HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-11-2019
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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 Number:
Building Permit Application
PERMITTYPE:A/C CHANGE -OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 8480 IMMOKOLEE RD_
Property Tax I D #: 1326-342-0000-010-8
Site Plan Dame:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Lot No.
Block No.
LIKE FOR LIKE REPLACEMENT OF (1) 3 TON TRANE A/C SYSTEM, 18 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: $ 6,895.00 Utilities: ^ Sewer _ Septic Building Height:
OWNER/LESSEE:
Name ROBBIE JOHNSON
CONTRACTOR:
Name: JAMES F. GRIMES
Company: GRIMES HEATING AND AIR CONDITIONING
Address: 8480 IMMOKOLEE RD
Address: 3054 N US HWY 1
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-216-5098
E-Mail: NA
City: FORT PIERCE State: FL
Zip Code: 34946 Fax: 772A61-8722
Phone No 772-461-8711
E-Mail ROBERTGRIMESAC@40L.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement
State or County License 4426
Commencement is required.
is required.
if GJ11.IV L{lf a.avv...��•-- �� -
Name:
Address: State:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Phone:
MORTGAGE COMPANY: _ _ Not Applicable
Name:
Address: State: _
City:
Zip: ��� Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 ar installation has commenced prior to the issuance of a permitp.
ermit will ahoy` ws or and covenants that maydresfirictbole protiilt such
St. Lucie Counter makes no representation that is granting a p ,
which► is !n conflict with any applicable Home Owners Assoclatlon rules,
structure. Please consult witwners Assaciatlan and revsew your deed for any restrictions which may apP Y•
agree that I will, in all respects, perform the work
In consideration of the granting of this requested permit, I do hereby
in accordance with the approved plans, the Florida Building Codes and St. i ucie County Amendments -
in following building permit pplools, fences, walls,signsl, screen rooms and accessory uses to another non-residential use
undergoing a full concurrencV review: room additions,
accessory structures, swimming p
"WARMING TO OWNER: YOUR FAILURE TO �OPEI�TYORD A �A NG
NOT CE OF COMMEN EC MENT MUST BE RECORDED AOTICE OF COMM04CEMENT MAY RESULT IN YOUR ND
TWICE FOR IMPROVEMENT5 TO YOUR
INSPECTION. IF YOU INTEND TO
>POSTED ON THE JOB SITE BEFORE THE 1f�OR� CORDING YOUR NOTICIE OF COMMENCEMENT:' CING, CONSUL
WITH YOUR LENDER OR An ATTORN
C
F#,ture of Owner/ Lessee/Contractor asAgent for Owner
STATE OF FLORIDA
COUNTY OF S
The 4nrartijpg instrument as acknowledged before me
this � day of zo r q by
C
s, ature of Contractor{License Holder
STATE OF FLORIDA
COUNTY OF
The fa,ry aing instrument was acknowledged 0 f re me
this _[.L_ day of 11
by
Name of Person making statement.
Name of person making statement.
Personally Knowp_OR Produced Identification
Type of identification
Produced
Signature of Notary Public- State
Commission No.
o`
o
REVIEWS FRONT
COUNTER
RECE_ IVED
BATE.
COMPLETED
tS AN MONTENEGRO
MY COMMISSION # GG 089
REVIEW REVIEW
Personally Known )—,:f OR Produced identification
Type of identification
Produced
of Notary Public- State of Florida }
My COMMISSION It GIG 089M
Bar t �S Wi y�,*.L)66etwidets
"MANS VEGETATI
REVIEW REEVIEWVIEW IEW REVREVIEW
This combination qualifies for a Federal Energy Efficiency tax Credit when
placed in service between Feb 17,2009 and Dec 31, 2016.
CERTIFIEDown awal
www.ahrid
Certificate of Product Ratings
AHRI Certified Reference Number: 10149797 Date : 10-11-2019 Model Status: Active
AHRI Type: RCU-A-CB
Series: XV181
Outdoor Unit Brand Name: TRANE
Outdoor Unit Model Number (Condenser or Single Package) : 4TTV8036A1
Indoor Unit Model Number (Evaporator and/or Air Handier): TEM8AOC36V31+TDR
Region: Ali (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 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 : 34800
SEER: 18.00
EER (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
selling or offering for sale.
Ratings that are accom anied by WAS indicate an involunta re -rate. The new published rating is shown along with the previous i.e. WA 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.ahridirectory.org.
TERMS AND CONDITIONS At Kin
This Certlficate 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; OWL ILentered 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 moire 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. 132152729254946575
02019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..