STREET Company: GRIMES HEATING AND AIR CONDITIONING City: FORT PIERCE State: EL Zip Code: 34981 Fax: Phone No. 772-461-7950 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 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. Not Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: t Not Applicable Name: Address: State: City: Zip: Phone: BONDING COMPANY: _,_,_Not Applicable Name: Address: City - Zip: . Phone - Al d OWNER/ CONTRACTOR AFFIDVIT• Application is hereby made to obtain a permit to do the work and installation as in Ica e _ I certify that no work or installation has commenced prior to the issuance of a permit_ ct st. Lucie Count makes no representation tion that is grastingocpermiiation rulesabylaws or anscovenants that build t or prohibit such which is in co I ict with any app ne structure. Please consult with your Nome owners Association and reviewe thadet I w for all restrictions e pe ctsoperform he work which may y In consideration of the granting of this requested permit, I do hereby agree in accordance with the approved plans, the Florida Building Codes and St. Lucie CountyAmendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, ols, fences, walls, signs, screen rooms and accessory uses to another non-residential use accessory structures, swimming poPAYING "!YARNING TO OWNER: YOUR FAILUREYOUR I'IROPIrlER"iY.A NOT COFCOMMENCEMENT Y E COMMENCEMENTMUST BE RECORDED AND TWICE FOR IMPROVEMENTS TO POSTED ON THE .DOB SITE BEFORE T E FIRSTFORE INSPECECORIO ' IR NOTICEF COMMENCEMENT-7NCIMG, CONSULT __" vnain I riunFQ10 OR An ATT C S' ' ature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF sene The fnranjn� inSt�� �mant Aq acknowledge before me this day of W �--� ZQAby Si ature of Contractor/License Holder STATE OF FLORIDA COUNTY DF The f r ing instr gent as acknawledgetj bby me this _L day of by making statement. Name of person making statement. Name of person Personally Known�.OR Produced Identification Type of Identification Produced ature of Notary Public- State of Commission No. Personally Known__ ORProduced Identification Type of Identification Produced of Notary Public- State of Florida) tS&qAN MONTENEGRO I Oimmission No. My COMMISSION n GG 08903 ExPIRLS: d12, 202i REVIEWS I FRONT ' —. LUNiivu COUNTER REVIEW DATE RECEIVED D ATE COMPLEf "�NS Vi GVIEWW REVIEW RETI VI>=W MY COMMISSION 9 GG 0891)" �Tlliu f,- n, Pi_ U�1de�wrla 5 REVIEW I REVIEW ti■ma1 CERTIFIED° www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. 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 andlor Air Handler) : TEM4AOC48S41+TDR Region: All (AK, At_, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, 1L, 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 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 : 46500 SEER: 16.00 EER (A2) -Single or High Stage (95F) : 13,50 f"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. Ratin s that are acaom anied b WAS indicate an involunta re rate. The new published ratingis shown alongwith the previous 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. A14RI 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 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; Ow an, -1 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 click on 'Verify Certificate" link The information for the model cited on this certificate can be verified at www.ahridlrectory-org, Y 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. CERTIFICATE NO.: 131968851961727044 ©2019Air-Conditioning, Heating, and Refrigeration Institute